化痰祛瘀法配合穴位注射治疗痰瘀阻络型耳鸣临床研究

Clinical Study of Applying Phlegm Reducing and Blood-stasis Removing Method Combined with Point Injection in the Treatment of Phlegm and Blood-stasis Blocking Collaterals Type Tinnitus

目的:观察穴位注射配合化痰祛瘀法治疗痰瘀阻络型神经性耳鸣的临床疗效。方法:痰瘀阻络型神经性耳鸣患者共62例,知情同意后随机分为观察组和对照组,观察组给予穴位注射配合化痰祛瘀法治疗,对照组单纯采用化痰祛瘀法治疗,时间4周。结果:短期疗效分析,两组电测听值总分明显下降(P<0.01),组间差异无显著性(P>0.05);两组中长期转归3个月及干预后半年,两组电测听值分数均明显下降(P<0.05),组间差异存在显著性(P<0.05);短期疗效分析,两组无明显差异(P>0.05),中长期转归治疗后3个月及干预后半年,化痰祛瘀法组优于对照组(P<0.05);经Ridit分析,两组间耳鸣严重程度差异具有统计学意义(P<0.05)。结论:穴位注射配合化痰祛瘀法组和对照组短期干预痰瘀阻络型神经性耳鸣均有效,穴位注射配合化痰祛瘀法组对中长期转归优势明显,对临床症状及电测听结果改善明显优于对照组,耳鸣症状预后较好。

Objective： To investigate the clinical efficacy of applying point injection plus phlegm reducing and blood-stasis removing method in the treatment of phlegm and blood-stasis blocking collaterals type neurological tinnitus. Methods： 62 Patients of phlegm and blood-stasis blocking collaterals type neurological tinnitus patients after informed consent were randomly divided into treatment group and controlled group,the treatment group was given phlegm reducing and blood-stasis removing method combined with point injection,the controlled group only used phlegm reducing and blood-stasis removing method,for 4weeks. Efficacy： the clinical symptoms before and after treatment were observed and compared in the two groups of patients,grade deafness,tinnitus score after treatment and measuring hearing test results. The observation point for the baseline,at the end of the intervention,after intervention three months,six months after the intervention. Results： The short-term efficacy analysis,the two groups fell out audiometry value significantly（ P〈0. 01）,the difference between groups was not significant（ P〉0. 05）; 2group long-term outcome after three months and six months intervention,group 2audiometry value scores were significantly decreased（ P〈0. 05）,differences between the two groups was significant（ P〈0. 05）; the short-term efficacy analysis,there was no significant difference（ P〉0. 05）,and long-term outcome after 3months of treatment and six months after the intervention,phlegm and removing group than the controlled group（ P〈0. 05）; by Ridit analysis,tinnitus severity between the two groups was statistically significant（ P〈0. 05）. Conclusion： It has effect of the two groups which treated neurological tinnitus with short-term intervention.The treatment group has valid long-term outcomes,clinical symptoms and measuring of listen improved results are better than the controlled group,tinnitus symptoms of prognosis is good.