扶正调神法针刺治疗神经性耳鸣(肝郁脾虚证)的临床研究
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摘要
目的研究扶正调神法针刺治疗神经性耳鸣的临床病例疗效,以及与常规针刺疗法之间的疗效差异。方法将60例患者随机分成治疗组和对照组,各30例。治疗组给予扶正调神法针刺治疗。对照组给予常规针刺疗法治疗。2组留针30 min/次,1次/d,连续治疗6天/周,休息1天,1个疗程为1周,共治疗4个疗程。治疗前后进行疗效评定。结果治疗组总有效率90%,优于对照组的87%,差异具有统计学意义(P <0.05)。结论扶正调神法针刺治疗神经性耳鸣(肝郁脾虚证)的临床治疗效果优于常规针刺治疗。
Objective To study the therapeutic effect of acupuncture therapy of strengthening vital energy and regulating spiriton nervous tinnitus. Methods 60 patients were randomly divided into treatment group(30 cases) and control group(30 cases). The treatment group was given acupuncture therapy with strengthening vital energy and regulating spirit. The control group was given conventional acupuncture therapy. The two groups were treated continuously for 6 days a week, with a rest of 1 day and a course of treatment for 1 week. There were 4 courses of treatment. The curative effect was evaluated before and after treatment. Results In the treatment group, 5 cases were cured, 17 cases were markedly effective, 5 cases were effective, 3 cases were ineffective, and the total effective rate was 90%. In the control group, 2 cases were cured, markedly effective in 9 cases, effective in 15 cases, invalid in 4 cases, the total effective rate was 87%. The difference was statistically significant(P <0.05). Conclusion Strengthening vital energy and regulating spirit acupuncture is superior to routine acupuncture in treating nervous tinnitus with syndrome of stagnation of liver qi and spleen deficiency.
Objective To study the therapeutic effect of acupuncture therapy of strengthening vital energy and regulating spiriton nervous tinnitus. Methods 60 patients were randomly divided into treatment group(30 cases) and control group(30 cases). The treatment group was given acupuncture therapy with strengthening vital energy and regulating spirit. The control group was given conventional acupuncture therapy. The two groups were treated continuously for 6 days a week, with a rest of 1 day and a course of treatment for 1 week. There were 4 courses of treatment. The curative effect was evaluated before and after treatment. Results In the treatment group, 5 cases were cured, 17 cases were markedly effective, 5 cases were effective, 3 cases were ineffective, and the total effective rate was 90%. In the control group, 2 cases were cured, markedly effective in 9 cases, effective in 15 cases, invalid in 4 cases, the total effective rate was 87%. The difference was statistically significant(P <0.05). Conclusion Strengthening vital energy and regulating spirit acupuncture is superior to routine acupuncture in treating nervous tinnitus with syndrome of stagnation of liver qi and spleen deficiency.
引文
[1]刘晓峰.针药结合治疗感音神经性耳鸣临床研究[J].中医学报, 2017, 32(11):2269-2271.
[2]LENARZ T, SCHREINER C, SNYDER R L, et al. Neural mechanisms, Eur Arch Otorhinolaryngol, 1993, 249(8):441.
[3]石学敏.针灸学[M].北京:中国中医药出版社, 2002.
[4]黄选兆,实用耳鼻咽喉科学[M].北京:人民卫生出版社,2008.
[5] DAVID B. LIVING W T. Amenet Paper, 2019(1):15.
[6]田德禄,蔡淦.中医内科学[M].上海:上海科学技术出版社,2013.
[7]杜元灝,石学敏.中华针灸临床诊疗规范[M].南京:江苏科学技术出版社, 2007.
[8]刘蓬.如何接诊耳鸣患者[J].中医耳鼻喉科学研究, 2011,10(1):23-26.
[9]孙路路,褚瑞萌.耳鸣耳聋的中医辨证治疗[J].光明中医,2014, 29(1):167-168.
[10]魏春,武亿红,孟琰.连建伟教授从肝论治耳鸣病证经验[J].中医学报, 2013, 28(9):1309-1310.
[11]余亚斌,李明,黄平,等.耳鸣的从脾虚论治[J].时珍国医国药, 2018, 29(4):928-930.
[12]邹桂年.2%利多卡因耳后封闭联合药物治疗神经性耳鸣的疗效观察及不良反应观察[J].现代诊断与治疗, 2016,27(1):66-67.
[13]张科源,张树林.自拟通宁散治疗神经性耳鸣60例临床分析[J].中国中医基础医学杂志, 2012, 18(8):917-918.
