通窍活血汤加减治疗中老年突发性耳聋
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摘要
目的探讨通窍活血汤加减为主治疗中老年突发性耳聋临床效果。方法选取114例中老年突发性耳聋患者为研究对象,分成2组。对照组57例予西医治疗,观察组57例辅助通窍活血汤加减治疗,观察治疗后临床疗效和相关指标变化情况。结果对照组痊愈率28.07%、总有效率77.19%,观察组痊愈率38.6%、总有效率91.23%,观察组显著高于对照组,2组比较差异有统计学意义(P<0.05);2组治疗后耳鸣、耳聋、眩晕症状评分较治疗前显著下降,治疗前后比较差异具有统计学意义(P<0.05),观察组治疗后耳鸣、耳聋、眩晕评分较对照组治疗后改善更加显著,2组治疗后比较差异具有统计学意义(P<0.05);2组治疗后PT、APTT和纯音气导听阈较治疗前显著改善,治疗前后比较差异具有统计学意义(P<0.05),但以上指标治疗后2组间比较差异无统计学意义(P>0.05)。结论通窍活血汤加减为主辨证治疗中老年突发性耳聋能明显改善症状,提高临床疗效。
Objective To investigate clinical effects of Tongqiao Huoxue decoction in the treatment of elderly sudden deafness.Methods 114 middle-aged patients with sudden deafness for the study,they were divided into two groups.57 cases in control group were treated with western medicine,while the 57 cases in the observation group were treated with of secondary Tongqiao Huoxue decoction treatment,observation after treatment in the clinical efficacy and related indicators changes.Results The efficacy of the control group,the cure rate of 28.07%,the total efficiency of 77.19%,observation group,the cure rate of 38.6%,the total efficiency of 91.23%,the cure rate and the total effective observation group were significantly higher,the difference was significant(P<0.05);the former two groups after treatment of tinnitus,deafness,dizziness symptom scores than before treatment decreased significantly after treatment was significantly different(P<0.05),the observation group after treatment of tinnitus,deafness,dizziness scores than the control group after treatment improved more significantly,the two groups difference after a significant(P<0.05);significantly improved front after treatment PT,APTT and pure tone air conduction threshold than before treatment,before and after treatment were significantly different(P<0.05),but the above indicators after treatment the difference was not significant(P>0.05).Conclusion Tongqiao Huoxue decoction syndrome mainly elderly sudden deafness significant clinical effect.
Objective To investigate clinical effects of Tongqiao Huoxue decoction in the treatment of elderly sudden deafness.Methods 114 middle-aged patients with sudden deafness for the study,they were divided into two groups.57 cases in control group were treated with western medicine,while the 57 cases in the observation group were treated with of secondary Tongqiao Huoxue decoction treatment,observation after treatment in the clinical efficacy and related indicators changes.Results The efficacy of the control group,the cure rate of 28.07%,the total efficiency of 77.19%,observation group,the cure rate of 38.6%,the total efficiency of 91.23%,the cure rate and the total effective observation group were significantly higher,the difference was significant(P<0.05);the former two groups after treatment of tinnitus,deafness,dizziness symptom scores than before treatment decreased significantly after treatment was significantly different(P<0.05),the observation group after treatment of tinnitus,deafness,dizziness scores than the control group after treatment improved more significantly,the two groups difference after a significant(P<0.05);significantly improved front after treatment PT,APTT and pure tone air conduction threshold than before treatment,before and after treatment were significantly different(P<0.05),but the above indicators after treatment the difference was not significant(P>0.05).Conclusion Tongqiao Huoxue decoction syndrome mainly elderly sudden deafness significant clinical effect.
引文
[1]李种泰.中药加电针治疗突发性耳聋的临床随机对照研究[J].世界科学技术-中医药现代化,2013,7(6):1406-1411.
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[6]王鹤燃,曹迪,王富春.现代针灸教材关于耳聋耳鸣的“同功穴”分析[J].吉林中医药,2016,36(3):217-220,236
[7]宋红梅,钟渠,熊大经,等.豁痰祛瘀法联合针灸治疗耳鸣疗效验证性研究[J].吉林中医药,2011,31(7):662-663.
