鼻针疗法结合龙胆泻肝丸治疗突发性耳聋临床观察
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摘要
目的:观察鼻针疗法结合龙胆泻肝丸治疗突发性耳聋临床疗效。方法:选取我院2011年6月~2014年6月所收治90例突发性耳聋患者进行研究,分为两组。对照组采取西药治疗,观察组采取鼻针疗法联合龙胆泻肝丸治疗,比较两组治疗前后0.25~4.0k Hz听力损失与治疗有效率。结果:两组治疗前0.25~4.0k Hz各频率听力损失的比较均无统计学意义(P>0.05);经治疗后,观察组各频率听力损失均显著小于对照组,比较有统计学意义(P<0.05)。观察组治疗有效率为95.6%,显著高于对照组82.2%,比较有统计学意义(P<0.05)。结论:与西药治疗相比,鼻针疗法结合龙胆泻肝丸治疗突发性耳聋可清泄肝胆积热、涤痰开窍、镇肝熄风、活血通络,患者听力损失情况得到更大幅度改善,值得临床借鉴。
Objective: To observe the clinical curative effect of nasal needle therapy with Longdan Xiegan Pill in treatment of sudden deafness. Methods: Selecting 90 cases of sudden deafness patients in our hospital in June 2011 to June 2014,were divided into two groups. The controlled group was given western medicine,the observation group adopted nose needle therapy combined with Longdan Xiegan Pill,compared 0. 25 ~ 4. 0k Hz hearing loss and the treatment efficiency of the two groups before and after treatment. Results: The 0. 25 ~ 4. 0k Hz frequency hearing loss of the two groups before treatment showed no statistical significance( P > 0. 05); after the treatment,each frequency hearing loss of the observation group was significantly lower than that of the controlled group,differences were statistically significant( P < 0. 05). The effective therapy rate of the observation group was95. 6%,was significantly higher than the controlled group of 82. 2%,difference was statistically significant( P < 0. 05). Conclusion: Compared with western medicine treatment,nose needle therapy combined with Longdan Xiegan Pill in the treatment of sudden deafness can be clear and discharge the hepatobiliary accumulation of heat,RPR,tranquilizing liver wind,promote blood circulation,hearing loss has a substantial improvement,is worthy of clinical reference.
Objective: To observe the clinical curative effect of nasal needle therapy with Longdan Xiegan Pill in treatment of sudden deafness. Methods: Selecting 90 cases of sudden deafness patients in our hospital in June 2011 to June 2014,were divided into two groups. The controlled group was given western medicine,the observation group adopted nose needle therapy combined with Longdan Xiegan Pill,compared 0. 25 ~ 4. 0k Hz hearing loss and the treatment efficiency of the two groups before and after treatment. Results: The 0. 25 ~ 4. 0k Hz frequency hearing loss of the two groups before treatment showed no statistical significance( P > 0. 05); after the treatment,each frequency hearing loss of the observation group was significantly lower than that of the controlled group,differences were statistically significant( P < 0. 05). The effective therapy rate of the observation group was95. 6%,was significantly higher than the controlled group of 82. 2%,difference was statistically significant( P < 0. 05). Conclusion: Compared with western medicine treatment,nose needle therapy combined with Longdan Xiegan Pill in the treatment of sudden deafness can be clear and discharge the hepatobiliary accumulation of heat,RPR,tranquilizing liver wind,promote blood circulation,hearing loss has a substantial improvement,is worthy of clinical reference.
引文
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[2]李辉.中西医结合治疗空勤人员突发性耳聋13例分析[C].//第十四届全军耳鼻咽喉头颈外科学术大会论文集,2011:208~209
[3]范新华,谢强,丁亚南,等.转移兴奋灶针灸法治疗突发性耳聋机理探析[C].//中华中医药学会耳鼻喉科分会第十六次全国学术交流会论文集,2010:241~243
[4]李漫,白桦,李书良,等.突发性耳聋的中医治疗研究进展[C].//中华中医药学会耳鼻喉科分会第十六次全国学术交流会论文集,2010:209~214
[5]张晓哲,王茹敏,钱军,等.不同疗法治疗突发性耳聋疗效观察[J].中国针灸,2009,29(7):525~528
[6]杨翼,李漫,沈红强,等.近年突发性耳聋的中西医结合治疗小结[C].//全国第四届中医、中西医结合暨非药物疗法防治心脑血管病、糖尿病、肿瘤高级论坛论文集,2010:152~153
[7]黄婷婷.谢强教授治疗突发性耳聋经验总结[C].//2012年中华中医药学会耳鼻喉科分会第18届学术交流会暨世界中联耳鼻喉口腔专业委员会第4届学术年会论文集,2012:295~296
[8]皮晓波,李卫林.针刺配合龙胆泻肝丸治疗肝火上炎型突发型耳聋40例[J].云南中医中药杂志,2014,35(12):57~58
[9]王秋菊,兰兰,韩冰,等.双侧突发性耳聋患者临床特征与预后分析[J].中华耳科学杂志,2010,8(2):119~128
[10]袁志玲.高压氧治疗突发性耳聋的临床分析[J].中国医药导报,2009,6(19):251+254
[11]田彦林,赵荣祥.病程20天以上突发性耳聋的临床疗效[C].//中国中西医结合学会耳鼻咽喉科专业委员会第十三次学术会议暨浙江省中西医结合学会耳鼻咽喉科专业委员会第十一次学术会议论文集,2013:98~102
[12]王延升,徐文广,高敏,等.中西医治疗突发性聋133例临床分析[J].听力学及言语疾病杂志,2007,15(1):71~72