[1]姜影 田永萍 刘翔毅 靳鹏超.温通针法联合药物治疗突发性耳聋临床研[J].现代中医药,2023,(04):074-78.
　JIANG Ying TIAN Yongping LIU Xiangyi JIN Pengchao.Clinical Study on Treatment of Sudden Hearing Loss with Wentong Acupuncture Combined with Drugs[J].Modern Traditional Chinese Medicine,2023,(04):074-78.
点击复制

温通针法联合药物治疗突发性耳聋临床研
分享到：

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年04期
页码:
074-78
栏目:
临床研究
出版日期:
2023-07-20

文章信息/Info

Title:
Clinical Study on Treatment of Sudden Hearing Loss with Wentong Acupuncture Combined with Drugs
文章编号:
1672-0571(2023)04-0074-05
作者:
姜影1 田永萍1 刘翔毅1 靳鹏超2
1.甘肃中医药大学附属医院/甘肃省针灸临床医学研究中心，甘肃 兰州 730000；
2.甘肃省第二人民医院，甘肃 兰州 730000
Author(s):
JIANG Ying1 TIAN Yongping1 LIU Xiangyi1 JIN Pengchao2
1.Affiliated Hospital of Gansu University of Chinese Medicine/Gansu Acupuncture Clinical Medical Research Center,Lanzhou 730000,China;
2.Gansu Second Peoples Hospital,Lanzhou 730000,China
关键词:
关键词：突发性耳聋; 温通针法; 临床研究
Keywords:
Key words:Sudden hearing loss; Wentong acupuncture; Clinical observation
分类号:
R245.31+5
文献标志码:
A
摘要:
摘 要：目的 观察温通针法联合药物治疗突发性耳聋（sudden hearing loss，SHL）的临床疗效。方法 132例SHL患者采用完全随机对照的试验方法分为药物治疗组（对照组）和针药联合组（治疗组），各66例，对照组采用常规药物治疗，治疗组在西药的基础上施行温通针法操作。观察两组患者治疗前后听力变化、耳鸣变化及耳鸣致残量表-3（THI）评分。使用AC40型纯音听力计隔音室内测试纯音听阈听力值，采用耳鸣致残量表评估耳鸣程度及对患者生活质量的影响，并评价两组突发性耳聋及耳鸣的疗效。结果 对照组对突发性耳聋总有效率为71.21%，治疗组为81.81%，治疗组临床疗效优于对照组（P＜0.05）；对照组对耳鸣的有效率为83.07%，治疗组为96.61%，治疗组临床疗效优于对照组（P＜0.05）。与本组治疗前比较，2组治疗后纯音听阈听力值及耳鸣致残量重度、中度及轻度的例数明显降低，差异有统计学意义（P＜0.05）。结论 温通针法治疗药物在改善突发性耳聋的临床症状，改善突发性耳聋造成的耳鸣、焦虑等负面情绪及提高生活质量方面优于单纯药物，值得临床进一步推广。
Abstract:
Abstract：Objective To observe the clinical efficacy of Wentong acupuncture combined with drugs in the treatment of sudden hearing loss (SHL).Methods A total of 132 SHL patients were divided into a drug treatment group (drug group) and an acupuncture medicine combination group (combination group) using a completely randomized controlled trial method,with 66 patients in each group.The drug group received routine drug treatment,while the combination group received Wentong acupuncture on the basis of Western medicine.Observe the hearing changes,tinnitus changes,and tinnitus disability scale 3 (THI) scores of two groups of patients before and after treatment.The AC40 pure tone audiometer was used to test the pure tone threshold hearing value in the soundproof room,and the tinnitus disability scale was used to evaluate the degree of tinnitus and its impact on the patients quality of life.Results The therapeutic effects of two groups of sudden hearing loss and tinnitus were evaluated.The total effective rate of sudden hearing loss in the drug group was 71.21%,while in the combination group it was 81.81%.The clinical efficacy of the combination group was better than that of the drug group (P<0.05);The effective rate of tinnitus in the drug group was 83.07%,while in the combination group it was 96.61%.The clinical efficacy of the combination group was better than that of the drug group (P<0.05).Compared with before treatment in this group,the pure tone hearing threshold and the number of cases with severe,moderate,and mild tinnitus disability in the two groups significantly decreased after treatment,and the difference was statistically significant (P<0.05).Conclusion The combination of Wentong acupuncture and drugs is superior to simple drugs in improving the clinical symptoms of sudden hearing loss,improving negative emotions such as tinnitus and anxiety caused by sudden hearing loss,and improving quality of life.It is worth further promoting in clinical practice.

