• 제목/요약/키워드: Tinnitus Handicap Inventory(THI)

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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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영추 발몽자를 이용한 돌발성 난청의 치험 1례 (Bal Mong Ja Acupuncture Treatment of Sudden Sensory Hearing Loss with Tinnitus and Dizziness)

  • 강미숙
    • Korean Journal of Acupuncture
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    • 제33권4호
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    • pp.221-225
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    • 2016
  • Objectives : The purpose of this study is to report clinical effects of korean medical treatment based on Bal Mong Ja on a patient with sudden sensory hearing loss. Methods : In this study, we used acupuncture based on Bal Mong Ja on a patient with sudden sensory hearing loss. We also carried out treatments like herbal medication and moxibustion therapy etc. The progress of symptoms were evaluated by THI(Tinnitus Handicap Index), DHI(Dizziness Handicap Inventory), VAS(Visual Analogue Scale) once a week. Results : After 7 weeks, there were significant improvements of auditory acuity and THI, DHI, VAS. Conclusions : Acupuncture based on Bal Mong Ja is effective for relieving symptoms of sudden sensory hearing loss with tinnitus and dizziness.

이명 심각도에 따른 정신의학적 특징 (Psychiatric Characteristics According to Tinnitus Severity)

  • 김재홍;김정호;조성일;박상학;김상훈;추일한;김승곤
    • 생물정신의학
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    • 제22권1호
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    • pp.7-13
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    • 2015
  • Objectives The purpose of this study was to examine the psychiatric characteristics of outpatients with tinnitus. Methods A total of 88 subjects were included in this study. According to Tinnitus Handicap Inventory (THI) scores, the subjects were classified into two group ; a mild tinnitus symptoms (mild-tinnitus) group and a severe tinnitus symptoms (severe-tinnitus) group. A questionnaire was used for an assessment of demographic characteristics, and the THI, the Visual Analogue Scale (VAS) about tinnitus, the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) are applied for evaluation of other clinical psychiatric characteristics. Results Higher THI scores were positively correlated with tinnitus course, the number of accompanying symptoms, and the VAS. BDI total scores, BDI factors, and BAI total scores were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Also suicidal ideation, interpersonal problems, sleep problems, occupational impairment, and fatigue were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Conclusions Tinnitus is a common disorder of hearing which is associated frequently with psychiatric problems. This study suggests that psychiatric interventions should be taken into consideration in the treatment of patients suffering from tinnitus.

장부변증에 따른 이명 양상과 변증유형별 치료효율 분석 (Analysis of Tinnitus Pattern by Visceral Pattern Identification and Treatment Efficiency by Pattern Identification Type)

  • 김경준
    • 한방안이비인후피부과학회지
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    • 제32권3호
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    • pp.77-86
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    • 2019
  • Objectives : By analyzing symptoms of tinnitus, we tried to find out the relationship between deficiency and excess(虛實) and visceral pattern identification(臟腑辨證). By testing Tinnitus Handicap Inventory(THI), we evaluated the quality of life of people suffering from various aspects of tinnitus, as well as comparing treatment efficiency. Methods : 52 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the THI. Results : The vast majority of high-grade tiny noise patients are deficiency type(虛症). The vast majority of low-grade roar patients are excess type(實症). Tinnitus persistence and feeling of ear occlusion were prominent in low-grade roar patients. low-grade roar patients suggest that overall quality of life is lower than high-grade tiny noise patients. In terms of treatment efficiency, spleen-stomach weakness(脾胃虛弱)-type, stomach heat(胃熱)-type and phlegm-fire(痰火)-type was higher than kidney essence depletion(腎精虧損)-type and liver qi depression(肝氣鬱結)-type regardless of the aspect of tinnitus. Conclusions : The present study suggests that tinnitus pattern may be helpful in differentiating patients with tinnitus, and the effectiveness of treatment can be predicted through differentiation.

돌발성 난청 환자에서 발생한 이명의 한방 치험 1예 (A Case Report of Tinnitus Occurred in the Sudden Sensory Neural Hearing Loss Treated with Korean Medical Treatments)

  • 박무섭;이초인;김재수;황보민;이현종
    • 대한한의학방제학회지
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    • 제22권2호
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    • pp.133-141
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    • 2014
  • Objectives : The purpose of this study is to show the clinical effect of Korean Medical Treatments for Tinnitus with Sudden Sensory Neural Hearing Loss. Methods : The patient was treated by Korean Medical Treatments for 10weeks. The effect of treatments on tinnitus was measured with Visual Analogue Scale(VAS) and Korean Tinnitus Handicap Inventory(K-THI). And the effect of treatments on sudden hearing loss was measured by VAS. Results : VAS of Tinnitus was decreased from 10 to 3 points and K-THI score was decreased from 70 to 26 points. VAS of hearing loss was decreased from 9 to 8 points. Conclusions : Korean Medical Treatments are effective on Tinnitus.

