• 제목/요약/키워드: tinnitus(耳鳴)

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객관적 이명검사 연구를 위한 청성 후기 반응 측정 시스템의 구현 (Implementation of an Auditory Late Latency Response Measurement System for Researching Objective Tinnitus Detection Method)

  • 박일용
    • 재활복지공학회논문지
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    • 제7권1호
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    • pp.45-50
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    • 2013
  • 최근, 동물에 대한 객관적 이명 유무 검사인 GPIAS (gap prepulse inhibition of acoustic startling) 방법이 보고된바 있으나 동물과 달리 큰 자극음에 의한 놀람 반응 (startling response)을 사람에게서 측정하는 것은 어렵기 때문에, 청성 유발 반응과 같은 뇌파 신호를 측정하는 것이 사람 이명 검사법 연구에 보다 적합하다. 본 연구에서는 GPIAS 방법에서 사용하는 gap prepulse 기반의 소리 자극법을 자유롭게 적용할 수 있으며, 청각 심리학적 현상인 이명과 연관된 대뇌 피질 활동을 반영하는 청성 후기 반응 (auditory late latency response, ALLR) 뇌파를 간편하게 측정할 수 있는 청성 후기 반응 측정 시스템을 구현하였다. 또한, 구현된 시스템을 정상 청력을 가진 8인의 피험자에게 적용하는 실험을 통해 gap prepulse 기반의 소리자극에 의한 청성 후기 반응의 N1-P2 첨두치 크기를 측정하였고, gap prepulse에 의한 N1-P2 억제율 현상을 확인 및 평가하였다. 이를 통해, 구현된 청성 후기 반응 측정 시스템이 향후 gap prepulse 소리 자극법에 기반한 객관적 이명 검사법 연구 및 검증 도구로서 이용될 수 있음을 확인하였다.

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이명(耳鳴)의 한방(韓方) 치료(治療)에 의한 삶의 질 개선(改善) 효과(效果) (The effect of Korean Medicine in the Quality of Life for Tinnitus)

  • 김자혜;김민희;신상호;고우신;김규곤;윤화정
    • 한방안이비인후피부과학회지
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    • 제19권3호통권31호
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    • pp.158-170
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    • 2006
  • Background : Tinnitus is a common symptom in outpatients of Otolarygology but has no correct diagnosis and effective treatment. Patients with tinnitus experienced the disorder to a degree that their quality of life and productivity are impaired. Objective : This study was conducted to investigate the change of THI score, the number of attending symptoms for the Korean medical treatment. And we investigated that the interrelationship is in existence as sex, age. Methods : Fatty patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the Tinnitus Handicap Inventory(THI) before and after treatment. The Korean medical treatment include a herb remedy, acupuncture. Result : THI score changed before and after treatment remarkably, and the number of attending sysmptoms also decreased noticeably. Relativity of questionnaires before and after treatment has difference as sex and age. Conclusion : Before and after treatment, the patients's THI score change significantly. In this study, the Korean medicine has effect on patients's quality of life with tinnitus. We expect that this study inform the effect of Korean Medicine about tinnitus and THI is the good questionnaire for measureing quality of patients' life with tinnitus for Korean medical doctors.

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이명(耳鳴)의 한방치료에 대한 최신 연구 동향 (Recent Trends in Oriantal Medical Treatment for Tinnitus)

  • 정현아
    • 혜화의학회지
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    • 제20권1호
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    • pp.143-151
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    • 2011
  • Objectives : This study is to research the trend of the oriantal medical treatment for tinnitus and to establish the hereafter direction for the study on oriantal medical treatment for tinnitus. Methods : We reviewed the domestic articles published last eleven years(2000- 2010). Results : We have searched 21 articles in 5 journals of korean oriental medical ophthalmology &dermatology, korean acupuncture & moxibustion, korean oriental medicine, oriental physiology & pathology, sasang constitutional medicine. 1. There were the most research done 2006. They have 5 articles. In other years there were 3 or less articles. 2. The pattern of study was as follow: the consideration of documents were 5, clinical trials were 6, case studies were 8 and the others were 2. the rate of case studies were increased. 3. After mid 2000s, there were more studies of new research method appearing. Conclusions : The oriental medical treatment already effective for tinnitus. But we need more studies about various kind of oriental medical treatment for tinnitus.

