常规针刺联合“一针听”针法治疗久聋的临床观察

Observation of the clinical efficacy of routine acupuncture combined with“yi zhen ting”acupuncture in the treatment of long-term deafness

目的观察常规针刺联合"一针听"针法治疗久聋的临床疗效。方法选择2019年12月—2020年10月就诊于黑龙江中医药大学附属第一医院的单侧久聋患者,共60例,按随机数字表法将其分为观察组和对照组,每组各30例。对照组给予常规针刺治疗。观察组给予常规针刺联合"一针听"针法治疗。2组疗程均为4周。比较2组患者治疗前后纯音听阈值变化、伴耳鸣患者的耳鸣严重程度、伴焦虑患者的汉密尔顿焦虑量表(HAMA)评分及生存质量测定量表简表(WHOQOL-BREF)评分。结果观察组临床疗效总有效率86.67%,对照组临床疗效总有效率76.67%,观察组临床疗效优于对照组(P<0.05)。治疗后与治疗前比较,对照组与观察组患者的纯音听阈值降低、伴有焦虑患者HAMA评分降低、WHOQOL-BREF评分提高(P<0.01)。观察组治疗后与对照组治疗后比较,观察组患者纯音听阈值降低、伴焦虑患者HAMA评分降低、WHOQOL-BREF评分提高(P<0.05)。观察组耳鸣临床疗效总有效率94.12%,对照组耳鸣临床疗效总有效率83.33%,观察组优于对照组(P<0.05)。结论常规针刺联合"一针听"针法治疗久聋疗效肯定,能有效改善患者听力以及伴随的耳鸣症状、焦虑状态,提高患者的生存质量,具有临床推广意义。

Objective To observe the clinical effect of conventional acupuncture combined with acupuncture at"yi zhen ting"acupoint(the midpoint of the line between SI 19 and GB 2)in the treatment of long-term deafness.Methods A total of 60 patients with long-term deafness treated in the First Affiliated Hospital,Heilongjiang University of Chinese Medicine from December 2019 to October 2020 were selected and randomly divided into the observation group and control group using a random number table,with 30 patients in each group.While the control group was treated with conventional acupuncture therapy for the disease,the observation group was treated with conventional acupuncture combined with"yi zhen ting"acupuncture.The treatment course for both groups was 4 weeks.The changes in pure-tone threshold audiometry,tinnitus severity of patients with tinnitus,Hamilton Anxiety Rating Scale(HAMA)score of patients with anxiety,and WHOQOL-BREF score of patients were compared between the 2 groups before and after treatment.Results In the observation group,the total effective rate was 86.67%,while that of the control group was 76.67%.The clinical efficacy of the observation group was better than that of the control group(P<0.05).Compared with before treatment,the pure-tone threshold of patients,the HAMA score of patients with anxiety,and the WHOQOL-BREF score of patients in both the control group and the observation group decreased(P<0.01).After treatment,compared with the control group,the pure-tone threshold of patients and the HAMA score of patients with anxiety were lower and the WHOQOL-BREF score of patients was higher in the observation group(P<0.05).In the observation group,the total effective rate of tinnitus was 94.12%while that in the control group was 83.33%.The clinical efficacy of tinnitus in the observation group was better than that in the control group(P<0.05).Conclusion Routine acupuncture combined with"yi zhen ting"acupuncture is effective in the treatment of long-term deafness in that it improves the hearing,the accompanying tinnitus and anxiety,and the quality of life of patients.Therefore,it could be applied widely in clinic.