针刺治疗突发性耳聋及其对血液流变学的影响

Effect of acupuncture treatment on hemorheology in the patient of sudden deafness

目的:观察针刺对突发性耳聋症状及其血液流变学的影响,探讨作用机理。方法:采用毫针平补平泻手法,针刺耳门、听宫、听会、翳风、中渚、三阴交、太溪,每天1次,每次30分钟,6天为一疗程。4个疗程后采用自身前后对照的方法,比较针刺前后血液流变学检测资料。结果:经针刺后,全血高切粘度、全血低切粘度、纤维蛋白原含量、红细胞压积及红细胞聚集指数均较针刺前下降明显(P<0.05,P<0.01),红细胞变形能力明显提高(P<0.01),症状得到改善,听力有一定提高。结论:针刺可以改善症状,提高听力,改变高粘血状态,提高红细胞变形能力。提示降低血粘度可能是针刺治疗突发性耳聋的机理之一。

Objective To observe effect of acupuncture on sudden deafness and hemorheology, and probe into the mechanism. Methods Acupuncture was given at Ermen (TE 21), Tinggong (SI 19), Tinghui (GB 2), Yifeng (TE 17), Zhongzhu (TE 3) .Sanyinjiao (SP 6), Taixi (KI 3) with uniform reinforcing-reducing method of filiform needle, once each day, 30 minutes each time, 6 days constituting one course. After 4 courses, data of hemorheology before and after acupuncture treatment were compared. Results After acupuncture treatment, whole blood high-shear viscosity, whole blood low-shear viscosity, fibrinogen content, hematocrit, and hemagglutination index decreased significantly as compared with those before acupuncture (P<0.05 or P<0.01), and erythrocyte deformability increased significantly (P<0.01), and the symptoms improved and audition increased to a certain extent. Conclusion Acupuncture can improve symptoms, increase audition, change hypercoagulability, increase erythrocyte deformability, suggesting that decreasing blood viscosity is possibly one of mechanisms of acupuncture treating sudden deafness.