이명(耳鳴)에 관한 정신의학적 문헌고찰(文獻考察) (Study of oriental medical science documentory records of tinnitus and neuropsychiatric aspect of hiccup)

  • 장영주;정인철;이상룡
    • 혜화의학회지
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    • 제18권1호
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    • pp.67-81
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    • 2009
  • 1. According to causes of attack and symptoms, tinnitus is divided into two categories; deficiency and excess. Causes of excess syndrome of tinnitus were wind fire in the liver and gallbladder, phlegm fire, blood stagnation, and heat in meridian system and the causes of deficiency syndrome of tinnitus were qi deficiency or blood deficiency after an illness or delivery, yin deficiency of liver and kidney, and deficiency of sea of the marrow. 2. Tinnitus was related to the vicera and bowels, especially to liver, gallbladder and urinary bladder. 3. In regard of method of treatment, tonify kidney, nourish heart, clear the liver and discharge heat are used according to visera and bowel theory. Clear phlegm and downbear fire are used for phlegm fire. Tonify spleen and kidney is used for ancestral vessel deficiency. Dispel wind and dissipate fire can be used according to theory of five elements' motion and six kinds of natural factors. 4. The basal meridian of acupuncture and moxibustion treatment were the channels of Shaoyang.. 5. Regarding neuropsychiatric aspect of tinnitus, sudden anger and depression of mind were the main mechanism of disease and liver fire was the main cause. The prescriptions for neuropsychiatric tinnitus were Dangguiyonghuehwan, and Yongdamsagantang.

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임신 중 발생한 이명 환자 치험 1례 (A Clinical Case Report of a Tinnitus Patient in Pregnancy)

  • 최원진;김명동
    • 한방안이비인후피부과학회지
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    • 제23권2호
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    • pp.218-223
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    • 2010
  • The above patient of this case is outpatient on April 18, 2007 who visited my office with tinnitus, headache, dizziness, and backpain, and, she was in pregnancy 14 weeks. Her symptoms were diagnosed as tinnitus from kidney meridian weakness due to pregnancy. After she was administered with Yukmijihwnagtang, her tinnitus disappeared and her other symptoms became better. So this result suggests that herbal administration of Yukmijihwangtang was effective on tinnitus due to pregnancy.

세포교정영양요법(OCNT)을 이용한 이명환자 사례 연구 (A Case Study of a Tinnitus Patient Receiving Ortho-Cellular Nutrition Therapy (OCNT))

  • 안숙
    • 셀메드
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    • 제12권5호
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    • pp.1.1-1.3
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    • 2022
  • Objective: A case report on the reduction of tinnitus and improvement in feeling of residual urine as a result of nutritional therapy Methods: A 46-year-old Korean man presented with tinnitus lasting for 10 days, and complained of discomfort with a feeling of residual urine for several years. Results: Tinnitus disappeared after one week of nutritional therapy, and the feeling of residual urine improved after 40 days. Conclusion: Nutritional therapy can be beneficial in the treatment of diseases for which a definitive diagnosis and treatment are lacking, such as tinnitus.

두부(頭部) 외상(外傷) 이후 발생한 이명(耳鳴)환자 치험 1례 (A Clinical Case Report of Tinnitus after Head Trauma)

  • 김현정;조아름;김창환
    • 한방안이비인후피부과학회지
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    • 제24권2호
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    • pp.111-118
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    • 2011
  • Objectives: Oriental medical treatment could be effective with the patient with tinnitus after head trauma. Methods: We experienced one case of tinnitus after head trauma treated with oriental medical treatment, acupuncture and oriental medicine(Hwaeo-jeon). Result: After the treatment the grades of VNRS, THI were decreased and clinical symptoms were improved. Conclusion: Oriental medical treatment, acupuncture and oriental medicine(Hwaeo-jeon) were effective on tinnitus after head trauma.