[14]张栋,王淑友,马惠敏,等.激光多普勒血流成像技术对针灸效果的观察[J].上海针灸杂志, 2004(5):37-40.
[15]王富春,逄紫千.针灸天枢穴对脾虚泄泻大鼠肠道功能影响的实验研究[J].长春中医学院学报, 2005, 21(1):52-54.
[16]周萱,于春泉,王泓午,等.试论中医精气神理论与健康辨识的关系[J].天津中医药大学学报, 2013, 32(1):8-11.
[17]于晓强,李松梅.中医“神”理论研究述评[J].辽宁中医杂志, 2012, 39(7):1246-1249.
[18]冯闲野,曹姗,杨晓丽,等.中医“神”与健康状态的关系[J].中医杂志, 2014, 55(14):1250-1252.
[19]樊凌杉,谯凤英.针刺治疗神经性耳鸣212例[J].河南中医, 2013, 33(12):2200-2201.
[20]宋华隆,王金贵.针刺治疗神经性耳鸣的系统评价和Meta分析[J].天津中医药大学学报, 2018, 37(4):305-309.
[21]王中明,余沛豪,马骏,等.马骏运用针刺治疗神经性耳鸣经验[J].湖南中医杂志, 2017, 33(1):37-39, 50.
[22]张瑞.针刺率谷穴配合局部推拿治疗顽固性神经性耳鸣临床研究[J].河南中医, 2017, 37(12):2210-2212.
[2]LENARZ T, SCHREINER C, SNYDER R L, et al. Neural mechanisms, Eur Arch Otorhinolaryngol, 1993, 249(8):441.
[3]石学敏.针灸学[M].北京:中国中医药出版社, 2002.
[4]黄选兆,实用耳鼻咽喉科学[M].北京:人民卫生出版社,2008.
[5] DAVID B. LIVING W T. Amenet Paper, 2019(1):15.
[6]田德禄,蔡淦.中医内科学[M].上海:上海科学技术出版社,2013.
[7]杜元灝,石学敏.中华针灸临床诊疗规范[M].南京:江苏科学技术出版社, 2007.
[8]刘蓬.如何接诊耳鸣患者[J].中医耳鼻喉科学研究, 2011,10(1):23-26.
[9]孙路路,褚瑞萌.耳鸣耳聋的中医辨证治疗[J].光明中医,2014, 29(1):167-168.
[10]魏春,武亿红,孟琰.连建伟教授从肝论治耳鸣病证经验[J].中医学报, 2013, 28(9):1309-1310.
[11]余亚斌,李明,黄平,等.耳鸣的从脾虚论治[J].时珍国医国药, 2018, 29(4):928-930.
[12]邹桂年.2%利多卡因耳后封闭联合药物治疗神经性耳鸣的疗效观察及不良反应观察[J].现代诊断与治疗, 2016,27(1):66-67.
[13]张科源,张树林.自拟通宁散治疗神经性耳鸣60例临床分析[J].中国中医基础医学杂志, 2012, 18(8):917-918.
[14]张栋,王淑友,马惠敏,等.激光多普勒血流成像技术对针灸效果的观察[J].上海针灸杂志, 2004(5):37-40.
[15]王富春,逄紫千.针灸天枢穴对脾虚泄泻大鼠肠道功能影响的实验研究[J].长春中医学院学报, 2005, 21(1):52-54.
[16]周萱,于春泉,王泓午,等.试论中医精气神理论与健康辨识的关系[J].天津中医药大学学报, 2013, 32(1):8-11.
[17]于晓强,李松梅.中医“神”理论研究述评[J].辽宁中医杂志, 2012, 39(7):1246-1249.
[18]冯闲野,曹姗,杨晓丽,等.中医“神”与健康状态的关系[J].中医杂志, 2014, 55(14):1250-1252.
[19]樊凌杉,谯凤英.针刺治疗神经性耳鸣212例[J].河南中医, 2013, 33(12):2200-2201.
[20]宋华隆,王金贵.针刺治疗神经性耳鸣的系统评价和Meta分析[J].天津中医药大学学报, 2018, 37(4):305-309.
[21]王中明,余沛豪,马骏,等.马骏运用针刺治疗神经性耳鸣经验[J].湖南中医杂志, 2017, 33(1):37-39, 50.
[22]张瑞.针刺率谷穴配合局部推拿治疗顽固性神经性耳鸣临床研究[J].河南中医, 2017, 37(12):2210-2212.