通元针法治疗肾精亏损型感音神经性耳鸣临床观察
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摘要
目的:观察通元针法治疗肾精亏损型感音神经性耳鸣的临床疗效。方法:选取2016年1月至2017年12月在南方医科大学南方医院针灸科门诊和渭南市骨科医院康复医学科治疗的肾精亏损型感音神经性耳鸣患者70例,根据随机数字表法分为治疗组和对照组,各35例。两组患者均给予常规药物治疗,包括盐酸氟桂利嗪胶囊、甲钴胺,治疗组另加用通元针法治疗。结果:治疗组有效率为96. 78%,对照组有效率为90. 32%,两组有效率比较无显著性差异(P> 0. 05),治疗组痊愈率、显效率高于对照组,差异有统计学意义(P <0. 05);治疗组治疗后耳鸣致残量表总分、严重性C因子评分低于对照组,差异有统计学意义(P <0. 05);与治疗前比较,两组患者左耳、右耳听阈值均有所下降,差异具有统计学意义(P <0. 05);治疗组治疗后左耳、右耳听阈值与对照组比较,差异无统计学意义(P> 0. 05);治疗组治疗后腰膝酸软、头晕眼花、夜尿频多、潮热盗汗等症状评分低于对照组,差异具有统计学意义(P <0. 05);两组患者治疗期间无明显不良反应。结论:通元针法治疗肾精亏损型感音神经性耳鸣疗效确切,能明显改善患者听力和中医临床症状。
Objective: To observe the clinical curative effect of needling method for dredging primordial qi on sensorineural tinnitus with deficiency of kidney essence. Methods: A total of 70 patients with sensorineural tinnitus of kidney essence deficiency type were selected from the Department of Acupuncture and Moxibustion of Southern Hospital of Southern Medical University and the Department of Rehabilitation Medicine of Weinan Orthopaedic Hospital. They were divided into the treatment group and the control group according to random number table method,with 35 cases in each group. Both groups were treated with routine drugs,including flunarizine hydrochloride capsules and mecobalamin,while the treatment group was additionally treated with needling method for dredging primordial qi. Results: The effective rate of the treatment group was 96. 78%,and that of the control group was 90. 32%. There was no significant difference between the two groups( P > 0. 05). The cure rate and marked efficiency of the treatment group were higher than those of the control group,and all the differences were statistically significant( P < 0. 05). After the treatment,the total score of tinnitus disability scale and factor C of severity in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). Compared with before treatment,the hearing threshold of left ear and right ear decreased in both groups,and the differences were statistically significant( P < 0. 05). After the treatment,there was no significant difference in hearing thresholds of left ear and right ear between the treatment group and the control group( P > 0. 05). After the treatment,the scores of lumbar and knee weakness,dizziness,frequent nocturnal urination,hot flashes and night sweats in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). There were no obvious adverse reactions during the treatment in both groups. Conclusion: Needling method for dredging primordial qi has a remarkable efficacy on sensorineural tinnitus with deficiency of kidney essence,can obviously improve patients' hearing and clinical symptoms of TCM.
Objective: To observe the clinical curative effect of needling method for dredging primordial qi on sensorineural tinnitus with deficiency of kidney essence. Methods: A total of 70 patients with sensorineural tinnitus of kidney essence deficiency type were selected from the Department of Acupuncture and Moxibustion of Southern Hospital of Southern Medical University and the Department of Rehabilitation Medicine of Weinan Orthopaedic Hospital. They were divided into the treatment group and the control group according to random number table method,with 35 cases in each group. Both groups were treated with routine drugs,including flunarizine hydrochloride capsules and mecobalamin,while the treatment group was additionally treated with needling method for dredging primordial qi. Results: The effective rate of the treatment group was 96. 78%,and that of the control group was 90. 32%. There was no significant difference between the two groups( P > 0. 05). The cure rate and marked efficiency of the treatment group were higher than those of the control group,and all the differences were statistically significant( P < 0. 05). After the treatment,the total score of tinnitus disability scale and factor C of severity in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). Compared with before treatment,the hearing threshold of left ear and right ear decreased in both groups,and the differences were statistically significant( P < 0. 05). After the treatment,there was no significant difference in hearing thresholds of left ear and right ear between the treatment group and the control group( P > 0. 05). After the treatment,the scores of lumbar and knee weakness,dizziness,frequent nocturnal urination,hot flashes and night sweats in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). There were no obvious adverse reactions during the treatment in both groups. Conclusion: Needling method for dredging primordial qi has a remarkable efficacy on sensorineural tinnitus with deficiency of kidney essence,can obviously improve patients' hearing and clinical symptoms of TCM.
