埋针疗法治疗感音神经性耳聋临床随机对照研究
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R764.43+1

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中国中医科学院中医基础理论研究所基本科研业务费自主选题项目(YZ-1524)


Clinical Randomized Control Study of Needle-Embedding Therapy For Sensorineural Hearing Loss
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    摘要:

    目的:观察比较穴位埋针疗法与普通针刺法治疗感音神经性耳聋的临床疗效。方法:将64例感音神经性耳聋患者随机分为穴位埋针组及普通针刺组各32例。穴位埋针组予患侧耳门、听宫、听会三穴埋针治疗;普通针刺组予普通针刺治疗。以纯音测听为评价指标,分析比较其治疗前后纯音测听的改善程度。结果:临床疗效总有效率穴位埋针组56.25%,普通针刺组21.88%,2组比较,差异有统计学意义(P<0.05),提示穴位埋针组临床疗效优于普通针刺组。治疗后,穴位埋针组和普通针刺组在各频率听阈变化情况分别与治疗前比较,差异均有统计学意义(P<0.05),提示2组对感音神经性耳聋的治疗均有疗效;治疗前后差值,穴位埋针组与普通针刺组比较,差异均有统计学意义(P<0.05,P<0.01),提示在均有效果的前提下,穴位埋针组对各频率的纯音测听改善程度均优于普通针刺组。结论:穴位埋针于耳前三穴和普通针刺取穴均对感音神经性耳聋有治疗效果,埋针组效果优于普通针刺组。

    Abstract:

    Objective:To observe and compare the clinical effect of needle-embedding therapy and common acupuncture therapy for sensorineural hearing loss.Methods:Divided 64 cases of patients with sensorineural hearing loss randomly into needle-embedding group and common acupuncture group,32 cases in each group.Needle-embedding group was given needle-embedding therapy on Ermen,Tinggong,Tinghui at affected sides,while common acupuncture group was given common acupuncture for treatment.As an evaluation index,improvements of pure tone audiometry were compared between the two groups before and after treatment.Results:The total effective rate was 56.25%in needle-embedding group and 21.88%in common acupuncture group.The comparison of total effective rate between the two groups showed significance in the difference(P <0.05), which indicated the clinical effect in needle-embedding group was better than that in common acupuncture group.After treatment,the comparison of each frequency displayed in each group before and after treatment were significance in differences(P<0.05),implying that there was certain clinical effect on treating sensorineural hearing loss with the two therapies.Compared the difference value before and after treatment in both groups,differences being significant(P<0.05,P<0.01),which suggested that improvements of pure tone audiometry at each frequency in needle-embedding group were better than those in common acupuncture group.Conclusion:Both needle-embedding therapy at the first three points of the ear and common pure tone audiometry therapy have curative effect on treating sensorineural hearing loss.In terms of the curative effect,the former one is superior to the latter.

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丁玉龙,张焱,纪元,国艳,梁晓婷,张宇沁.埋针疗法治疗感音神经性耳聋临床随机对照研究[J].新中医,2017,49(12):139-142

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  • 在线发布日期: 2017-12-02
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