温通针法联合药物治疗突发性耳聋临床研究

Clinical Study on Treatment of Sudden Hearing Loss with Wentong Acupuncture Combined with Drugs

目的观察温通针法联合药物治疗突发性耳聋(sudden hearing loss,SHL)的临床疗效。方法132例SHL患者采用完全随机对照的试验方法分为药物治疗组(对照组)和针药联合组(治疗组),各66例,对照组采用常规药物治疗,治疗组在西药的基础上施行温通针法操作。观察两组患者治疗前后听力变化、耳鸣变化及耳鸣致残量表-3(THI)评分。使用AC40型纯音听力计隔音室内测试纯音听阈听力值,采用耳鸣致残量表评估耳鸣程度及对患者生活质量的影响,并评价两组突发性耳聋及耳鸣的疗效。结果对照组对突发性耳聋总有效率为71.21%,治疗组为81.81%,治疗组临床疗效优于对照组(P<0.05);对照组对耳鸣的有效率为83.07%,治疗组为96.61%,治疗组临床疗效优于对照组(P<0.05)。与本组治疗前比较,2组治疗后纯音听阈听力值及耳鸣致残量重度、中度及轻度的例数明显降低,差异有统计学意义(P<0.05)。结论温通针法治疗药物在改善突发性耳聋的临床症状,改善突发性耳聋造成的耳鸣、焦虑等负面情绪及提高生活质量方面优于单纯药物,值得临床进一步推广。

Objective To observe the clinical efficacy of Wentong acupuncture combined with drugs in the treatment of sudden hearing loss(SHL).Methods A total of 132 SHL patients were divided into a drug treatment group(drug group)and an acupuncture medicine combination group(combination group)using a completely randomized controlled trial method,with 66 patients in each group.The drug group received routine drug treatment,while the combination group received Wentong acupuncture on the basis of Western medicine.Observe the hearing changes,tinnitus changes,and tinnitus disability scale 3(THI)scores of two groups of patients before and after treatment.The AC40 pure tone audiometer was used to test the pure tone threshold hearing value in the soundproof room,and the tinnitus disability scale was used to evaluate the degree of tinnitus and its impact on the patient s quality of life.Results The therapeutic effects of two groups of sudden hearing loss and tinnitus were evaluated.The total effective rate of sudden hearing loss in the drug group was 71.21%,while in the combination group it was 81.81%.The clinical efficacy of the combination group was better than that of the drug group(P<0.05);The effective rate of tinnitus in the drug group was 83.07%,while in the combination group it was 96.61%.The clinical efficacy of the combination group was better than that of the drug group(P<0.05).Compared with before treatment in this group,the pure tone hearing threshold and the number of cases with severe,moderate,and mild tinnitus disability in the two groups significantly decreased after treatment,and the difference was statistically significant(P<0.05).Conclusion The combination of Wentong acupuncture and drugs is superior to simple drugs in improving the clinical symptoms of sudden hearing loss,improving negative emotions such as tinnitus and anxiety caused by sudden hearing loss,and improving quality of life.It is worth further promoting in clinical practice.