摘要
目的:观察疏肝利胆针法对肝气郁结型耳鸣患者的临床疗效及该证型耳鸣与焦虑抑郁情绪的相关性。方法:将66例肝郁气结型耳鸣受试者随机分成两组,各33例,两组患者均口服中药制剂,观察组在口服中药基础上配合针刺干预措施。分别于治疗后第2个、第4个疗程通过耳鸣评估问卷(Tinnitus Evaluation Questionnaire,TEQ)、耳鸣残疾评估量表(Tinnitus Handicap Inventory,THI)、耳鸣视觉模拟评分法(Visual Analogue Scale,VAS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Selfrating Depression Scale,SDS)进行疗效评价分析。结果:治疗2个疗程后,观察组TEQ评分均值优于对照组(P <0.05);治疗4个疗程后,观察组耳鸣主要评价指标TEQ评分与THI评分优于对照组(P <0.05),且两组组内的TEQ、THI评分均值在第2个、第4个疗程后较基线期下降(P <0.05)。观察组的总有效率高于对照组,差异有统计学意义(P <0.05)。结论:疏肝利胆针法合并中药治疗肝气郁结型耳鸣的疗效较单纯中药更好,同时耳鸣严重程度与焦虑抑郁情绪存在相关性。
Objective:To observe the clinical efficacy of acupuncture for soothing liver and gallbladder on tinnitus with liver-Qi(肝气)stagnation and the correlation between the disease and anxiety and depression.Methods:A total of 66 cases were randomly divided into two groups,with 33 cases in each group.The patients in both groups were given oral TCM preparations,and the observation group took additionally acupuncture intervention.Results:After 2 courses of treatment,the observation group was better than the control group in the mean TEQ score(P<0.05).After 4 courses of treatment,the main evaluation indexes of tinnitus,TEQ and THI scores,in the observation group were better than the control group(P<0.05).The mean TEQ and THI scores in the two groups were decreased after 2 courses and 4 courses of treatment compared with the baseline period(P<0.05).The total efficiency in the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:The curative effect of acupuncture for soothing liver and gallbladder plus TCM medicine on tinnitus with liver-Qi stagnation is better than that of TCM preparation alone,and the severity of tinnitus is correlated with anxiety and depression.
出处
《中医临床研究》
2022年第22期73-76,共4页
Clinical Journal Of Chinese Medicine
关键词
耳鸣
疏肝利胆
针刺
Tinnitus
Soothing liver and gallbladder
Acupuncture