中西医结合配合心理干预治疗耳鸣40例疗效观察

Clinical efficacy of integrated traditional Chinese and Western medicine therapy combined with psychological intervention in treatment of tinnitus:a report of 40 cases

目的:观察中西医结合配合心理干预治疗耳鸣的临床疗效。方法:将本病患者120例随机分为3组,对照组40例单用西药治疗,心理治疗组40例在对照组治疗基础上给予心理干预治疗,综合治疗组40例在心理治疗组治疗基础上给予中药汤剂治疗。3组均以治疗3个月为1个疗程。结果:总有效率对照组为52.5%,心理治疗组为67.5%,综合治疗组为80.0%,3组比较差异有统计学意义,综合治疗组、心理治疗组均优于对照组(P<0.05),综合治疗组又优于心理治疗组(P<0.05)。结论:中西医结合配合心理干预治疗耳鸣较单纯西医治疗与西医加心理干预治疗能取得更好疗效。

Objective：To observe the clinical efficacy of integrated traditional Chinese and Western medicine therapy combined with psychological intervention in the treatment of tinnitus.Methods：A total of 120 tinnitus patients were randomly divided into control group（n=40）,psychological therapy group（n=40）,and combined treatment group（n=40）.The control group received Western medicine treatment;the psychological therapy group received psychological intervention in addition to Western medicine treatment;the combined treatment group received traditional Chinese medicine decoction in addition to the therapy for the psychological therapy group.The course of treatment was 3 months for the three groups.Results：The total effective rates were 52.5% in the control group,67.5% in the psychological therapy group,and 80.0% in the combined treatment group;the combined treatment group and psychological therapy group had higher total effective rates than the control group（P〈0.05）,and the combined treatment group had a higher total effective rate than the psychological therapy group（P〈0.05）.Conclusion：Compared with Western medicine treatment alone and a combination of Western medicine treatment and psychological intervention,integrated traditional Chinese and Western medicine therapy combined with psychological intervention have better clinical efficacy in the treatment of tinnitus.