耳穴“三序”疗法治疗原发性耳鸣23例

Clinical application of the three-step auricular acupoint therapy for 23 patients with primary tinnitus

目的总结耳穴“三序”疗法治疗原发性耳鸣临床疗效。方法收集23例采用耳穴“三序”疗法治疗的原发性耳鸣患者的临床资料,总结操作方法,分析临床疗效。结果治疗后,患者耳鸣评价量表(TEQ)评分低于治疗前,差异有统计学意义(P<0.05)。治疗后耳鸣致残量表(THI)评分(32.63±11.67)分,低于治疗前(56.59±0.84)分,差异有统计学意义(P<0.05)。23例原发性耳鸣患者治疗2个疗程后的显效率为52.17%(12/23)。结论耳穴“三序”疗法通过先耳郭全息按摩、刮痧、最后辨证施穴进行耳穴贴压,进而达到补益肝肾、通络益窍、改善耳鸣症状的目的,其操作取材方便,易于实施,值得临床借鉴。

Objective To investigate the effect of a three-step auricular acupoint therapy in the treatment of primary tinnitus.Methods The clinical data of 23 patients with primary tinnitus were retrospectively analyzed.Key issues in implementation of three-step auricular acupoint therapy and related nursing were summarized.Results The score of Tinnitus Evaluation Questionnaire(TEQ)was lower after treatment compared with that before treatment(P<0.05).The score of Tinnitus Handicap Inventory(THI)dropped form(32.63±11.67)before treatment to(32.63±11.67)after treatment,with a significant difference(P<0.05).The marked effective rate was 52.17%(12/23)after 2 courses of treatment.Conclusion The three-step auricular acupoint therapy,consisting of auricular massage,auricular scraping therapy,and auricular acupoint sticking and pressing therapy by syndrome differentiation,is an easy-to-operate and effective therapy for primary tinnitus.It is able to tonify liver and kidney,dredging collaterals and relieving the symptoms of tinnitus.