通窍活血汤加减贴敷涌泉穴辅助治疗突发性耳聋气滞血瘀证临床研
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Clinical Study on Application of Modified Tongqiao Huoxue Tang at Yongquan Point in Adjuvant Therapy of Sudden Deafness with Syndrome of Qi Stagnation and Blood Stasis
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    摘要:

    目的:观察通窍活血汤加减贴敷涌泉穴辅助治疗突发性耳聋气滞血瘀证的临床疗效。方法:筛选在诸暨市中医医院就诊的突发性耳聋患者62 例,按随机数字表法分为对照组和治疗组,每组有31 例。对照组患者接受甲钴胺注射液、甘露醇注射液及长春西汀注射液治疗。治疗组在对照组治疗基础上给予通窍活血汤加减贴敷涌泉穴辅助治疗。2 组连续治疗2 周后,比较2 组听力损失评分、听力阈值、听力恢复以及眩晕、耳鸣、耳闷的消失时间,评估临床疗效。结果:治疗后,2 组听力损失评分、听力阈值均下降(P<0.01);与对照组比较,治疗组治疗后听力损失评分、听力阈值下降更明显(P<0.01)。治疗组听力恢复以及眩晕、耳鸣、耳闷消失时间均短于对照组(P<0.01)。治疗后,治疗组总有效率为93.55%,对照组总有效率为67.74%,治疗组高于对照组(P<0.05)。结论:在常规西药治疗基础上,通窍活血汤加减贴敷涌泉穴辅助治疗突发性耳聋气滞血瘀证,可促进症状体征改善,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of application of modified Tongqiao Huoxue tang at Yongquan point(LR 4) in adjuvant therapy of sudden deafness with syndrome of qi stagnation and blood stasis. Methods:A total of 62 cases of patients with sudden deafness who received treatment were divided into the control group and the treatment group according to the random number table method,31 cases in each group.The control group was given mecobalamin injection,mannitol injection, and vinpocetine injection. The treatment group was additionally given application of modified Tongqiao Huoxue tang at Yongquan point (LR 4) as an adjuvant therapy based on the treatment of the control group. After two-week continuous treatment, score of hearing loss, threshold value of hearing, recovery time of hearing, the clinical effect, as well as disappearance time of vertigo, tinnitus, and aural fullness, were compared between the two groups. Results: After treatment, scores of hearing loss and threshold values of hearing in the two groups were decreased(P<0.01); when compared with those in the control group, the score and threshold value in the treatment group were decreased more significantly(P<0.01).Recovery time of hearing as well as disappearance time of vertigo,tinnitus,and aural fullness in the treatment group was shorter than that in the control group(P<0.01). After treatment,the total effective rate was 93.55% in the treatment group, higher than that of 67.74% in the control group(P<0.05). Conclusion: For patients with sudden deafness with syndrome of qi stagnation and blood stasis, the application of modified Tongqiao Huoxue tang at Yongquan point (LR 4) as an adjuvant therapy on a basis of routine western medicinecan promote improvement of symptoms and signs, and improve the clinical effect.

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陈银星,陈水安,陈伟丽.通窍活血汤加减贴敷涌泉穴辅助治疗突发性耳聋气滞血瘀证临床研[J].新中医,2021,53(11):202-204

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  • 在线发布日期: 2021-06-10
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