柴胡温胆汤联合针刺治疗耳鸣的临床疗效观察

Clinical Observation on Chaihu Wendan Decoction Combined with Acupuncture in Treating Tinnitus

【目的】观察柴胡温胆汤配合针刺治疗(从手足少阳经论治)耳鸣的临床疗效。【方法】将60例耳鸣患者随机分为试验组和对照组,每组各30例。对照组给予从手足少阳经取穴针刺治疗,试验组在对照组针刺治疗的基础上给予内服中药柴胡温胆汤治疗,6 d为1个疗程,共治疗3个疗程。应用耳鸣残疾评估量表(THI)对2组患者治疗前后耳鸣严重程度进行分级评估,并评价其疗效。【结果】(1)治疗后,2组患者THI值均较治疗前下降(P<0.05),且试验组治疗后THI值的下降幅度明显大于对照组,治疗前后差值比较,差异有统计学意义(P<0.05)。(2)治疗后,试验组的总有效率为86.7%,对照组为73.3%,试验组的疗效优于对照组,差异有统计学意义(P<0.05)。【结论】从手足少阳经取穴针刺治疗耳鸣具有较好的治疗效果,若配合中药柴胡温胆汤治疗则疗效更佳。

Objective To observe the clinical efficacy of Chaihu Wendan Decoction combined with acupuncture forthe treatment of tinnitus. Methods Sixty tinnitus patients were randomly divided into trial group and control group,30 cases in each group. The control group was treated with acupuncture on acupoints at Foot Shaoyang Gall BladderMeridian and Hand Shaoyang Triple Energizer Meridian,and the trial group was given oral use of Chaihu Wendan Decoction plus the treatment for the control group. Six days constituted one treatment course,and the treatmentlasted for 3 courses. Tinnitus Handicap Inventory（THI）was used for the grading of tinnitus in the two groups before and after treatment,and the clinical efficacy of the two groups was evaluated after treatment. Results（1）Aftertreatment,THI scores of the two groups were decreased（P〈0.05）,and the decrease of the treatment group wasmore obvious than that of the control group（P〈0.05）.（2）After treatment,the total effective rate of the treatmentgroup was 86.7% and that of the control group was 73.3%,the difference being significant（P〈0.05）. Conclusion Acupuncture at acupoints of hand and foot Shaoyang meridians exerts a synergistic action on the clinical efficacy of Chaihu Wendan Decoction for the treatment of tinnitus.