三通平衡法针刺治疗肾精亏虚型特发性耳鸣伴轻中度焦虑障碍临床研究

Clinical Study on Acupuncture with Santong Balance Method for Idiopathic Tinnitus Complicated with Mild-to-Moderate Anxiety Disorder of Kidney-Essence Depletion Type

目的:观察三通平衡法针刺治疗肾精亏虚型特发性耳鸣伴轻中度焦虑障碍的临床疗效。方法:将纳入研究的60例肾精亏虚型特发性耳鸣伴轻中度焦虑障碍患者随机分为对照组和治疗组各30例,对照组予常规针刺法治疗,治疗组予三通平衡法针刺治疗。每周治疗3次,4周为1个疗程,2组均治疗1个疗程。治疗前、治疗1个疗程后应用耳鸣评价量表(TEQ)评价耳鸣严重程度,应用汉密尔顿焦虑量表(HAMA)评价焦虑程度,比较2组的临床疗效。结果:治疗1个疗程后,治疗组临床疗效优于对照组(P<0.05)。2组耳鸣出现的环境、耳鸣持续时间、耳鸣对睡眠的影响、耳鸣对生活及工作的影响、耳鸣对情绪的影响、患者对耳鸣的总体感受6项评分及TEQ总分与治疗前比较,差异均有统计学意义(P<0.05)。2组耳鸣对睡眠的影响评分、耳鸣对情绪的影响评分及TEQ总分比较,差异均有统计学意义(P<0.05),其余4项评分比较,差异均无统计学意义(P>0.05)。2组精神性焦虑评分、躯体性焦虑评分及HAMA总分与治疗前比较,差异均有统计学意义(P<0.05)。2组精神性焦虑评分及HAMA总分比较,差异均有统计学意义(P<0.05);2组躯体性焦虑评分比较,差异无统计学意义(P>0.05)。结论:采用三通平衡法针刺治疗肾精亏虚型特发性耳鸣伴轻中度焦虑障碍患者,可有效缓解耳鸣及改善患者的焦虑程度,安全性高,效果优于常规针刺法。

Objective:To observe the clinical effect of acupuncture with Santong balance method on idiopathic tinnitus complicated with mild-to-moderate anxiety disorder of kidney-essence depletion type.Methods:A total of 60 patients with idiopathic tinnitus complicated with mild-to-moderate anxiety disorder of kidney-essence depletion type were included into the study and randomly divided into the control group and the treatment group,with 30 cases in each group.The control group was given routine acupuncture therapy,and the treatment group was treated with acupuncture with Santong balance method.With 4 weeks as 1 course of treatment,the two groups were treated 3 times each week for4 weeks.Before treatment and after 1 course of treatment,the Tinnitus Evaluation Questionnaire(TEQ)was used to evaluate the severity of tinnitus,and Hamilton Anxiety Scale(HAMA) to the anxiety;the clinical effects were compared between the two groups.Results:After 1 course of treatment,the clinical effect in the treatment group was better than that in the control group(P<0.05).There were significant differences being found in the comparisons of the 6 scores of environment in which tinnitus occurs,duration of tinnitus,impact of tinnitus on sleep,impact of tinnitus on life and work,impact of tinnitus on emotions,and patients' general feelings about tinnitus and the total TEQ scores in the two groups with those before treatment(P<0.05).There were significant differences being found in the comparisons of the scores of impacts of tinnitus on sleep and emotions with the total TEQ scores in both groups(P<0.05),and there was no significant difference being found in the comparison of the remaining 4 scores(P>0.05).There were significant differences being found in the comparisons of the scores of psychic anxiety and somatic anxiety and the total HAMA scores in both groups with those before treatment(P<0.05).After treatment,there were significant differences being found in the comparisons of the scores of psychic anxiety with the total HAMA scores in both groups(P<0.05);there was no significant difference being found in the comparison of scores of somatic anxiety in the two groups(P>0.05).Conclusion:The adoption of acupuncture with Santong balance method can effectively mitigate the tinnitus and improve the anxiety of patients with idiopathic tinnitus complicated with mild-to-moderate anxiety disorder of kidney-essence depletion type with good safety,and its curative effect is better than that of routine acupuncture.