穴位注射与鼓室注射治疗特发性耳鸣的疗效比较

A comparison between acupoint injection and tympanum injection for treatment of idiopathic tinnitus

目的评估并分析穴位注射与鼓室注射治疗特发性耳鸣的疗效。方法选取2017年2月—2018年1月云南省昆明市第一人民医院耳鼻喉科收治的特发性耳鸣患者100例,将穴位注射给药患者作为穴位注射组,经鼓室注射给药患者作为鼓室注射组,应用耳鸣致残量表(THI)和视觉模拟量表(VAS)对患者手术前后耳鸣情况进行评估,比较两组患者术后耳鸣缓解情况。结果两组患者治疗后THI、VAS评分比较,差异有统计学意义(P <0.05),多数患者耳鸣有缓解,穴位注射组治疗有效率为82%,鼓室注射组为62%,差异有统计学意义(P<0.05)。结论穴位注射和鼓室注射都能有效治疗特发性耳鸣,但穴位注射给药方法有效率更高,且能更好地缓解患者耳鸣症状,疗效更好。

Objective To evaluate and analyze the clinical effect of two different methods of injection for the treatment of tinnitus.Methods One hundred patients with tinnitus treated in the First Hospital of Kunming between February 2017 and January 2018 were randomly divided into groups A(50 cases)and B(50 cases)and separately operated by acupoint injection and tympanum injection.Tinnitus Disability Scale(THI)and Visual Analogue Scale(VAS)were used to evaluate the tinnitus before and after operation.The therapeutic effect was compared between the two groups.Results There were significant differences in THI and VAS scores between the two groups after treatment(P<0.05).Most patients had remission of tinnitus.The effective rate of the group A was 82%and that of the group B was 62%with significant difference(P<0.05).Conclusions For patients with tinnitus,both acupoint injection and tympanum injection are effective.However,compared with the tympanum injection,the acupoint injection would be more efficient.