摘要
目的:观察头针、耳周针刺配合补中益气汤合磁朱丸加减方与单纯口服补中益气汤合磁朱丸加减方对比治疗特发性耳鸣的疗效差异。方法:将60例特发性耳鸣患者随机分为针药组和中药组,各30例,中药组脱落2例。针药组予耳鸣侧局部针刺(翳风,耳门透刺听宫和听会等)及头针(头部晕听区、百会),每日1次,同时配合补中益气汤合磁朱丸加减方口服治疗,每日1剂;中药组只接受补中益气汤合磁朱丸加减方口服治疗,每日1剂。针刺治疗每周5次,中药口服治疗每周7剂,共治疗6周。观察两组治疗前后耳鸣严重程度评分、耳鸣残疾评估量表(THI)评分,并比较两组临床疗效。结果:治疗后两组患者耳鸣严重程度、THI评分均较治疗前降低(均P<0.05),且针药组均低于中药组(均P<0.05)。针药组总有效率为93.3%(28/30),优于中药组的67.9%(19/28,P<0.05)。结论:头针、耳周针刺配合补中益气汤合磁朱丸加减方治疗特发性耳鸣的疗效优于单纯口服补中益气汤合磁朱丸加减方。
Objective To observe the differences in the clinical therapeutic effects on idiopathic tinnitus between the combined therapy with acupuncture and the modified formula of buzhong yiqi tang and cizhu wan and the simple administration of the modified formula of buzhong yiqi tang and cizhu wan. Methods A total of 60 patients were randomized into a combined treatment group and an herbal medicine group, 30 cases in each one and 2 cases dropped out in the herbal medicine group. In the combined treatment group, acupuncture was given at the local acupoints for tinnitus, such as Yifeng（TE 17）, penetrating needling technique from Ermen（TE 21） to Tinggong（SI 19） and Tinghui（GB 2） combined with the scalp acupuncture [the vertigo-auditory area, Baihui（GV 20）] and the oral administration of the modified formula of buzhong yiqi tang and cizhu wan. In the herbal medicine group, the oral administration of the modified formula of buzhong yiqi tang and cizhu wan was only applied. The treatment was given once a day in each group, 5 times a week for acupuncture and 7 times a week for the oral administration of herbal medicine. Totally, the treatment for 6 weeks was required in the two groups. Before and after treatment, the tinnitus severity score（TSS） and the score of tinnitus handicap inventory（THI） were observed and the clinical therapeutic effects were compared between the two groups. Results After treatment, the TSS and THI scores reduced as compared with those before treatment in the two groups（all P〈0.05）. The scores in the combined treatment group were lower than those in the herbal medicine group（both P〈0.05）. The total effective rate in the combined treatment group was 93.3%（28/30）, better than 67.9%（19/28） in the herbal medicine group（P〈0.05）. Conclusion The combined treatment with scalp acupuncture, acupuncture around the ear and the modified formula of buzhong yiqi tang and cizhu wan achieve the superior therapeutic effects on idiopathic tinnitus as compared with the s
作者
谌苏容
谭旭明
费兰波
向贤德
CHEN Surong;TAN Xuming;FEI Lanbo;XIANG Xiande(Hubei University of-CM, Wuhan 430061, China;Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of TCM, Wuhan 430061)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第4期369-373,共5页
Chinese Acupuncture & Moxibustion
关键词
特发性耳鸣
针刺
头针
补中益气汤
磁朱丸
idiopathic tinnitus
acupuncture
scalp acupuncture
buzhong yiqi tang
cizhu wan
