针药并用治疗感音神经性耳聋疗效观察

Therapeutic Observation of Acupuncture plus Chinese Herbs for Sensorineural Hearing Loss

目的观察针药并用治疗感音神经性耳聋的临床疗效。方法将80例感音神经性耳聋患者随机分为治疗组和对照组,每组40例。对照组采用常规药物治疗,治疗组在对照组基础上采用针刺治疗。每日1次,30 d为1个疗程。连续治疗2个疗程后,观察两组治疗前后血清中IL-2、IL-6、s IL-2R水平及纯音听阈测试值的变化情况,并比较两组临床疗效。结果两组治疗后血清中IL-2、IL-6、s IL-2R水平及纯音听阈测试值与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后血清中IL-2、IL-6、s IL-2R水平及纯音听阈测试值与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为94.6%,对照组为84.2%,两组比较差异具有统计学意义(P<0.05)。结论针药并用是一种治疗感音神经性耳聋的有效方法 。

Objective To observe the clinical efficacy of acupuncture plus Chinese herbs in treating sensorineural hearing loss. Method Eighty patients with sensorineural hearing loss were randomized into a treatment group and a control group, 40 cases in each group. The control group was intervened by conventional medication, while the treatment group by acupuncture in addition to the intervention given to the control group. The two groups were intervened once a day, 30 days as a treatment course. The serum interleukin （IL）-2, IL-6, soluble interleukin-2 receptor （sIL-2R） levels and pure tone hearing threshold value were observed before and after consecutive 2 treatment courses, and the clinical efficacies in the two groups were compared. Result The serum levels of IL-2, IL-6 and sIL-2R and pure tone hearing threshold value were significantly changed after the treatment in the two groups （P〈0.05）. There were significant differences in the serum IL-2, IL-6, sIL-2R levels and pure tone hearing threshold value between the two groups after the treatment （P〈0.05）. The total effective rate was 94.6% in the treatment group versus 84.2% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Acupuncture plus Chinese herbs is an effective approach in treating sensorineural hearing loss.