电针乳突四穴联合甲钴胺治疗特发性耳鸣的临床效果

Clinical effect of electroacupuncture at the four points of the mastoid process and Methylcobalamin in the treatment of idiopathic tinnitus

目的探讨特发性耳鸣患者采用电针乳突四穴联合甲钴胺治疗的临床效果。方法选取2021年10月至2023年10月山东省慢性病医院收治的90例特发性耳鸣患者作为研究对象,采用随机数字表法将其分为对照组(45例)和研究组(45例)。对照组给予甲钴胺治疗,研究组给予电针乳突四穴联合甲钴胺治疗。比较两组临床疗效、中医证候积分、耳鸣程度及不良反应。结果研究组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组患者治疗后的中医证候积分低于本组治疗前,研究组患者治疗后的中医证候积分低于对照组,差异有统计学意义(P<0.05);两组患者治疗后的耳鸣评价量表(TEQ)评分、耳鸣残疾量表(THI)评分低于本组治疗前,研究组患者治疗后的TEQ评分、THI评分低于对照组,差异有统计学意义(P<0.05);两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论特发性耳鸣患者采用电针乳突四穴联合甲钴胺治疗的临床疗效较高,能够有效降低中医证候积分,减轻耳鸣程度,且不会增加不良反应。

Objective To explore the clinical effect of electroacupuncture at the four points of the mastoid process and Methylcobalamin in patients with idiopathic tinnitus.Methods A total of 90 patients with idiopathic tinnitus admitted in Shandong Chronic Disease Hospital from October 2021 to October 2023 were selected as the study subjects,and they were divided into the study group(45 cases)and the control group(45 cases).The control group was treated with Methylcobalamin,and the study group was treat with electroacupuncture combined with Methylcobalamin.The clinical efficacy,traditional Chinese medicine syndrome score,tinnitus degree,and adverse reactions in both groups were compared.Results The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The traditional Chinese medicine syndrome scores of the two groups after treatment was lower than those before treatment,the traditional Chinese medicine syndrome scores of the study group after treatment were lower than those of the control group,with statistical significances(P<0.05).The scores of the tinnitus evaluation questionnaire(TEQ)and tinnitus handicap inventory(THI)of the two groups after treatment were lower than those before treatment,the TEQ and THI scores of the study group after treatment were lower than those of the control group,with statistical significances(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion The clinical efficacy of electroacupuncture at the four points of the mastoid process and Methylcobalamin treatment for patients with idiopathic tinnitus is relatively high.It can effectively reduce the traditional Chinese medicine syndrome score,alleviate the degree of tinnitus,and do not increase adverse reactions.