中医针刺项八穴联合药物治疗颈源性耳鸣临床疗效观察

Clinical Observation of Acupuncture Combined with Medicine Therapy for Cervical Tinnitus

目的:探究并分析在临床上用中医针刺穴位联合药物的方式治疗颈源性耳鸣的效果及其在临床上的应用价值。方法:从2013年4月—2014年6月接诊的88例患有颈源性耳鸣的患者,随机的分为观察组和治疗组,每组44例。治疗组的患者给予针刺穴位联合药物的治疗方式进行治疗,观察组的患者给予药物治疗方式进行治疗。治疗2个疗程后,观察并分析治疗效果,比较患者在治疗前后的临床效果的变化以及治疗前后患者TCD多普勒数据和耳鸣级别的差值的变化,并对所得的数据进行统计学分析。结果:治疗组的总有效率为88.64%;而观察组的总有效率为75.00%。两种治疗方式治疗后的治疗效果进行比较,数据有显著性差异,具有统计学意义(P<0.05);治疗组治疗后椎基底动脉的Vm值与治疗前相比均有显著性差异(P<0.05);观察组治疗后基底动脉的Vm值与治疗前相比均有显著性差异,椎动脉的Vm值与治疗前相比未见显著性差异(P>0.05),3治疗组的患者在治疗前后,耳鸣级别的差值为(5.65±1.181),而观察组的患者在治疗前后的耳鸣级别的差值是(1.44±1.341)。通过比较,治疗组的差值显著的高于观察组的差值,差异比较具有统计学意义(P<0.05),说明治疗组的治疗效果明显的优于对照组。结论:本研究可得出以下结论:1治疗组的有效率明显的高于观察组的治疗;2治疗组的治疗方法对患者在治疗后TCD椎基动脉的平均血流速度的变化及耳鸣级别的的改善明显优于观察组的治疗方法。

Objective： To explore and analyze the results and clinical value of acupuncture points combined with drug treatment of cervical tinnitus. Method： 88 patients who suffered from cervical tinnitus in our hospital from April 2013 to June 2014 were studied. And then the patients were divided into observation group and treatment group randomly,44 cases in each group. The treatment group received acupuncture combined with drug treatment and the observation group received drugs treatment. After two courses of treatment,the therapeutic effects were observed and analyzed. The clinical effect and the difference before and after treatment were compared with transcranial Doppler data and tinnitus level and the obtained data were statistically analyzed. Results： 1The treatment group＇s effective rate was 88. 64% while the observation group＇s was 75. 00%. The two groups were statistically significant（ P〈 0. 05）. 2In the treatment group after treatment,vertebrobasilar artery＇s VM values were significantly different（ P〈 0. 05） compared with that before treatment. After treatment in observation group,basilar artery＇s VM values had significant difference compared with that before treatment. There was no significant difference（ P〉 0. 05）. 3The tinnitus level difference before and after treatment in treatment group was 5. 65 ± 1. 181 while in observation group was 1. 44 ± 1. 341. By comparison,the tinnitus level difference of treatment group was significantly higher than that of the observation group and the difference was statistically significant（ P〈 0. 05）. Conclusions： This study can draw the following conclusions： 1The treatment efficiency of treatment group was significantly higher than the observation group＇s. 2The average blood flow velocity of the vertebral artery and the improvement of tinnitus in the treatment group were significantly better than those in the observation group after treatment of TCD vertebral artery.