针灸结合中药治疗神经性耳鸣的临床疗效观察

Clinical Observation of Acupuncture and Moxibustion Combined with Chinese Medicine in the Treatment of Nervous Tinnitus

目的:观察分析针灸结合中药治疗神经性耳鸣的临床疗效。方法:选取承德医学院附属医院中医科门诊诊治的120例神经性耳鸣(中医辨证为痰瘀内阻证)患者作为研究对象,按就诊顺序随机分为对照组和观察组。对照组采用口服甲钴胺片联合银杏叶片治疗,观察组给予中医综合疗法(针灸结合口服中药汤剂)治疗,比较两组患者的临床治疗效果。结果:观察组的有效率为86.7%,显著高于对照组的66.7%,差异具有统计学意义(P<0.01)。两组治疗后耳鸣严重程度均有明显改善,而观察组改善优于对照组,差异具有显著性(P<0.01)。观察组与对照组在治疗后SF-36生活质量量表评分均有显著升高,观察组升高幅度更明显,与对照组相比差异具有显著性(P<0.05)。治疗后两组汉密尔顿焦虑量表总分均有降低,观察组与对照组相比较,总分降低的程度更显著,差异有统计学意义(P<0.05)。结论:针灸结合中药治疗神经性耳鸣的疗效显著,可改善患者生活质量,减轻焦虑症状,有临床推广应用价值。

Objective: To observe and analyze the clinical efficacy of acupuncture and moxibustion combined with traditional Chinese medicine in the treatment of nervous tinnitus. Methods: A total of 120 patients with neurogenic tinnitus (TCM syndrome differentiation is internal obstruction of phlegm and blood stasis) in the traditional Chinese medicine outpatient department of the affiliated hospital of chengde medical college were randomly divided into control group and observation group according to the order of visit. The control group was treated with oral mecobalamine tablets combined with ginkgo biloba leaves, while the observation group was treated with traditional Chinese medicine comprehensive therapy (acupuncture combined with oral Chinese medicine decoction), and the clinical therapeutic effects of the two groups were compared. Results: The effective rate of the observation group was 86.7%, which was significantly higher than that of the control group (66.7%), and the difference was statistically significant (P<0.01). The severity of tinnitus was significantly improved in both groups after treatment, while the improvement in the observation group was better than that in the control group, and the difference was significant (P<0.01). After treatment, the sf-36 quality of life scale score of both the observation group and the control group was significantly increased, and the increase rate of the sf-36 quality of life scale of the observation group was more significant, with a significant difference compared with the control group (P<0.05). After treatment, the total scores of Hamilton anxiety scale in both groups were reduced, and the degree of reduction was more significant in the observation group and the control group, with statistically significant difference (P<0.05). Conclusion: Acupuncture and moxibustion combined with traditional Chinese medicine in the treatment of neurogenic tinnitus has significant efficacy, can improve the quality of life of patients, reduce anxiety symptoms, clinical application value.