Objective To compare the difference in the clinical efficacy on the different frequency hearing damages for the patients with sudden deafness between the comprehensive therapy of electroacupuncture and western medicin...Objective To compare the difference in the clinical efficacy on the different frequency hearing damages for the patients with sudden deafness between the comprehensive therapy of electroacupuncture and western medicine and the simple western medicine comprehensive therapy. Methods Fifty-eight cases were randomized into an acupuncture plus medication group （28 cases, 32 damaged ears） and a western medicine group （30 cases, 34 damaged ears）. In the acupuncture plus medication group, the comprehensive therapy of electroacupuncture and western medicine was used. The main points were ěrmén （耳门 TE 21）, Tīnggōng （听宫 SI 19）, Tīnghuì （听会 GB 2）, Yìfēng （翳风 TE 17）, etc. The western medicine therapy was the comprehensive treatment with vasodilators, the medicines for promoting nerve function and releasing inner ear edema and hyperbaric oxygen. In the western medicine group, the western medicine comprehensive therapy was adopted. 10-day treatment made one session. Two sessions of treatment were required. In 1 or 2 sessions of treatment, the efficacy was observed, the electric audiometry was evaluated. Additionally, the blood routine and liver and kidney functions were detected. Results The total effective rate was 50.0% （16/32） in the acupuncture ＋ medication group and was 55.9% （19/34） in the western medicine group. The efficacies were similar between the two groups （P〉0.05）. In 1 and 2 sessions of treatment, at 250 Hz, 500 Hz and 1 kHz, the electric audiometry values in either group were recovered significantly as compared with those before treatment （all P〈0.01）. At 2 kHz, in 1 and 2 sessions of treatment, the improvements of the electric audiometry values were significant as compared with those before treatment in the acupuncture plus medication group separately （P〈0.05, P〈0.01）. At 4 kHz, the differences were not significant statistically before and after treatment in either group （all P〉0.05）. There were no abnormalities in the blood routine and liver and kidney function detections before and after treatment in either group. Conclusion Either the comprehensive therapy of electroacupuncture and western medicine or the simple western medicine comprehensive therapy is effective in the treatment of low frequency hearing damage of sudden deafness. Either of them has no effect on high frequency hearing damage. But for the middle frequency hearing damage, the efficacy of the comprehensive therapy of electroacupuncture and western medicine is superior to that of the simple western medicine comprehensive therapy.展开更多
Objective:To obverse the therapeutic effect of superficial needling with different frequencies for intractable facial paralysis.Methods:A total of 120 patients with intractable peripheral facial paralysis were allocat...Objective:To obverse the therapeutic effect of superficial needling with different frequencies for intractable facial paralysis.Methods:A total of 120 patients with intractable peripheral facial paralysis were allocated into a superficial needling with high frequency group(150 times/min),a moderate frequency group(100 times/min)and a low frequency group(50 times/min)according to the random number table method.The Toronto facial grading system(TFGS)was used to evaluate facial nerve functions before treatment and after 2 weeks and 4 weeks of treatment respectively.The electromyography(EMG)test of the mandibular branch of facial nerve was used to compare the motor nerve conduction velocity(MCV),sen sory nerve con ducti on velocity(SCV)and mono phasic acti on pote ntial(MAP)among differe nt groups,and was done before treatment and after 4 weeks of treatment.The clinical efficacy was also compared.Results:After 2 weeks and 4 weeks of treatment,the changes of TFGS scores in the three groups all showed statistical significanee(all P<0.05)z and the TFGS score in the low frequency group was substantially higher than that in the other two groups.After treatment,the changes of the MCV and SCV in the three groups all showed statistical significanee(all P<0.05),and the results in the low frequency group were higher than those in the other two groups;the change of MAP in the three groups showed no statistical significance(P>0.05).The total effective rate was 65.0%,80.0%and 95.0%in the high frequency group,moderate frequency group and low frequency group respectively,and the betweervgroup differences showed statistical significanee(P<0.05).Conclusion:Compared with the superficial needling with high and moderate frequencies,superficial needling with low frequency can produce more significant clinical efficacy for intractable facial paralysis.展开更多
