Objective: To explore the effectiveness of modified Wendan Decoction combined with lidocaine in integrative medical treatment of Lermoyez syndrome. Methods: Twenty patients with Lermoyez's syndrome received intravenous injection with lidocaine for 3 days and oral modified Wendan Decoction for 2 weeks. Before treatment and after 4-week follow-up, the severities of vertigo, low-tone hearing loss, tinnitus and the sensation of ear fullness were evaluated. Results: Of 20 patients, the low-tone hearing was obviously improved in 3 (15%) patients, moderately improved in 9 (45%) patients, and not improved in 8 (40%) patients. The sensation of ear fullness and tinnitus were relieved in 16 (80%) and 17 (85%) patients, respectively, and not relieved in 4 (20%) and 3 (15%) patients. The overall disease control rate of vertigo was 100% including 65% (13/20) achieving full control and 35% (7/20) achieving almost control. Conclusion: The integrative medical treatment with modified Wendan Decoction combined with lidocaine for Lermoyez syndrome can get good efficacy, which provides clinical evidence for further investigation of potential therapeutic methods for this disease.
Key words
Lermoyez syndrome /
Modified Wendan Decoction /
Lidocaine
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References
[1] 刘贻德. 对Mnire综合征与Lermoyez综合征的认识偏差导致误诊误治[J]. 临床误诊误治, 2001, 14(2):81-83.
[2] SCHMIDT P H, SCHOONHOVEN R. Lermoyez's syndrome. A follow-up study in 12 patients[J]. Acta Otolaryngol, 1989, 107(5-6):467-473.
[3] 危北海, 刘晋生, 罗小石, 等. 宏观辨证和微观辨证结合的研究[J]. 中西医结合杂志, 1991, 11(05):301-303.
[4] Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Menière's disease. American Academy of Otolaryngology-Head and Neck Foundation, Inc.[J]. Otolaryngol Head Neck Surg, 1995, 113(3):181-185.
[5] 孟照莉, 郑 芸, 胥科, 等. 耳鸣掩蔽结合心理咨询治疗耳鸣的疗效评价[J]. 听力学及言语疾病杂志, 2008, 6(02):103-105.
[6] 刘大新. 耳鸣、耳聋、眩晕的病因概况[J]. 中医耳鼻喉科学研究杂志, 2011, 10(01):21-22.
[7] 季伟华, 邹 静, 李 颖, 等. 3 270例门诊头晕患者的病因分析[J]. 神经病学与神经康复学杂志, 2009, 6(1):9-12.
[8] 蒋子栋. 内耳膜迷路积水的基础研究和临床诊治[J]. 中国医学文摘(耳鼻咽喉科学), 2008, 23(05):263-265.
[9] 胡文霞, 庄建华, 张 琳, 等. 颗粒复位手法治疗后半规管良性发作性位置性眩晕的对照研究[J]. 神经病学与神经康复学杂志, 2009, 6(1):17-20.
[10] 蒋子栋, 温彦华. 内淋巴积水的免疫损伤机制与治疗进展[J]. 中华耳科学杂志, 2011, 9(01):102-105.
[11] 李 辉, 李 明, 张剑宁, 等. 利多卡因不同给药途径辅助治疗耳鸣疗效的Meta分析[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(2):101-105.
[12] 刘 云, 潘卫东, 方正龙, 等. 加速度记录仪定量化评价安神健脑方对早期帕金森患者睡眠障碍的疗效[J]. 神经病学与神经康复学杂志, 2010, 7(3):127-131.
[13] 徐彩凤. 温胆汤加味临床应用[J]. 光明中医, 2015, 30(4):846-847.
Funding
Special Research Foundation of Shanghai Integrative Medicine (No. 2009ZXY003); Shanghai Integrative Medicine Foundation for Major Disease Stroke (No. zxbz2012-20); Famous Traditional Chinese Medicine Doctor and Famous Traditional Chinese Medicine Consulting Office Foundation of Shanghai Pudong New Area (No. PDZYXK-3-2014008); Project of Characteristic Specialty Neurology of Traditional Chinese Medicine of Shanghai Pudong New Area (No. PDZYXK-1-2014004); Famous Traditional Chinese Medicine Personal Training Foundation of Shanghai Pudong New Area (No. PDZYXK-6-2014038, PDZYXK-6-2014019)