耳聋左慈汤剂联合耳穴压豆治疗神经性耳鸣的临床疗效观察

Clinical Observation of Zuoci Decoction Combined with Auricular Point Pressure Dou in the Treatment of Nervous Tinnitus

目的:观察耳聋左慈汤联合耳穴压豆治疗神经性耳鸣的临床疗效。方法:将120例患者随机分为A组(耳聋左慈汤剂 + 耳穴压豆 + 甲钴胺片组) 40例;B组(耳聋左慈汤 + 甲钴胺片组) 40例;C组(纯西药甲钴胺片组) 40例。3组均连续治疗3个疗程,每个疗程为7天,共21天。对ABC三组进行中医症状评分;记录3组治疗前后电测听值及记录3组治疗前后耳鸣评分。治疗结果:3组治疗后电测听值和耳鸣评分均较治疗前显著降低(P均 < 0.05),且A组显著低于B、C组(P均 < 0.05);A组耳聋和耳鸣临床治疗总有效率显著高于B、C组(P均 < 0.05)。结论:耳聋左慈汤联合耳穴压豆治疗神经性耳鸣能显著提高神经性耳鸣的疗效。

Objective: To observe the clinical effect of Zuoci Decoction combined with auricular point pressure Dou in the treatment of nervous tinnitus. Methods: 120 patients were randomly divided into group A (deaf Zuoci Decoction + auricular-point pressure Dou + mecobalamin tablet group), 40 cases;Group B (deaf Zuoci decoction + mecobalamin tablet group) 40 cases;Group C (pure western medicine mecobalamin tablet group) 40 cases. All the three groups were treated for 3 consecutive courses of 7 days each, for a total of 21 days. The ABC three groups were evaluated by TCM symptom score;Electrical audiometry and tinnitus score were recorded in 3 groups before and after treatment. Treatment results: Electro audiometry and tinnitus score of 3 groups after treatment were significantly lower than before treatment (P < 0.05), and group A was significantly lower than groups B and C (P < 0.05): the total effective rate of deafness and tinnitus in group A was significantly higher than that in groups B and C (P < 0.05). Conclusion: Zuoci Decoction combined with auricular acupoint pressure Dou can significantly improve the therapeutic effect of neural tinnitus.