灵龟八法针刺治疗突发性耳聋的疗效观察及其对听力水平、血液流变学的影响

Observations on the Efficacy of Acupuncture with Eightfold Method of the Sacred Tortoise for Sudden Deafness and Its Effect on Hearing Levels and Hemorheology

目的观察灵龟八法针刺治疗突发性耳聋患者的临床疗效及其对听力水平、血液流变学指标的影响。方法选取103例突发性耳聋患者随机分为对照组51例和观察组52例。两组均进行西药常规治疗,对照组采用普通针刺治疗,观察组采用灵龟八法按时针刺治疗。观察两组临床疗效和治疗前后症状改善时间、听力水平、血液流变学指标的变化,并比较两组不良反应发生情况。结果观察组总有效率为96.2%,高于对照组的80.4%(P<0.05)。观察组听力、眩晕、耳鸣、耳闷症状改善时间均短于对照组(P<0.05)。两组治疗后听阈值、耳聋评分水平较治疗前均降低(P<0.05),且观察组低于对照组(P<0.05)。两组治疗后高切全血黏度、低切全血黏度、血浆黏度、血小板聚集率、红细胞压积水平较治疗前均降低(P<0.05),且观察组低于对照组(P<0.05)。观察组不良反应发生率低于对照组,差异无统计学意义(P>0.05)。结论灵龟八法针刺能够改善突发性耳聋患者的耳鸣、眩晕等症状,调控听力水平,调节血液流变学水平,降低不良反应发生,疗效较好。

Objective To observe the clinical efficacy of acupuncture with eightfold method of the sacred tortoise for sudden deafness and its effect on hearing levels and hemorheological indicators.Method One hundred and three patients with sudden deafness were randomized to a control group(51 cases)and an observation group(52 cases).Both groups were given conventional Western drug treatment.The control group received conventional acupuncture and the treatment group,timing acupuncture with eightfold method of the sacred tortoise.The clinical therapeutic effects were evaluated and pre-treatment and post-treatment symptom improvement times,hearing levels and hemorheological indicators were observed in the two groups.The occurrences of adverse reactions were compared between the two groups.Result The total efficacy rate was 96.2%in the observation group which was higher than 80.4%in the control group(P<0.05).Hearing,vertigo,tinnitus and ear stuffiness improvement times were shorter in the observation group than in the control group(P<0.05).After treatment,auditory threshold and the deafness score decreased in both groups compared with before(P<0.05)and were lower in the observation group than in the control group(P<0.05).After treatment,high-shear whole blood viscosity,low-shear whole blood viscosity,plasma viscosity,platelet aggregation rate and hematocrit decreased in both groups compared with before(P<0.05)and were lower in the observation group than in the control group(P<0.05).The incidence of adverse reactions was lower in the observation group than in the control group with no statistically significant difference(P>0.05).Conclusion Acupuncture with eightfold method of the sacred tortoise can relieve tinnitus and vertigo,modulate hearing levels,regulate hemorheological indicators and reduce the occurrence of adverse reactions with a better therapeutic effect in patients with sudden deafness.