五行角音辅助治疗慢性肝郁气滞型耳鸣的临床研究

Five Phases Jue Tone Therapy for Chronic LiverQi Stagnation Type of Tinnitus

目的 探讨五行角音辅助治疗慢性肝郁气滞型耳鸣的临床疗效。方法 将89例慢性耳鸣患者随机分为治疗组45例和对照组44例,对照组采用甲钴胺和氟桂利嗪口服,柴胡疏肝散辨证加减口服并进行心理疏导。治疗组在对照组基础上,增加五行角音治疗,每日1次,每次45 min,疗程为1个月。比较治疗前后2组耳鸣残疾评估量表(THI)、症状自评量表(SCL-90)评分,并评价2组的临床疗效。结果 治疗后,2组THI、SCL-90评分较治疗前明显降低(P<0.05),且治疗组THI、SCL-90评分低于对照组(P<0.05)。治疗组总有效率为80.00%,显著高于对照组的63.63%(P<0.05)。结论 五行角音对改善慢性肝郁气滞型耳鸣患者的THI、SCL-90评分和临床症状有辅助作用。

Objective To investigate the clinical effect of five phases jue tone therapy on chronic liver qi stagnation type of tinnitus.Methods Eighty-nine patients with chronic tinnitus were randomly divided into treatment group(45 cases)and control group(44 cases).Both groups were treated with oral administration of mecobalamin,flunarizine and Chaihu Shugan powder and psychological counseling.Additionally,the treatment group was given five phases jue tone therapy once a day(45 minutes each time).The Tinnitus Handicap Inventory(THI)and Symptom Checklist 90(SCL-90)scores were measured before and after treatment for 1 month.The clinical effect was evaluated in both groups.Results The scores of THI and SCL-90 significantly decreased in both groups after treatment,and those in the treatment group were lower than those in the control group(P<0.05).The total effective rate in the treatment group(80.00%)was markedly higher than that in the control group(63.63%)(P<0.05).Conclusion Five phases jue tone has an auxiliary effect on improving THI,SCL-90 scores and clinical symptoms in patients with chronic liver qi stagnation type of tinnitus.