Kim Tae Su, Lee Hwan Seo, Chung Jong Woo
Department of Otolaryngology, Kangwon National University School of Medicine, Chuncheon, Korea.
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
J Audiol Otol. 2015 Sep;19(2):85-90. doi: 10.7874/jao.2015.19.2.85. Epub 2015 Sep 16.
The major mechanism of inner ear cell damage is the production of reactive oxygen species (ROS). Korean red ginseng (KRG) has an anti-ROS effect; thus we hypothesized that KRG may be of use for the treatment of chronic idiopathic tinnitus. The aim of the study is to investigate clinical outcomes and health-related quality of life (QoL) in chronic tinnitus patients after taking KRG.
This study was an open-label randomized controlled trial. Sixty-one patients with chronic tinnitus were enrolled and randomized to three groups. The control group was treated for 4 weeks with 160 mg/day Ginkgo biloba extract, and two other groups receiving 1500 mg/day or 3000 mg/day KRG for 4 weeks. Clinical assessments were performed using the tinnitus handicap inventory (THI), Visual Analogue Scale (VAS) and QoL was assessed by Short Form-36 Health Survey (SF-36) questionnaire.
Fifty-nine patients completed the planned protocol. Significant improvements were observed between initial and post-treatment THI scores in patients receiving 3000 mg/day KRG. There was no statistically significant difference between initial and post-treatment VAS scores in all groups. Treatment with 3000 mg/day KRG for 4 weeks significantly improved role emotional and mental health scores in the SF-36 survey.
These results suggest that KRG may improve tinnitus symptoms and mental wellbeing in chronic tinnitus patients.
内耳细胞损伤的主要机制是活性氧(ROS)的产生。韩国红参(KRG)具有抗ROS作用;因此我们推测KRG可能可用于治疗慢性特发性耳鸣。本研究的目的是调查服用KRG后慢性耳鸣患者的临床结局及健康相关生活质量(QoL)。
本研究为开放标签随机对照试验。61例慢性耳鸣患者入组并随机分为三组。对照组接受为期4周、每日160毫克银杏叶提取物的治疗,另外两组分别接受为期4周、每日1500毫克或3000毫克KRG的治疗。使用耳鸣障碍量表(THI)进行临床评估,采用视觉模拟量表(VAS),并通过简明健康调查问卷(SF-36)评估生活质量。
59例患者完成了计划方案。接受每日3000毫克KRG治疗的患者,治疗前后THI评分有显著改善。所有组治疗前后VAS评分无统计学显著差异。每日3000毫克KRG治疗4周显著改善了SF-36调查中的角色情感和心理健康评分。
这些结果表明,KRG可能改善慢性耳鸣患者的耳鸣症状和心理健康。