“醒脑开窍”针刺手法治疗神经性耳鸣的临床疗效观察

Observation on the clinical efficacy of"waking up the brain and opening the orifices"acupuncture manipulation in the treatment of neurogenic tinnitus

目的:探讨“醒脑开窍”针刺法与普通针刺在治疗神经性耳鸣前后的临床疗效,以为该病提供有效的临床治疗思路。方法:将符合诊断标准的60例神经性耳鸣患者采用随机数表法分为治疗组和对照组,每组30例患者,分别予以“醒脑开窍”针刺手法和传统针刺手法进行治疗,两组患者均隔日针灸1次,每周治疗3次,共4周。在治疗前后分别对患者耳鸣严重程度(TEQ)、耳鸣残疾程度(THI)进行评分,并依据耳鸣的严重程度分级进行临床疗效评估。结果:治疗后,两组患者的耳鸣严重程度评分、耳鸣残疾量表评分皆优于治疗前,治疗组优于对照组,差异均具有统计学意义(P<0.05);治疗组患者的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。结论:“醒脑开窍”针刺法与传统针刺治疗在改善神经性耳鸣患者的病情方面均有一定的疗效,但“醒脑开窍”针刺法疗效优于传统针刺。

Objective:To compare the clinical efficacy of acupuncture with ordinary acupuncture before and after the treatment of neurogenic tinnitus,so as to provide effective clinical treatment ideas for this disease.Methods:A total of 60 patients with neurological tinnitus who met the diagnostic criteria were randomly divided into treatment group and control group by random number table method,and 30 cases in each group were treated with acupuncture technique and traditional acupuncture technique,and acupuncture was given once every other day in both groups,3 times a week for a total of 4 weeks.The severity of tinnitus(TEQ)and the degree of tinnitus disability(THI)were scored before and after treatment,and the clinical efficacy was evaluated according to the severity grade of tinnitus.Results:The tinnitus severity score and tinnitus disability scale score of the two groups after treatment were better than those before treatment,and the treatment group was better than the control group,and the difference was statistically significant(P<0.05).The overall effective rate of the treatment group that of the control group,and the difference was statistically significant(P<0.05).Conclusion:“Brain Awakening”acupuncture and traditional acupuncture have certain efficacy in improving the condition of patients with neurogenic tinnitus,but the efficacy of"Brain Awakening"acupuncture is better than that of ordinary acupuncture.