摘要
目的观察雷火灸联合声治疗对神经性耳鸣的临床疗效。方法 70例神经性耳鸣患者随机分为观察组36例和对照组34例。观察组采用雷火灸联合声信息治疗仪治疗,对照组给予单纯声信息治疗仪治疗。观察两组治疗前后耳鸣严重程度各项指标积分、抑郁自评量表评分、烦躁评估量表等级变化,并比较两组临床疗效。结果观察组总有效率为91.7%,高于对照组的70.6%,两组比较差异有统计学意义(P<0.05)。两组治疗后耳鸣严重程度各项指标积分较同组治疗前降低(P<0.05);两组治疗后耳鸣严重程度各项指标积分中对睡眠的影响、对情绪的影响积分比较,差异有统计学意义(P<0.05)。两组治疗后抑郁自评量表评分均较同组治疗前降低(P<0.05);两组治疗前后差值比较,差异有统计学意义(P<O.05)。两组治疗后患者烦躁等级与同组治疗前比较,差异有统计意义(P<0.01);两组治疗后烦躁评估量表等级比较,观察组烦躁等级优于对照组(P<0.05)。结论雷火灸联合声治疗可减轻神经性耳鸣患者烦躁程度,改善患者的情绪,临床治疗效果显著。
Objective To observe the clinical efficacy of thunder-fire moxibustion plus sound therapy in treating nervous tinnitus.Method Seventy patients with nervous tinnitus were randomized into an observation group of 36 cases and a control group of 34 cases.The observation group was intervened by thunder-fire moxibustion plus acoustic information treatment apparatus,while the control group was treated with acoustic information treatment apparatus alone.For both groups,changes in the Tinnitus Handicap Inventory(THI)score,Self-rating Depression Scale(SDS),and grading of irritability scale after treatment were observed.The clinical efficacies of the two groups were also compared.Result The total effective rate was 91.7% in the observation group,higher than 70.6% in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the component scores of THI dropped in both groups(P<0.05);after treatment,there were significant differences between the two groups in the scores of sleep and emotional status in THI(P<0.05).The SDS score decreased after treatment in both groups(P<0.05),and there was a significant difference in the change of SDS score between the two groups(P<0.05).After treatment,the irritability degree changed significantly in the two groups(P<0.01);the irritability evaluation was better in the observation group than in the control group after treatment(P<0.05).Conclusion Thunder-fire moxibustion plus sound therapy can reduce the irritability degree and improve the emotional status in patients with nervous tinnitus,and it can produce significant efficacy.
作者
宋春侠
权兴苗
时菁静
刘玉兰
龙森
徐鸿雁
暴宏伶
SONG Chun-xia;QUAN Xing-miao;SHI Jing-jing;LIU Yu-lan;LONG Sen;XU Hong-yan;BAO Hong-ling(Affiliated Hospital of Hebei Chengde Medical University,Chengde 067000,China)
出处
《上海针灸杂志》
2019年第5期525-528,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
河北省中医药管理局课题(2019200)
关键词
灸法
雷火针灸疗法
声治疗
耳鸣
Moxibustion
Thunder-fire drugs-moxa roll moxibustion
Sound therapy
Tinnitus