调神通窍针法联合乌灵胶囊治疗心血不足型神经性耳鸣疗效观察

Efficacy observation of Tiaoshen Tongqiao needling and Wuling capsule on nervous tinnitus with syndrome of deficiency of heart-blood

目的:观察调神通窍针法联合乌灵胶囊治疗心血不足型神经性耳鸣患者的临床疗效。方法:选取60例心血不足型神经性耳鸣患者,按照随机对照法分为两组各30例。对照组予乌灵胶囊口服治疗,治疗组在对照组基础上予调神通窍针法治疗,两组均连续治疗4周。比较两组临床疗效和耳鸣改善情况、证候评分、耳鸣致残量表评分(THI)、焦虑自评量表评分(SAS)、匹兹堡睡眠质量量表评分(PSQI)。结果:治疗组临床总有效率93.3%,高于对照组的70.0%(P﹤0.05);治疗后,两组中医证候评分、THI、SAS、PSQI评分均较治疗前降低(P﹤0.05),且治疗组各项评分均低于对照组(P﹤0.05)。结论:调神通窍针法联合乌灵胶囊治疗心血不足型神经性耳鸣可有效改善患者耳鸣症状,缓解患者焦虑情绪,提升患者睡眠质量。

Objective:To observe the clinical efficacy of Tiaoshen Tongqiao needling and Wuling capsule on nervous tinnitus with syndrome of deficiency of heart-blood.Methods:60 cases of patients with nervous tinnitus with syndrome of deficiency of heart-blood were selected and randomly divided into two groups,30 cases in each group.The control group was treated with oral Wuling capsule,while the treatment group was treated plus with Tiaoshen Tongqiao needling on the basis of control group.Both groups were treated continuously for 4 weeks.Clinical efficacy,tinnitus improvement,TCM syndrome score,Tinnitus Handicap Inventory(THI),Self-Rating Anxiety Scale(SAS)and Pittsburgh Sleep Quality Scale(PSQI)were compared between two groups.Results:After treatment,the total clinical effective rate of treatment group was 93.3%,which was higher than 70.0%of control group(P﹤0.05);TCM syndrome score,scores of THI,SAS and PSQI were decreased compared with before treatment(P﹤0.05),and each score of treatment group was lower than that of control group(P﹤0.05).Conclusion:Tiaoshen Tongqiao needling and Wuling capsule for treating nervous tinnitus with syndrome of deficiency of heart-blood can effectively improve the symptoms of tinnitus of patients,relieve the anxiety of patients and enhance the sleep quality of patients.