摘要
目的:采用中医辨证分型施已针灸治疗老年感觉神经性耳聋,观察针灸疗法对听力的影响。方法:实验于2004-02/2005-02在山东潍坊医学院附属医院耳鼻喉科完成。选择在山东潍坊医学院附属医院就诊的轻中度老年感觉神经性耳聋患者65例(97耳),按中医辨证分型施已针灸治疗。针灸取穴,主穴:耳门、听宫、听会、翳风、神庭、百会、后顶、头维、聪耳、聪脑。配穴:肝肾不足型加盲俞、气海、关元、太溪;肝火旺盛型加中脘、天枢、阳陵泉、太冲。1次/d,连续4周,治疗前后对患者的听力进行纯音测试,并分析治疗结果。结果:65例老年感觉神经性耳聋患者纳入结果分析。其中中医辨证分型为肝火旺盛型20例30耳,风邪侵袭型10例16耳,痰火郁结型7例11耳,肝肾不足型28例40耳;治疗前纯音测试各组证型与对照组比较差异有显著性意义(P<0.05),肝火旺盛型和肝肾不足型在各语音频段差异有显著性穴P<0.05雪;经针灸治疗后各组与治疗前相比听力明显改善(P<0.05),组间比较差异无显著性意义。结论:针灸疗法可改善内耳微循环,又有改善机体内环境的作用,对老年感觉神经性耳聋有很好的疗效,应积极推广。
AIM： Chinese differentiation of symptoms and signs for classification of syndrome for sensorineuml hearing loss （SHL） of the elder with acupuncture therapy, to observe the effect of acupuncture＇therapy on audition.
METHODS： The experiment was conducted at Department of Otorhinolaryngology, Affiliated Hospital of Weifang Medical University from February 2004 to February 2005. A total of 65 senior patients with mild or moderate SHL （97 ears） who diagnosed at Affiliated Hospital of Weifang Medical University were enrolled, On the basis of Chinese differentiation of symptoms and signs for classification of syndrome, acupuncture therapy was performed. The patients were treated with acupuncture ai： main points, Ermen （SJ 21）, Tinggong （SI 19）, Tinghui （GB 2）, Yifeng （SJ 17）, Shenting （DU 24）, Baihui （DU 20）, Houdiug （DU 19）, Touwei （ST 8）, Conger, Congnao; and adjuvant aeupoints： Huangshu （KI 16）, Qihai （RN 6）, Guanyuan （RN 4）, Taixi （KI 3） were added for insufficiency of the liver and kidney; Zhongwan （RN 12）, Tianshu （ST 25）, Yanglingquan （GB 34） and Taichong （LR 3） were added for excess of live-fire. Once a day for 4 weeks pure tone test was performed in audition of patients before and after treatment, and the therapeutic result was ＇analyzed.
RESULTS： Totally ＇65 senior patients with SHL were involved in the rosuli analysis. Of them, 20 patients （30 ears） were productive hepatic fire type; i0 patients （16 ears） were wind invasion type; 7 patients （11 ears） were blocked pyrophlegm type; 28 patients （40 ears） were insufficient liver and kidney type. There were significant differences between patient group and control group after pure tone test before treatment （P 〈 0.05）. There were significant differences in every phonetic frequency in productive hepatic fire type as well as insufficient liver and kidney type （P 〈 0.05）. After acupuncture therapy, the audition in each group was improved significant
出处
《中国临床康复》
CSCD
北大核心
2006年第19期12-13,16,共3页
Chinese Journal of Clinical Rehabilitation
