补肾活血方联合电针及耳穴压豆治疗耳鸣患者的临床效果

Clinical effect of Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of patients with tinnitus

目的观察补肾活血方联合电针及耳穴压豆治疗耳鸣伴失眠患者的临床效果。方法选取2018年5月—2019年10月于武汉市第三医院中医科及五官科门诊就诊的耳鸣伴失眠患者90例,依据随机数字表法将其分为中药组、中药+电针组及中药+电针+耳穴压豆组,每组30例。7 d为1个疗程,共4个疗程。观察三组临床疗效、耳鸣残疾评估量表(THI)评分、匹兹堡睡眠质量指数(FSQI)各项评分及总评分。结果中药+电针+耳穴压豆组总有效率明显高于中药组、中药+电针组,差异有统计学意义(P<0.0167)。治疗后,三组THI评分均低于治疗前,且中药+电针+耳穴压豆组低于中药组、中药+电针组(P<0.05),中药+电针组低于中药组(P<0.05)。治疗后,三组FSQI各项评分均低于治疗前,且中药+电针+耳穴压豆组低于中药组、中药+电针组,差异有统计学意义(P<0.05)。治疗后,三组FSQI总分均低于治疗前,且中药+电针+耳穴压豆组低于中药组、中药+电针组,差异有统计学意义(P<0.05)。结论补肾活血方联合电针及耳穴压豆治疗耳鸣伴失眠的效果确切,值得临床应用。

Objective To observe clinical effect of Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of patients with tinnitus and insomnia.Methods A total of 90 patients with tinnitus and insomnia treated in Outpatient Department of Traditional Chinese Medicine and Department of Ophthalmology in the Third Hospital of Wuhan City from May 2018 to October 2019 were selected and divided into Chinese medicine group,Chinese medicine+electroacupuncture group and Chinese medicine+electroacupuncture+auricular point pressing group according to random number table method,with 30 cases in each group.Seven days was as a course of treatment,a total of four courses.Clinical efficacy,tinnitus handicap inventory(THI)score,Pittsburgh sleep quality index(FSQI)score and total score of three groups were observed.Results Total effective rate of Chinese medicine+electroacupuncture+auricular point pressing group was significantly higher than that of Chinese medicine group and Chinese medicine+electroacupuncture group(P<0.0167).After treatment,THI scores of three groups were lower than those before treatment,and the scores of Chinese medicine+electroacupuncture+auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine+electroacupuncture group(P<0.05),and the scores of Chinese medicine+electroacupuncture group were lower than those of Chinese medicine group(P<0.05).After treatment,all items FSQI scores of three groups were lower than those before treatment,and the scores of Chinese medicine+electroacupuncture+auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine+electroacupuncture group(P<0.05).After treatment,total FSQI scores of three groups were lower than those before treatment,and the scores of Chinese medicine+electroacupuncture+auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine+electroacupuncture group(P<0.05).Conclusion Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of tinnitus with insomnia has definite effect,which is worthy of clinical application.