针刺联合常规疗法治疗肾精亏虚型耳鸣临床研究

Clinical Study on Acupuncture Combine with Routine Therapy for Tinnitus of Kidney Essence Deficiency Type

目的:观察在耳鸣咨询和声治疗基础上加用针刺治疗肾精亏虚型耳鸣的临床疗效。方法:将80例肾精亏虚型耳鸣患者随机分为对照组和观察组各40例。2组患者均接受耳鸣咨询和声治疗。对照组以耳聋左慈丸治疗,观察组采用针刺治疗。疗程均为3个月。治疗前后评定耳鸣严重程度评分、主观耳鸣程度视觉模拟评分法(VAS)评分、耳鸣残疾评估量表(THI)评分和肾精亏虚证评分,比较2组的临床疗效、耳鸣残疾程度。结果:治疗后,观察组临床疗效优于对照组(P <0.05),耳鸣残疾程度轻于对照组(P <0.05),耳鸣严重程度轻于对照组(P <0.05)。观察组耳鸣严重程度评分、VAS评分、THI评分和肾精亏虚证评分均低于对照组(P <0.01)。结论:在耳鸣咨询和声治疗的基础上加用针刺治疗肾精亏虚型耳鸣,可减轻患者的耳鸣严重程度和耳鸣残疾程度,改善临床症状,临床疗效显著。

Objective:To observe the clinical effect of acupuncture based on tinnitus counseling and sound therapy for tinnitus of kidney essence deficiency type.Methods:Divided 80 cases of patients with tinnitus of kidney essence deficiency type into the control group and the observation group randomly,40 cases in each group.Both groups received tinnitus counseling and sound therapy.Additionally,the control group received Erlong Zuoci pills,while the observation group received acupuncture.The course of treatment lasted for 3 months respectively.Before and after treatment,assessed the scores of tinnitus severity,visual analogue scale(VAS)in subjective tinnitus degree,tinnitus handicap inventory(THI)and kidney essence deficiency syndrome,compared the clinical effect and handicapped degree of tinnitus in both groups.Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05),the handicapped degree of tinnitus was lower than that in the control group(P<0.05),and the tinnitus severity was lower than that in the control group(P<0.05).The scores of tinnitus severity,VAS,THI and kidney essence deficiency syndrome in the observation group were lower than those in the control group(P<0.01).Conclusion:The application of acupuncture based on tinnitus counseling and sound therapy has significant clinical effect in treating tinnitus of kidney essence deficiency type.It can alleviate the severity and handicapped degree of tinnitus and improve the clinical symptoms of patients.