腹针为主治疗神经性耳鸣肾精亏虚型72例疗效观察

Curative Effective Observation of Adopting Abdominal Acupuncture as the Main Therapy in Treating Nervous Tinnitus with Syndrome of Deficiency of Kidney Essence:A Report of 72 Cases

目的:观察腹针为主治疗神经性耳鸣肾精亏虚型临床疗效。方法:72例肾精亏虚型神经性耳鸣患者采用腹针为主结合局部、辨经取穴的方法,每周3次,治疗12次为1疗程,共治疗2疗程。采用耳鸣残疾评估量表(THI)进行疗效评估。结果:治疗4周后、治疗8周后、随访6月不同时间点THI评分比较,差异无统计学意义(P>0.05),治疗4周后与治疗前比较,差异有统计学意义(P<0.05),治疗8周后与治疗前比较,差异有统计学意义(P<0.05),随访6月与治疗前比较,差异有统计学意义(P<0.05)。72例肾精亏虚型患者经过2疗程治疗后,痊愈9例,占12.5%;显效29例,占40.3%;有效22例,占30.6%;无效12例,占16.7%。总有效率83.3%。6月回访总有效率79.2%。结论:腹针为主治疗肾精亏虚型神经性耳鸣是一种有效的方法。

Objective：To observe the clinical effect of adopting abdominal acupuncture as the main therapy in treating nervous tinnitus with syndrome of deficiency of kidney essence. Methods ： Selected 72 nervous tinnitus patients with syndrome of deficiency of kidney essence,and given the main therapy of abdominal acupuncture combined with local point selection meridian differ. Three times a week, one course lasted for 12 times, and treatment lasted for two courses.Evaluated the curative effect of the two groups with tinnitus handicap inventory（THI）. Results：Compared THI score after four weeks of treatment,eight weeks of treatment and follow-up for six months,there were no significance in the difference（P〈0.05）. The differences between after treatment for four weeks and before treatment, after treatment for eight weeks and before treatment,follow-up for six months and before treatment were significant（P〈0.05）. After two courses of treatment,there were 9 cure cases, which accounting for 12.5%; there were 29 markedly effective cases, which accounting for40.3%;there were 22 effective cases,which accounting for 30.6%;there were 12 ineffective cases,which accounting for16.7%,and the total effective rate was 83.3%. The total effective rate of the six months follow-up was 79.2%. Conclusion：Adopted abdominal acupuncture as the main therapy is an efficient way in treating nervous tinnitus with syndrome of deficiency of kidney essence.