“小醒脑”针刺法在电针不同参数刺激下治疗感音神经性聋中的运用

The application of “ Xiaoxingnao” acupuncture on sensorineural deafness under the stimulation of different acusector parameters

目的观察"小醒脑"针刺法在电针不同参数刺激下治疗感音神经性聋的效果。方法将2016年3月-2018年6月于天津中医药大学第一附属医院耳鼻喉科门诊就诊并确诊的540例感音神经性聋患者按照波形(连续波、断续波、疏密波)、频率(1档、2档、3档)、单次电刺激时间(20min、30min)3组参数进行全面试验法随机分组,共计18组,每组各30例。18组患者均在改善循环、营养神经的基础治疗上予"小醒脑"针刺(主穴取百会、四神聪、双侧合谷及患侧风池、完骨、天柱、耳门、听宫、听会、翳风,配穴辨证取穴)结合华佗牌SDZ-Ⅱ型电子针疗仪治疗,各组施以对应电针参数刺激,连续治疗2个疗程后对比各组听力改善程度。结果不同参数组治疗后的听力情况均优于治疗前,差异有统计学意义(P<0.05)。治疗后,疏密波治疗组的听力改善情况依次优于断续波治疗组、连续波治疗组,频率2档治疗组的听力改善情况依次优于频率1档治疗组、频率3档治疗组,单次电刺激30 min治疗组的听力改善情况优于单次治疗20 min治疗组,差异均有统计学意义(P<0.05)。结论"小醒脑"针刺结合电子针疗仪在感音神经性聋的治疗中,采用疏密波、频率2档、单次电刺激30 min的电针参数组合对听力的改善情况最优,值得临床推广应用。

Objective To observe the effect of"Xiaoxingnao"acupuncture on sensorineural deafness under the stimulation of different acusector parameters.Methods 540 patients with sensorineural deafness diagnosed and treated in the Department of ENT of First Hospital Affiliated to Tianjin Medical University of Traditional Chinese Medicine from March 2016 to June 2018 were selected and randomly divided with comprehensive test method into 18 groups with 30 cases in each group,according to 3 sets of parameters of waveform(continuous wave,interrupted wave,dilatational wave),frequency(1 stall,2 stalls,3 stalls)and single electrical stimulation time(20 min and 30 min).On the base treatment of improving the circulation and providing nutrition for nerves,the 18 groups of patients were treated with"Xiaoxingnao"acupuncture(main acupoints selected Baihui,Sishencong,bilateral Hegu and ipsilateral Fengchi,Wanggu,Tianzhu,Ermen,Tinggong,Tinghui,Yifeng;matching acupoints selected with syndrome differentiation)combined with Hua Tuo brand SDZ-II type electronic acupuncture treatment instrument adjusted with corresponding acusector parameters.After two consecutive courses of treatment,the improvement of hearing in each group was compared.Results The hearing levels of different parameter group improved after treatment,the difference was statistically significant(P<0.05).The hearing levels between different parameter group were compared after the treatment,the hearing levels of dilatational wave were successively better than interrupted wave and continuous wave,the hearing levels of 2 stalls were successively better than 1 stall and 3 stalls,the hearing levels of single electrical stimulation 30 min were better than single electrical stimulation 20 min,the differences were statistically significant(P<0.05).Conclusions In the treatment of sensorineural deafness with"Xiaoxingnao"acupuncture combined with electronic acupuncture treatment instrument,the parameters of density wave,2 stalls and single electrical stimulation 30 min is the best combination to improve listening,and it is worthy of clinical application.