引文
[1]王继红,李月梅,黎崖冰,等.赖新生通元针法临床应用探析[J].中医杂志,2015,56(1):17-19.
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[3]余力生. AWMF指南目录:耳鸣[J].听力学及言语疾病杂志,2013,21(6):571-573.
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[5]世界中医药学会联合会中医耳鼻喉口腔科专业标准审定委员会,中华中医药学会耳鼻咽喉科分会.耳鸣严重程度评估与疗效评定参考标准[J].世界中医药,2008,3(2):71.
[6]田勇泉.耳鼻咽喉头颈外科学[M]. 8版.北京:人民卫生出版社,2013:309-310.
[7] NEWMAN C W,JACOBSON G P,SPITZER J B. Development of the tinnitus handicap inventory[J]. Arch Otolaryngol Head Neck Surg,1996,122(2):143-148.
[8]国家技术监督局.声学-测听方法-纯音气导和骨导听阈基本测听法(GB/T16403-1996)[S].北京:中国标准出版社,1997:56-57.
[9] FIGUEIREDO R R,AZEVEDO A A,OLIVEIRA P D E M. Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients[J]. Braz J Otorhinolaryngol,2009,75(1):76-79.
[10]陈震益,赖新生.赖新生“通元针法”之立法依据浅析[J].中华中医药杂志,2016,31(8):2974-2976.
[11]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[12]邵瑛,赖新生.全国名老中医赖新生教授的通元疗法学术思想精髓分析[J].广西中医药,2016,39(1):46-48.
[13]王启才.针灸治疗学[M].北京:中国中医药出版社,2003:246-247.
[2]黄选兆,汪吉宝,孔维佳.实用耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2008:1033-1037.
[3]余力生. AWMF指南目录:耳鸣[J].听力学及言语疾病杂志,2013,21(6):571-573.
[4]中华中医药学会.中医耳鼻咽喉科常见病诊疗指南[C].广州:世界中联耳鼻喉口腔专业委员会换届大会及第三次学术年会暨中华中医药学会耳鼻喉科分会第十七次学术交流会暨广东省中医及中西医结合学会耳鼻喉科学术交流会论文汇编,2011:6-8.
[5]世界中医药学会联合会中医耳鼻喉口腔科专业标准审定委员会,中华中医药学会耳鼻咽喉科分会.耳鸣严重程度评估与疗效评定参考标准[J].世界中医药,2008,3(2):71.
[6]田勇泉.耳鼻咽喉头颈外科学[M]. 8版.北京:人民卫生出版社,2013:309-310.
[7] NEWMAN C W,JACOBSON G P,SPITZER J B. Development of the tinnitus handicap inventory[J]. Arch Otolaryngol Head Neck Surg,1996,122(2):143-148.
[8]国家技术监督局.声学-测听方法-纯音气导和骨导听阈基本测听法(GB/T16403-1996)[S].北京:中国标准出版社,1997:56-57.
[9] FIGUEIREDO R R,AZEVEDO A A,OLIVEIRA P D E M. Correlation analysis of the visual-analogue scale and the Tinnitus Handicap Inventory in tinnitus patients[J]. Braz J Otorhinolaryngol,2009,75(1):76-79.
[10]陈震益,赖新生.赖新生“通元针法”之立法依据浅析[J].中华中医药杂志,2016,31(8):2974-2976.
[11]赵娟,王继红.赖新生针灸通元疗法基本理论观探微[J].辽宁中医杂志,2016,43(10):2068-2070.
[12]邵瑛,赖新生.全国名老中医赖新生教授的通元疗法学术思想精髓分析[J].广西中医药,2016,39(1):46-48.
[13]王启才.针灸治疗学[M].北京:中国中医药出版社,2003:246-247.