ABSTRACT
OBJECTIVES: This study aimed to assess the clinical benefit of device therapy on controlling the symptoms of Meniere's disease (MD). MATERIALS AND METHODS: We searched PubMed, Embase, the Cochrane Library, China National Knowledge Internet, and Wanfang Data before January 13, 2018. We selected randomized controlled clinical trials, case-controlled studies, and cohort studies that dealt with outcomes of device therapy for the treatment of MD. RESULTS: Sixteen trials met our inclusion criteria. The use of device therapy resulted in improved vertigo control, which was described as a reduction in the number of vertigo days by month (weighted mean difference [WMD]: 3.15, 95% confidence interval [CI]: 2.00-4.31), in the number of vertigo episodes by month (WMD: 7.37, 95% CI: 2.40-12.35), and in the vertigo visual analog score (WMD: 41.51, 95% CI: 34.68-48.34). In addition, the overall complete vertigo control (class A) rate was 50% (95% CI: 37%-64%). The device therapy also reduced the number of sick days by month (WMD: 4.56, 95% CI: 2.15-6.97), and the functional level improved (WMD: 2.66, 95% CI: 2.15-3.17). The electrocochleographic parameters decreased. The device therapy proved beneficial for hearing changes (WMD: 3.19, 95% CI: 0.66-5.71). No publication bias was found in the funnel plot and the results of Egger's test. CONCLUSION: This study showed that the device therapy might reduce vertigo attacks and sick days in patients with MD. Additionally, the function level and hearing level may improve after the device therapy. In addition, the decrease in electrocochleographic parameters showed that inner ear electrophysiology improved after device therapy.
Subject(s)
Audiometry, Evoked Response/instrumentation , Meniere Disease/therapy , Transtympanic Micropressure Treatment/methods , Vertigo/therapy , Adult , Aged , Audiometry, Evoked Response/methods , Case-Control Studies , Cross-Sectional Studies , Ear, Inner/physiopathology , Female , Humans , Male , Middle Aged , Randomized Controlled Trials as Topic , Sick Leave/statistics & numerical data , Transtympanic Micropressure Treatment/statistics & numerical data , Visual Analog ScaleABSTRACT
Based on the constructed evaluation index system of ecological environment and economy coordinated development in Hebei Province, accompanied by introducing the Coupling Degree Mo-del, the paper estimated the ecological environment comprehensive index, the economic comprehensive index and the coupling degree of ecological environment and economy coordinated development of Hebei Province from 2000 to 2014 and 11 cities in 4 years (2000, 2006, 2010, 2014). The results showed that during the study period, the level of the coordinated development of the eco-logical environment and economy in Hebei Province had been increasing, from the brink of a recession to the well coordinated development, which had gone through 3 evident stages. The coordinating degree of ecological environment and economy of the 11 cities increased year by year, and pre-sented significant difference in spatial distribution. Through analyzing the spatial and temporal evolution mechanism of the ecological environment and economy coordinated development in Hebei Province, the policy, economy, industry and location were the key contributing factors, accordingly, suggestions on the further coordinated development of ecological environment and economy in Hebei Province were proposed.