针灸联合银杏达莫治疗炮震性耳鸣类军事训练伤的临床效果

Observation on Clinical Efficacy of Acupuncture Combined with Yinxing Damo Injection in Treating Military Servicemen with Gun Shock Tinnitus

目的:探讨针灸联合银杏达莫治疗炮震性耳鸣类军事训练伤的临床效果。方法:选取2015年8月至2016年7月军事训练后产生的84例因炮震训练引起单侧耳鸣的84例患者作为研究对象,将患者按数字分组法随机平均分为2组,对照组42例采用银杏达莫注射液20 m L加入5%葡萄糖溶液250 m L中静脉滴注进行治疗,观察组在此基础上辅以针灸治疗,比较2组患者的治疗效果、症状改善情况、不良反应。结果:治疗2个疗程后,观察组患者痊愈20例,线型10例,有效9例,无效3例,治疗有效率为92.85%;对照组患者痊愈15例,显效5例,有效10例,无效12例,治疗有效率为71.42%;观察组治疗有效率明显高于对照组,差异统计学意义(P<0.05)。2组在治疗前耳鸣评分及听力差异无统计学意义(P>0.05);观察组治疗后耳鸣评分(4.02±2.28)分、听力(30.76±2.53)d B,同期对照组治疗后耳鸣评分(7.98±2.43)分、听力(35.84±2.86)d B,观察组耳鸣症状及听力明显较对照组好转,差异有统计学意义(P<0.05)。2组在治疗过程中均出现了不同程度的不良反应,观察组恶心呕吐、皮疹、头晕等不良反应发生率为28.58%与对照组的23.80%比较,差异无统计学意义(P>0.05)。结论:针灸联合银杏达莫治疗炮震性耳鸣类军事训练伤的临床效果显著,能有效改善耳部血液循环,辅助中医针灸治疗可疏通经气、活血化瘀,有利于本病的根治,提升整体治疗的优势,且安全性高,不良反应可控,具有积极的临床意义。

Objective： To study the clinical efficacy of acupuncture combined with Yinxing Damo Injection in treating military servicemen with gun shock tinnitus. Methods： A total of 84 cases of unilateral tinnitus patients caused by gun vibration training from August 2015 to July 2016 in our army units after the military training were selected as the research subjects. Approved by the ethics committee of No. 252 Hospital of China PLA Hospital and agreed by patients,84 patients were randomly divided into two groups by the digital grouping. The control group of 42 patients was treated with Yinxing Damo injection 20 mL added with 250 mL of 5 %glucose solution through intravenous drip,and the observation group was treated with acupuncture and moxibustion therapy on the basis of control group. Treatment effects,symptoms improvement,and adverse reactions of two groups were compared. Results：After 2 courses of treatment,in observation group,20 cases recovered,10 cases of linear,9 cases of effective and ineffective in 3 cases,and the total effective rate was 92. 85 %; In control group,15 cases were cured,and 5 cases had marked effect,10 cases effective and 12 cases ineffective. The total effective rate was 71. 42 %; the total effective rate of observation group was significantly higher than that of the control group,and the difference was statistically significant（ P〈0. 05）. Tinnitus score and hearing score of two groups before treatment had no significant difference（ P〉0. 05）; Tinnitus score was 4. 02 ± 2. 28 mm,and hearing score was 30. 76 ± 2. 53 for the dB of observation group after treatment. Over the same period in the control group after treatment,tinnitus score was 7. 98 ± 2. 43 mm and hearing score was 35. 84 ± 2. 86 for the dB. The symptoms of tinnitus and hearing in the observation group were improved significantly compared with observation group and the difference was statistically significant（ P〈0. 05）. Different degrees of adverse reactions occurred in two groups during the process of treatment. The incidence of adverse reactions such as nausea and vomiting,rash,dizziness,etc. was 28. 58 % compared with 23. 80 % in the control group,without significant difference（ P〉0. 05）. Conclusion： Acupuncture combined with Yinxing Damo Injection in treating military servicemen with gun shock tinnitus has remarkable clinical effect,which can effectively improve blood circulation of ear. Acupuncture treatment can dredge bullishness,promote blood circulation to remove blood stasis,which is beneficial for a radical cure of the disease,and improve the overall treatment of superiority with high safety and controllable adverse reactions. It has positive clinical significance.