文摘Objective To compare the difference in the clinical efficacy on the different frequency hearing damages for the patients with sudden deafness between the comprehensive therapy of electroacupuncture and western medicine and the simple western medicine comprehensive therapy. Methods Fifty-eight cases were randomized into an acupuncture plus medication group （28 cases, 32 damaged ears） and a western medicine group （30 cases, 34 damaged ears）. In the acupuncture plus medication group, the comprehensive therapy of electroacupuncture and western medicine was used. The main points were ěrmén （耳门 TE 21）, Tīnggōng （听宫 SI 19）, Tīnghuì （听会 GB 2）, Yìfēng （翳风 TE 17）, etc. The western medicine therapy was the comprehensive treatment with vasodilators, the medicines for promoting nerve function and releasing inner ear edema and hyperbaric oxygen. In the western medicine group, the western medicine comprehensive therapy was adopted. 10-day treatment made one session. Two sessions of treatment were required. In 1 or 2 sessions of treatment, the efficacy was observed, the electric audiometry was evaluated. Additionally, the blood routine and liver and kidney functions were detected. Results The total effective rate was 50.0% （16/32） in the acupuncture ＋ medication group and was 55.9% （19/34） in the western medicine group. The efficacies were similar between the two groups （P〉0.05）. In 1 and 2 sessions of treatment, at 250 Hz, 500 Hz and 1 kHz, the electric audiometry values in either group were recovered significantly as compared with those before treatment （all P〈0.01）. At 2 kHz, in 1 and 2 sessions of treatment, the improvements of the electric audiometry values were significant as compared with those before treatment in the acupuncture plus medication group separately （P〈0.05, P〈0.01）. At 4 kHz, the differences were not significant statistically before and after treatment in either group （all P〉0.05）. There were no abnormalities in the blood routine and liver and kidney function detections before and after treatment in either group. Conclusion Either the comprehensive therapy of electroacupuncture and western medicine or the simple western medicine comprehensive therapy is effective in the treatment of low frequency hearing damage of sudden deafness. Either of them has no effect on high frequency hearing damage. But for the middle frequency hearing damage, the efficacy of the comprehensive therapy of electroacupuncture and western medicine is superior to that of the simple western medicine comprehensive therapy.
文摘Objective:To obverse the therapeutic effect of superficial needling with different frequencies for intractable facial paralysis.Methods:A total of 120 patients with intractable peripheral facial paralysis were allocated into a superficial needling with high frequency group(150 times/min),a moderate frequency group(100 times/min)and a low frequency group(50 times/min)according to the random number table method.The Toronto facial grading system(TFGS)was used to evaluate facial nerve functions before treatment and after 2 weeks and 4 weeks of treatment respectively.The electromyography(EMG)test of the mandibular branch of facial nerve was used to compare the motor nerve conduction velocity(MCV),sen sory nerve con ducti on velocity(SCV)and mono phasic acti on pote ntial(MAP)among differe nt groups,and was done before treatment and after 4 weeks of treatment.The clinical efficacy was also compared.Results:After 2 weeks and 4 weeks of treatment,the changes of TFGS scores in the three groups all showed statistical significanee(all P<0.05)z and the TFGS score in the low frequency group was substantially higher than that in the other two groups.After treatment,the changes of the MCV and SCV in the three groups all showed statistical significanee(all P<0.05),and the results in the low frequency group were higher than those in the other two groups;the change of MAP in the three groups showed no statistical significance(P>0.05).The total effective rate was 65.0%,80.0%and 95.0%in the high frequency group,moderate frequency group and low frequency group respectively,and the betweervgroup differences showed statistical significanee(P<0.05).Conclusion:Compared with the superficial needling with high and moderate frequencies,superficial needling with low frequency can produce more significant clinical efficacy for intractable facial paralysis.
