脑外伤所致耳鸣症的激光经络穴位疗法创研报告

Pioneering Research Report of the Treatment of Traumatic Cerebral Tinnitus with Laser Meridian Points Therapy

目的为探寻理想的脑外伤所致耳鸣症治疗方法,于1985年开始激光经络穴位疗法治疗脑外伤所致耳鸣症的创研工作。方法采用作者本人首创的激光经络穴位疗法,以激光波长632.8nm、输出功率2～30mW可调、石英光导纤维末端治疗功率1～10mW、光纤头光斑直径0.2cm(光斑面积0.0314cm2)、功率密度31.85～318.47mW/cm2的国产氦-氖激光治疗仪之光纤头,与穴位垂直进行接触性照射医风、翳明、风池、音友、听宫、听会、耳门、百会等穴位,每穴每次5～15min、剂量(能量密度)9.555～286.623J/cm2,每日治疗1次,7～14天为1疗程。结果统计已收治的262例(503只患耳)患者,耳鸣消失215例(82.06%)414耳(82.31%),显著有效45例(17.18%)86耳(17.10%),无效2例(0.76%)3耳(0.59%),总有效率99.24%例99.41%耳;其中157例(284只患耳)随访观察1～9年,耳鸣消失141例(89.81%)255耳(89.78%),显著有效15例(9.55%)27耳(9.51%),无效1例(0.64%)2耳(0.70%),总有效率99.36%例99.30%耳。结论激光经络穴位疗法治疗脑外伤所致耳鸣症的近期疗效良好、远期效果稳定而理想,具有进一步研究的意义和推广应用价值。

Objective The a seek in ideal of iatrotechnique is treatment of Traumatic Cerebral Tinnitus （TCT） . Methods Use the pioneering of Laser Meridian Points Therapy （ LMPT）. The domestic He - Ne laser therapeutic instrument was used with optical fiber wave length 632.8nm, output power 2 -30mW, therapeutic power quartz optical fiber at the end of fiber power 1 - 10 mW, diameter of optical patch at the end of the optical fiber 0.2cm, optical patch area 0.0314 cm^2, power density 31.85 - 318.47mW/cm^2. Use the optical fiber end of the instrument to contact and irradiated the following points： Yifeng （SJ 17） , Yiming （Extra） , Fengch＇ ih （GB 20） , Yingyou, T＇ ingkung （SI 19） , T＇ inghui （GB 2） , Erhmen （SJ 21） , Paihui （Du 20） , et al. Each point each time was irradiated for 5 - 15 minutes of laser dosage （ energy density） 9. 555 - 286. 623J/cm^2 , once a day, 7 - 14 days a course of treatment. Results 262 cases （503 ears） TCT （patients） of 215 cases （82.06%） 414 ears （ 82.31% ） showed tinnitus disapperance, 45 case （ 17. 18% ） 86 ears （ 17. 10% ） showed marked or some therapeutic effectiveness, 2 case （0.76%） 3 ears （0.59%） was ineffective. Follow -up survey 1 ~ 9 years of 157 cases 284 ears, found 141 case （89.81%） 255 ears （89.78%） had their tinnitus disappeared, 15 case （9.55%） 27 ears （9.51%） showed marked effectiveness or some effectiveness, 1 cases （0.64%） 2 ears （0.70%） was ineffective. Conclusions LMPT for the treatment of TCT is the pioneering technique we have developed. Better than any other therapies at present and having good short - term effectiveness and stable and ideal long - term effectiveness. LMPT is worthwhile for further study and popularized clinical application.