한방병원에 내원한 이명환자의 특성 및 삶의 질 분석 (Characteristic and Quality of Life in Patient with Tinnitus who visit the Korean Medical Hospital)

  • 김자혜;김민희;신상호;고우신;김훈;윤화정
    • 한방안이비인후피부과학회지
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    • 제19권2호
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    • pp.212-222
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    • 2006
  • Backgroun : 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 lift and productivity are impaired. Objective : This study was conducted to investigate the characteristic of the tinnitus patients and the impact of tinnitus on quality of life. Methods : 103 patients un recruited in this study who was ill with tinnitus. They wrote out the queslicumaire about tinnitus and the Tinnitus Handicap Inventory(THI). Result : THI score have relation to set the period of birth, the loudness of tinnitus and the items of attending symptoms. Conclusion In this study, tinnitus have influence on patients' quality of life. We expect this study to provide the base data for the effective treatment and the high qualify of patients' life.

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현훈을 동반한 이명 환자들의 임상적 특성 (Clinical Characteristics of Patients with Tinnitus accompanied Vertigo)

  • 김경준
    • 한방안이비인후피부과학회지
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    • 제37권2호
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    • pp.27-36
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    • 2024
  • Objectives : This study is to find out clinical characteristics of patients with Tinnitus and Vertigo. Methods : 28 patients were recruited in this study who were ill with tinnitus accompanied vertigo. They told me the aspects of tinnitus and wrote out the Tinnitus Handicap Inventory(THI). Also, they were divided into central and peripheral vertigo. Through symptoms of tinnitus and vertigo, the discrimination of Heo-sil(虛實) was based on the specific aspect of tinnitus along with Zhuang fu bian zheng(臟腑辨證). Results : In tinnitus, high-narrow tone group is more than low-wide tone group and the rate of Heo symptom(虛證) group is higher than Sil symptom(實證) group. In vertigo, the rate of peripheral group is higher than central group. Conclusions : It is expected that this survey will help patients with both tinnitus and vertigo in their treatment progress and prognostic judgment.

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.

이충만감 및 불안, 우울 소견을 동반한 이명 환자의 복합 한의진료 경과 : 증례보고 (Complex Korean Medicine Therapy for Tinnitus with Ear Fullness, Depression, and Anxiety: A Case Report)

  • 문향란;조희근
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1300-1306
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    • 2020
  • Background: The aim of this study was to determine the clinical effects of complex Korean medicine therapy for tinnitus associated with ear fullness, depression, and anxiety. Case Report: A 52-year-old female patient suffering from tinnitus with ear fullness, depression, and anxiety was treated with acupuncture, pharmacopuncture, and herbal medicine. We used the Tinnitus Handicap Inventory (THI), Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), and a Verbal Numerical Rating Score (VNRS) to assess the patient's symptoms. The administration of the acupuncture, pharmacopuncture, and herbal medicine improved the ear fullness, depression and anxiety symptoms. No side effects were observed during the treatment. Conclusion: The study findings suggest that complex Korean medicine therapy, such as acupuncture, pharmacopuncture, and herbal medicine, may be effective for the treatment of tinnitus associated with ear fullness, depression, and anxiety.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대함흉탕(大陷胸湯) 투여로 호전된 공황 장애를 동반한 이명 1례 (A Case Report of Tinnitus with Panic Disorder treated by Daehamhyung-tang from the Disease Pattern Identification Diagnostic System based on Shanghanlun provisions)

  • 조강문
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.109-119
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    • 2016
  • Objective : The purpose of this paper is to report the effect of Daehamhyung-tang(DHHT) on tinnitus with panic disorder from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Taeyang-byung Gyeolhyung'. He took DHHT for 82 days. This paper evaluated the results of treatment on tinnitus by Tinnitus Handicap Inventory(THI) and Verbal Numercial Rating Scale(VNRS). To assess the mental state of anxiety, this paper used Hamilton Anxiety Rating Scale(HAM-A) Results : The THI score was declined from 58 to 6 And the VNRS score was declined from 6 to 1. HAM-A score was declined from 28 to 3. Conclusions : This case study suggests that DHHT has effectiveness on a patient suffers from tinnitus with panic disorder and diagnosed with 'Taeyang-byung Gyeolhyung'.