作　　者： ; ;

机构地区： 渭南职业技术学院

出　　处： 《河南中医》 2019年第7期1092-1095,共4页

摘　　要： 目的:观察通元针法治疗肾精亏损型感音神经性耳鸣的临床疗效。方法:选取2016年1月至2017年12月在南方医科大学南方医院针灸科门诊和渭南市骨科医院康复医学科治疗的肾精亏损型感音神经性耳鸣患者70例,根据随机数字表法分为治疗组和对照组,各35例。两组患者均给予常规药物治疗,包括盐酸氟桂利嗪胶囊、甲钴胺,治疗组另加用通元针法治疗。结果:治疗组有效率为96. 78%,对照组有效率为90. 32%,两组有效率比较无显著性差异(P> 0.05),治疗组痊愈率、显效率高于对照组,差异有统计学意义(P <0.05);治疗组治疗后耳鸣致残量表总分、严重性C因子评分低于对照组,差异有统计学意义(P <0.05);与治疗前比较,两组患者左耳、右耳听阈值均有所下降,差异具有统计学意义(P <0.05);治疗组治疗后左耳、右耳听阈值与对照组比较,差异无统计学意义(P> 0.05);治疗组治疗后腰膝酸软、头晕眼花、夜尿频多、潮热盗汗等症状评分低于对照组,差异具有统计学意义(P <0.05);两组患者治疗期间无明显不良反应。结论:通元针法治疗肾精亏损型感音神经性耳鸣疗效确切,能明显改善患者听力和中医临床症状。 Objective: To observe the clinical curative effect of needling method for dredging primordial qi on sensorineural tinnitus with deficiency of kidney essence. Methods: A total of 70 patients with sensorineural tinnitus of kidney essence deficiency type were selected from the Department of Acupuncture and Moxibustion of Southern Hospital of Southern Medical University and the Department of Rehabilitation Medicine of Weinan Orthopaedic Hospital. They were divided into the treatment group and the control group according to random number table method,with 35 cases in each group. Both groups were treated with routine drugs,including flunarizine hydrochloride capsules and mecobalamin,while the treatment group was additionally treated with needling method for dredging primordial qi. Results: The effective rate of the treatment group was 96. 78%,and that of the control group was 90. 32%. There was no significant difference between the two groups( P > 0. 05). The cure rate and marked efficiency of the treatment group were higher than those of the control group,and all the differences were statistically significant( P < 0. 05). After the treatment,the total score of tinnitus disability scale and factor C of severity in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). Compared with before treatment,the hearing threshold of left ear and right ear decreased in both groups,and the differences were statistically significant( P < 0. 05). After the treatment,there was no significant difference in hearing thresholds of left ear and right ear between the treatment group and the control group( P > 0. 05). After the treatment,the scores of lumbar and knee weakness,dizziness,frequent nocturnal urination,hot flashes and night sweats in the treatment group were lower than those in the control group,and all the differences were statistically significant( P < 0. 05). There were no obvious adverse reactions during the treatment in both groups. Conclusion: Need

关 键 词： 通元针法 耳鸣 肾精亏损证

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