돌발성 난청의 청력 회복에 대한 추나 요법의 효과: 체계적 문헌고찰 및 메타 분석

• 영문명: The Effectiveness of Chuna Manual Therapy on Hearing Recovery in Sudden Deafness: A Systematic Review and Meta-Analysis
• 발행기관: 척추신경추나의학회
• 저자명: 홍진영(Jin-yeong Hong) 권보인(Bo-In Kwon) 김주희(Joo-Hee Kim)
• 간행물 정보: 『척추신경추나의학회지』제20권 제1호, 73~85쪽, 전체 13쪽
• 주제분류: 의약학 > 한의학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Objectives This study was conducted to evaluate the effectiveness of Chuna man- ual therapy (CMT) on hearing recovery in patients with sudden deafness (SD). Methods We conducted a comprehensive search for randomized controlled trials (RCTs) that applied CMT for SD through MEDLINE, CENTRAL, EMBASE, CNKI, KMbase, OASIS, ScienceOn, and RISS up to March 31, 2025. The risk of bias in the included studies was assessed using the Cochrane Handbook’s Risk of Bias 2.0 tool, and statistical analyses of the extracted data were performed using Review Manager (RevMan) version 5.4. Results Among the 9 RCTs that were finally selected, meta-analyses were con- ducted on 8 RCTs that reported total effective rate (TER) based on pure tone audio- metry (PTA) and on 3 RCTs that reported PTA outcomes. The results showed that CMT combined with western medicine (WM) showed significant higher complete recovery compared to WM alone, with a relative risk (RR) 1.83 (95% confidence interval (CI), 1.24 to 2.69; p < 0.005) and PTA decrease Mean difference (MD) -5.82 (95%, CI, -10.29 to -1.35). Also, CMT and acupuncture combined with WM showed significant higher complete recovery compared to WM alone, with RR 3.02 (95% CI, 1.58–5.77; p < 0.005) and PTA decrease MD -6.66(95% CI, -9.58 to -3.73). Conclusions CMT, when combined with WM, showed a significant effect on hearing recovery in patients with SD, suggesting that it could be considered as a treatment option in combination therapy. However, as the included studies were of low quality, there is a need to establish stronger evidence through well-designed, high-quality RCTs.

목차

1. 서론

2. 대상 및 방법

3. 결과

4. 고찰

5. 결론

References

키워드

sudden deafness chuna manual therapy systematic review meta-analysis