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[9]魏庭文,史艳平.升清降浊法在耳鼻喉科的应用[J].吉林中医药,2012,32(8):764-765.
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[11]孙宏瀛.通窍活血汤加鼓室注药治疗突发性耳聋42例[J].河南中医,2014,34(2):304.
[12]詹良琴,杨星,陈敏,等.辨证治疗突发性耳聋35例疗效分析[J].按摩与康复医学(中旬刊),2012,3(7):174-175.
[13]孙一帆,李少华,周小军,等.中西医结合治疗突发性耳聋68例[J].临床医学工程,2010,17(9):78-79.
[14]卢昌均,顿玲露,刘国成,等.通窍活血汤对脑缺血-再灌注大鼠基质细胞衍生因子-1的调控作用[J].医药导报,2016,35(1):44-46.
[15]王歆.通窍活血汤治疗60例突发性耳聋的临床疗效观察[J].中医临床研究,2014,4(8):20-21.
[16]闫锡联.突发性耳聋的中西医治疗近况[J].天津中医药,2011,28(2):175-176.
[17]李果丽,陈协云,孙静,等.耳聪丸治疗气滞血瘀型突发性耳聋临床观察[J].湖南中医药大学学报,2008,28(3):60.
[18]梅妹,宋泽新.针灸治疗突发性耳聋75例[J].长春中医药大学学报,2013,29(5):897.
[2]黄时金.通窍活血汤治疗突发性耳聋的临床分析[J].中国中医药现代远程教育,2015,13(23):134-135.
[3]李深良.中西医结合治疗突发性耳聋30例[J].中医临床研究,2012,4(1):94.
[4]胡长京.突发性耳聋的中医治疗效果分析[J].世界最新医学信息文摘:连续型电子期刊,2015,3(95):166.
[5]李亚东.翳风穴临床应用体会[J].吉林中医药,2013,33(9):950-951.
[6]王鹤燃,曹迪,王富春.现代针灸教材关于耳聋耳鸣的“同功穴”分析[J].吉林中医药,2016,36(3):217-220,236
[7]宋红梅,钟渠,熊大经,等.豁痰祛瘀法联合针灸治疗耳鸣疗效验证性研究[J].吉林中医药,2011,31(7):662-663.
[8]俞跃杰.朱祥成治疗耳鸣耳聋的经验[J].吉林中医药,2012,32(1):31-32.
[9]魏庭文,史艳平.升清降浊法在耳鼻喉科的应用[J].吉林中医药,2012,32(8):764-765.
[10]陈金湘.通窍活血汤治疗突发性耳聋58例[J].实用中医药杂志,2011,17(1):8-9.
[11]孙宏瀛.通窍活血汤加鼓室注药治疗突发性耳聋42例[J].河南中医,2014,34(2):304.
[12]詹良琴,杨星,陈敏,等.辨证治疗突发性耳聋35例疗效分析[J].按摩与康复医学(中旬刊),2012,3(7):174-175.
[13]孙一帆,李少华,周小军,等.中西医结合治疗突发性耳聋68例[J].临床医学工程,2010,17(9):78-79.
[14]卢昌均,顿玲露,刘国成,等.通窍活血汤对脑缺血-再灌注大鼠基质细胞衍生因子-1的调控作用[J].医药导报,2016,35(1):44-46.
[15]王歆.通窍活血汤治疗60例突发性耳聋的临床疗效观察[J].中医临床研究,2014,4(8):20-21.
[16]闫锡联.突发性耳聋的中西医治疗近况[J].天津中医药,2011,28(2):175-176.
[17]李果丽,陈协云,孙静,等.耳聪丸治疗气滞血瘀型突发性耳聋临床观察[J].湖南中医药大学学报,2008,28(3):60.
[18]梅妹,宋泽新.针灸治疗突发性耳聋75例[J].长春中医药大学学报,2013,29(5):897.