雷火灸联合声治疗对神经性耳鸣疗效观察
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摘要
目的观察雷火灸联合声治疗对神经性耳鸣的临床疗效。方法 70例神经性耳鸣患者随机分为观察组36例和对照组34例。观察组采用雷火灸联合声信息治疗仪治疗,对照组给予单纯声信息治疗仪治疗。观察两组治疗前后耳鸣严重程度各项指标积分、抑郁自评量表评分、烦躁评估量表等级变化,并比较两组临床疗效。结果观察组总有效率为91.7%,高于对照组的70.6%,两组比较差异有统计学意义(P<0.05)。两组治疗后耳鸣严重程度各项指标积分较同组治疗前降低(P<0.05);两组治疗后耳鸣严重程度各项指标积分中对睡眠的影响、对情绪的影响积分比较,差异有统计学意义(P<0.05)。两组治疗后抑郁自评量表评分均较同组治疗前降低(P<0.05);两组治疗前后差值比较,差异有统计学意义(P Objective To observe the clinical efficacy of thunder-fire moxibustion plus sound therapy in treating nervous tinnitus. Method Seventy patients with nervous tinnitus were randomized into an observation group of 36 cases and a control group of 34 cases. The observation group was intervened by thunder-fire moxibustion plus acoustic information treatment apparatus, while the control group was treated with acoustic information treatment apparatus alone. For both groups, changes in the Tinnitus Handicap Inventory(THI) score, Self-rating Depression Scale(SDS), and grading of irritability scale after treatment were observed. The clinical efficacies of the two groups were also compared. Result The total effective rate was 91.7% in the observation group, higher than 70.6% in the control group, and the between-group difference was statistically significant(P<0.05). After treatment, the component scores of THI dropped in both groups(P<0.05); after treatment, there were significant differences between the two groups in the scores of sleep and emotional status in THI(P<0.05). The SDS score decreased after treatment in both groups(P<0.05), and there was a significant difference in the change of SDS score between the two groups(P<0.05). After treatment, the irritability degree changed significantly in the two groups(P<0.01); the irritability evaluation was better in the observation group than in the control group after treatment(P<0.05). Conclusion Thunder-fire moxibustion plus sound therapy can reduce the irritability degree and improve the emotional status in patients with nervous tinnitus,and it can produce significant efficacy.
引文
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[2]袁媛,陈小宁.中医药联合物理疗法治疗神经性耳鸣研究进展[J].中华中医药杂志,2016,31(3):945-947.
[3]霍炳杰,常靓,刘羽,等.耳聋左慈丸合通气散治疗慢性分泌性中耳炎的疗效及对血清水通道蛋白1及4水平的影响[J].中国实验方剂学杂志,2016,22(12):191-194.
[4]Negrila-Mezei A,Enache R,Sarafoleanu C.Tinnitus in elderly population:clinic correlations and impact upon Qo L[J].J Med Life,2011,4(4):412-416.
[5]Cima RF,Crombez G,Vlaeyen JW.Catastrophizing and fear of tinnitus predict quality of life in patients with chronic tinnitus[J].Ear Hear,2011,32(5):634-641.
[6]余力生,马鑫,静媛媛.耳鸣的治疗与康复[J].临床耳鼻咽喉头颈外科杂志,2015,29(8):681-683.
[7]彭睿芳,邓琤琤,谢强.近一年中西医结合治疗神经性耳鸣的研究进展[J].江西中医药大学学报,2018,30(1):114-116.
[8]王永华.实用耳鼻咽喉科学[M].杭州:浙江大学出版社,2012:102-104.
[9]阮岩.中医耳鼻咽喉科学[M].北京:人民卫生出版社,2016:111-113.
[10]赵时碧.中国雷火灸疗法[M].上海:上海远东出版社,2008:118-119.
[11]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.
[12]徐欢,丁德光.电针配合艾灸治疗神经性耳鸣76例的疗效观察[J].饮食保健,2018,5(2):98-99.
[13]钟玉梅,赵征宇,陈瓞,等.苇管灸治疗耳鸣浅析[J].亚太传统医药,2017,13(14):115-116.
[14]王玲玲.艾灸的特点及温通效应[J].中国针灸,2011,31(10):865-868.
[15]常小荣,刘密,严洁,等.艾灸温补作用的理论探源[J].中华中医药学刊,2011,29(10):2166-2168.
[16]胡希军,张森,刘畅,等.针刺配合雷火灸治疗颞下颌关节炎[J].吉林中医药,2016,36(2):201-204.
[17]冯群星,庙春颖,陈萍.雷火灸的临床应用机理研究进展[J].浙江中医杂志,2017,52(7):544-545.
[18]张广清,胡彩华.雷火灸结合耳穴贴压治疗网球肘84例[J].现代中西医结合杂志,2009,18(19):2299-2300.
[19]江洋,华清泉,杨琨,等.声治疗与药物治疗慢性耳鸣疗效的Meta分析[J].听力学及言语疾病杂志,2017,25(6):651-655.