梅尼埃病的治疗直到现在仍有争论。1977年Torok复习了过去25年间834篇梅尼埃病治疗的文献,得出的结论是无论用何种治疗方法,其效果均无明显差别,60～80%的病人恢复,20～30%的病人好转,10～25%的病人无效。这一结论,支持了非特殊疗法或安慰剂的治疗效果。本文作者复习了1975年以来发表的150篇英文文献,其主要治疗分为两大类:药物治疗和手术治疗。药物治疗包括低盐饮食、利尿剂、心理学治疗及物理治疗等。病人常从支持疗法和消除顾虑的心理治疗环境中获得良好的治疗效果,而物理疗法则在前庭功能丧失后的恢复期有某些作用。低盐饮食和利尿剂一直是许多耳科学家认为主要的内科疗法。利尿剂可 The treatment of Meniere’s disease is still controversial until now. In 1977, Torok reviewed 834 articles of Meniere’s disease treatment over the past 25 years and concluded that there was no significant difference in the efficacy of any treatment, with 60-80% of patients recovering and 20-30% The patient improved, 10 to 25% of patients invalid. This conclusion supports the treatment effect of non-specific treatment or placebo. The authors reviewed 150 articles in English published since 1975. The main treatments fall into two broad categories: medical treatment and surgical treatment. Medications include low-salt diet, diuretics, psychotherapy and physical therapy. Patients often receive good treatment from psychotherapeutic environments that support and eliminate anxiety, whereas physical therapy has some effect in the convalescent period after loss of vestibular function. Low-salt diet and diuretics have been the major medical treatments many ear scientists believe. Diuretics can be