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慢性的なめまいにおいては Dizziness Handicap Inventory(DHI)等,定点的な評価尺度はあるもの の,他領域での日記帳のような連続的な定量評価 を行った報告は多くない。海外ではメニエール病 患者がつける日記用のアプリなどが報告され疾患と の高い相関性が示されている。当院では DHIの他 に倫理委員会の了承を得て VAS検査によるめまい 日記を2016年12月より導入している(図1)。今回 我々は不可逆期のメニエール病症例に対して苓桂朮 甘湯を投与し,連続的な VAS検査を用いてめまい 症状の自覚の変動を評価した。 症 例 患者:75歳,男性 主訴:めまい,右側難聴 現病歴:201 X―9年8月より上記主訴があり,ス テロイド点滴を行うも症状が反復し聴力悪化とめま い頻度増加を繰り返した。ENGでは右半規管麻痺 Object: To show the effect of Kampo medicine in suppressing fluctuations of the subjective sense of balance in a patient with Meniere’s disease. Material & Methods: The patient was a 75-year-old man with chronic Meniere’s disease. He had been diagnosed as having Meniere’s disease nine years earlier, and continued to have vertigo attacks after two surgeries. We instructed the patient to maintain a vertigo diary with a Visual Analogue Scale (VAS) for two years. During one of those two years, we treated him with the Kampo medicine, Ryokeijyutukantou. Result: Statistical analysis of the VAS values recorded in the vertigo diary showed that the Kampo medicine was effective at suppressing fluctuations of the patient’s subjective sense of balance. By long-term analysis, there is no effect of the weather and pressure to Meniere’s disease. Discussion: Our findings suggested that the Kampo medicine was effective for suppressing fluctuations of the subjective sense of equilibrium in our patient with Meniere’s disease. 原 著

The effect of Kampo medicine in suppressing fluctuations of the subjective sense of balance in a patient with Meniere's disease