이명환자의 순음청력검사에 대한 임상적 고찰 (Clinical Study for Tinnitus by Pure Tone Audiometry)

  • 김종남;조정란
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1981년도 제15차 학술대회연제순서 및 초록
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    • pp.39.1-39
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    • 1981
  • 이명은 청기질환의 중요한 증후로 청기질환의 조기 혹은 단독증상으로 존재할 때도 있으나 대부분의 경우에 있어서 난청을 수반하게 된다. 이명의 성립기전은 불분명하나 청기내 혹은 그 중추경로에의 이상자극에 의해 발생한다고 한다. 1978년 1월에서 1980년 12월까지 이명을 주소로 이대부속병원 이비인후과에 내원한 환자중 순음청력검사를 시행한 111명을 임상적 분석 및 고찰을 하였다. 1) 성별분포는 남자가 52.2%, 여자가 47.8%로 남자가 약간 많았고 연령은 21세에서 30세까지가 가장 많아 28.8%였다. 2) 발병기간은 1달에서 1년까지가 가장 많아 31.5%였다. 3) 이명만을 호소하였던 환자는 11명 (10.0%)였으며 대부분인 72%에서는 수반증상으로 난청을 호소하였다 4) 38.7%의 환자에서는 양측, 32.4%는 좌측, 28.9%는 우측의 이명을 호소하였다. 5) 고막소견은 48.0%에서는 정상고막소견을 보였으나 33.1%에서는 내함, 8.4%에서는 고막천공이 있었다. 6) 청력소실정도는 29.2%에서 정상이었고 22.7%에서는 중등고도의 청력소실이 있었다. 7) 청력상을 보면 33.1%에서 고음장애형이었고 수평형은 33.0%, 저음장애형은 11.9%였으며 $C_{5}$ dip은 11.0%에서 있었다. 8) 난청의 종류는 감각신경성난청이 가장 많아 46.9%, 혼합성난청이 33.1% 전도성난청이 20.1%였다.

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이명(耳鳴)의 양상에 따른 장상적(臟象的) 상관(相關) 분석 및 변증(辨證) 형태별 삶의 질에 관한 연구 (A Study on the quality of Life by jansang(臟象)'s relational analysis and Byunjeung(辨證)'s type according to Tinnitus's aspect)

  • 김경준
    • 한방안이비인후피부과학회지
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    • 제30권3호
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    • pp.20-30
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    • 2017
  • Background : Tinnitus is common disorder with many possible causes and a symptom of many different diseases but has no effective treatment. Approximately 20% of tinnitus patients experience the disorder to a degree that their quality of life and productivity are impaired. Objectives : 1. Through symptoms of tinnitus, we tried to find out the relationship of Heo-sil(虛實) and Jang bu byun jeung(臟腑辨證). 2. By testing THI, we tried to evaluate the quality of life between high-grade tiny noise and low-grade roar tinnitus patients group. Methods : 34 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the tinnitus Handicap Inventory(THI). Results : 1. The vast majority of high-grade tiny noise patients are Heojeung(虛症). 2. The vast majority of low-grade roar patients are Siljeung(實症). 3. The number of patients with intermittent and persistent tinnitus is similar. 4. In high-grade tiny noise, Sin jung hyu son type(腎精虧損型) patients are less comfortable with quality of life than Bi wi heo yak type(脾胃虛弱型) patients. 5. Low-grade roar patients are less comfortable with quality of life than high-grade tiny noise atients Conclusions : Jang bu byun jeung(臟腑辨證) and Distinguishing between Heo(虛) and Sil(實) is expected to have positive effects on tinnitus treatment.

계지가갈근탕(桂枝加葛根湯)을 투여한 이명 증례 1례 (A Case Report of Tinnitus Treated by Gyejigagalgeun-tang)

  • 이성준;허주
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.15-20
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    • 2015
  • Objective : This study is aimed to report the outcomes of the treatment of a patient with tinnitus during 6 month. Methods : Basic patient's data was analyzed as a CARE guideline. And related symptom was measured with VAS. Results : The symptom of tinnitus reduced from 10 to 2 on VAS. And the symptom of feeling cold get lower. Conclusions : Gyejigagalgeun-tang improved the symptom of tinnitus on this study.