卅型头穴透刺治疗肾精亏虚型耳鸣疗效观察

Efficacy Observation of“卅”-pattern Scalp Acupoint Penetrating Needling for Tinnitus Due to Kidney Essence Deficiency

目的观察传统针刺疗法与“卅”型头穴透刺疗法治疗原发性耳鸣的临床疗效及差异。方法将60例肾精亏虚型原发性耳鸣患者随机分为治疗组和对照组,每组30例。两组均采用常规药物对症治疗,治疗组在此基础上采用“卅”型头穴透刺疗法治疗,对照组采用常规针刺治疗。观察两组治疗前后电测听值、耳鸣残疾评估量表(THI)评分、耳鸣评价量表(TEQ)评分、匹兹堡睡眠质量指数(PSQI)各项评分及汉密尔顿焦虑量表(HAMA)评分的变化情况,并比较两组临床疗效。结果两组治疗后电测听值、THI评分、TEQ评分及HAMA评分均较同组治疗前显著降低(P<0.05)。治疗组治疗后电测听值、THI评分、TEQ评分及HAMA评分均明显低于对照组,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后PSQI各项评分均较同组治疗前显著降低(P<0.05);对照组治疗后PSQI中入睡时间、睡眠时间评分及总分均较同组治疗前显著降低(P<0.05)。治疗组治疗后PSQI各项评分均明显低于对照组,两组比较差异均具有统计学意义(P<0.05)。治疗组总有效率为86.7%,对照组为63.3%,两组比较差异具有统计学意义(P<0.05)。结论“卅”型头穴透刺疗法是一种治疗肾精亏虚型耳鸣的有效方法。

Objective To observe and compare the clinical efficacy of the traditional acupuncture method and“卅”-pattern scalp acupoint penetrating needling for primary tinnitus.Method Sixty patients with primary tinnitus due to kidney essence deficiency were randomized into a treatment group and a control group,with 30 cases in each group.The two groups both received conventional medications for symptomatic treatment.In addition,the treatment group was given“卅”-pattern scalp acupoint penetrating needling,and the control group was given traditional acupuncture treatment.Before and after the treatment,the electroaudiometry readings,tinnitus handicap inventory(THI)score,tinnitus evaluation questionnaire(TEQ)score,Pittsburgh sleep quality index(PSQI)score,and Hamilton anxiety scale(HAMA)score were observed for both groups.The clinical efficacy was also compared.Result After the treatment,the electroaudiometry readings and the scores of THI,TEQ,and HAMA declined significantly in both groups(P<0.05).The electroaudiometry readings and the scores of THI,TEQ,and HAMA were lower in the treatment group than in the control group after the treatment,and the between-group differences were statistically significant(P<0.05).After the intervention,the component and global PSQI scores dropped significantly in the treatment group(P<0.05);in the control group,the component PSQI scores of sleep latency and sleep duration and global PSQI score dropped significantly(P<0.05).Each PSQI score was lower in the treatment group than in the control group after the treatment,and the between-group differences were statistically significant(P<0.05).The total effective rate was 86.7%in the treatment group versus 63.3%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion The“卅”-pattern scalp acupoint penetrating needling is an effective approach for tinnitus due to kidney essence deficiency.