针刺推拿联合西药治疗突发性耳聋随机对照研究

Observation of Therapeutic Effect of Acupuncture plus Massage Therapy Combined with Western Medicines on Patients with Sudden Deafness

[目的]探讨针刺推拿联合药物治疗突发性耳聋的疗效。[方法]对2009年6月至2014年5月收治的60例突发性耳聋患者分为单纯药物组(对照组)和针刺推拿联合药物组(治疗组)各30例,对照组采用纯药物治疗为主,治疗组在对照组治疗的基础上配合针刺推拿治疗,针刺推拿1次/d,7d为1疗程,治疗3疗程后,对其临床疗效进行评定。[结果]治疗组30例患者治愈5例,显效12例,有效9例,无效4例,总有效率86.6%;对照组30例患者治愈1例,显效8例,有效10例,无效11例,总有效率63.3%。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。[结论]针刺推拿联合药物治疗与单纯药物治疗对突发性耳聋均有效,均可提高和改善患者的听力,但治疗组的治疗效果优于对照组,值得进一步研究。

[Objective] To explore therapeutic effect of acupuncture plus massage therapy combined with western medicines on patients with sudden deafness.[Methods]60 patients of sudden deafness were divided into two groups, who received treatment between June, 2005 and August, 2014. One is control group（30 cases）, which is only treated with western medicines. The other is treatment group（30 cases）, which is treated with acupuncture plus massage therapy combined with western medicines. Based on the treatment of the contrast group, the treated group is given three seven-day courses of acupuncture and manipulation every day and its clinical effect is evaluated. [Results]In treatment group of 30 patients, 5 cases got recovered, 12 cases were significantly effective, 9 cases effective and 4 cases inefficient. And the total effective rate was 86.6 %. When coming to control group, the data were 1, 8, 10, 11 respectively, and the total effective rate was 63.3%. The total response was better in the treatment groups than in the control group. [Conclusion]Both acupuncture plus massage therapy treatment and pure western medicines treatment are effective for sudden deafness and they both improve the patients＇ hearing. But the former is superior to the latter.