听宫穴位注射丹参注射液治疗急性主观性耳鸣临床研究

Clinical Study on Salvia Injection at Tinggong Acupoint for Acute Subjective Tinnitus

目的:观察听宫穴位注射丹参注射液治疗急性主观性耳鸣的临床疗效。方法:将64例耳鸣患者随机分为治疗组及对照组各32例。对照组治疗期间给予静脉滴注银杏达莫注射液,口服甲钴胺、盐酸氟桂利嗪胶囊及醋酸泼尼松片;治疗组在对照组治疗方案上加用听宫穴位注射丹参注射液治疗。观察2组治疗前、治疗14天后耳鸣的变化情况,根据疗效评定标准评价疗效。结果:临床疗效总有效率治疗组81.25%,对照组68.75%,2组比较,差异有统计学意义(P<0.05)。与治疗前比较,治疗后2组耳鸣残障量表(THI)评分,中医证候耳鸣响度、持续时间、睡眠、不良情绪各项积分均降低,差异均有统计学意义(P<0.05),且治疗后治疗组THI评分,中医证候耳鸣响度、持续时间、睡眠均评分低于对照组(P<0.05)。结论:听宫穴注射丹参注射液治疗急性主观性耳鸣有良好效果。

Objective:To observe the clinical effect of salvia injection at Tinggong acupoint for acute subjective tinnitus.Methods:Divided 64 cases of patients with tinnitus into the treatment group and the control group randomly,32 cases in each group.During treatment,the control group received ginkgo leaf extract and dipyridamole injection via intravenous drip,mecobalamin,flunarizine hydrochloride capsules and prednisone acetate tablets via oral administration,while the treatment group additionally received salvia injection at Tinggong acupoint.Observed the changes of tinnitus in both groups before and after treatment for 14 days,and evaluated the clinical effect according to its corresponding criteria.Results:The total effective rate was 81.25%in the treatment group and 68.75%in the control group,difference being significant(P<0.05).After treatment,the scores of tinnitus handicap inventory(THI),Chinese medicine syndrome tinnitus volume,duration,sleep and negative emotions in both groups were respectively lower than those before treatment,differences being significant(P<0.05);each score above in the treatment group was lower than that in the control group(P<0.05).Conclusion:Salvia injection at Tinggong acupoint has good effect in treating acute subjective tinnitus.