参考文献/References:

[1]Chandrasekhar SS，Tsai Do BS，Schwartz SR，et al.Clinical practice guideline：sudden hearing loss (update)[J].Otolaryngol Head Neck Surgery，2019，161(1suppl)：S1-S45.
[2]中华耳鼻咽喉头颈外科杂志编辑委员会，中华医学会耳鼻咽喉头颈外科学分会.突发性聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志，2015，50(6)：443-447.
[3]李姝娜，李越，杨军，等.突发性聋治疗的国际共识[J].听力学及言语疾病杂志，2018，26(4)：451-452.
[4]姜岳波，王莉莉，李英.电针治疗突发性耳聋伴耳鸣、焦虑及睡眠障碍临床研究[J].针灸临床杂志，2019，35(9)：38-40.
[5]张帆，秦晓光，柯义泽，等.郑氏温通针法治疗血管性痴呆研究进展[J].亚太传统医药，2021，17(1)：202-204.
[6]刘璟文，赵耀东，朱玲，等.温通针法治疗神经性耳鸣25例[J].中医研究，2020，33(7)：48-51.
[7]徐兴华，方晓丽.温通针法治疗干眼症疗效观察[J].中国针灸，2012，32(3)：233-236.
[8]高树中，冀来喜.针灸治疗学[M].5版.北京：中国中医药出版社，2021：281-282.
[9]郑魁山.郑氏针灸全集[M].北京：人民卫生出版社，2000：289-290.
[10]孟照莉，郑芸，王恺.推荐一种耳鸣主观评估量表[J].听力学及言语疾病杂志，2007，15(4)：325-327.
[11]冯彪，程随涛，秦萍.鼠神经生长因子联合甲泼尼龙治疗突发性耳聋的临床分析[J].徐州医科大学学报，2019，39(10)：767-770.
[12]胡熙耀，万超.针药联合参麦治疗突发性耳聋的临床疗效[J].世界中医药，2019，14(7)：1876-1879.
[13]方晓丽，郑俊江，郑俊武.郑魁山教授“温通针法”临证运用规律总结[J].中国针灸，2007，27(4)：287-290.
[14]余力生.突发性聋治疗概述[J].中国耳鼻咽喉头颈外科，2010，17(10)：505-506.
[15]乔森，段力，罗莎，等.“心主神明”理论指导针灸治疗难治性突发性耳聋探讨[J].中国针灸，2019，39(9)：1013-1015.
[16]孙阁.循经感传治疗突发性耳鸣耳聋50例[J].上海针灸杂志，2006，25(3)：31.
[17]黎波，杜元灏，潘玥，等.基于累积Meta分析和模糊综合评判技术评价针灸疗效及干预层次的研究：突发性耳聋[J].中国针灸，2016，36(7)：773-778.
[18]赵俐黎.小醒脑针法辨治突发性耳聋110例[J].中医研究，2006，19(12)：48-49.
[19]马重兵，韩雅迪，严兴科，等.针刺对噪音性耳聋模型大鼠耳蜗毛细胞形态学的影响[J].中华中医药杂志，2015，30(7)：2583-2586.
[20]张翠彦，王寅.深刺与浅刺治疗突发性耳聋的疗效观察[J].中国针灸，2006，26(4)：256-258.
[21]姜思媛，侯文珍，倪光夏，等.不同电针刺激参数对突发性耳聋临床疗效的影响[J].中国针灸，2021，41(10)：1103-1107.

备注/Memo

备注/Memo:
基金项目：甘肃省科技支撑计划项目（1304FKCA096）；甘肃省科技计划项目（18JR2FA002）
更新日期/Last Update: 2023-07-29