针灸与药物治疗突发性耳聋疗效对比观察  

Comparative observation on acupuncture-moxibustion and western medication for treatment of sudden deafness

作　　者：范新华[1] 丁亚南[1] 常向辉[1] 欧阳喻璐[1] 谢强[2] 

机构地区：[1]江西中医学院,南昌330006 [2]江西中医学院附属医院耳鼻咽喉科,南昌330006

出　　处：《中国针灸》2010年第8期630-632,共3页Chinese Acupuncture & Moxibustion

基　　金：2009年江西省研究生创新基金项目:YC09A115

摘　　要：目的:比较转移兴奋灶针灸疗法与常规药物治疗突发性耳聋的疗效差异。方法:将80例突发性耳聋患者随机分为两组,每组40例。观察组采用转移兴奋灶针灸疗法,穴取涌泉(泻法,手法稍重)、听宫、听会、耳门,同时配合艾条热敏化悬灸涌泉穴;对照组采用常规药物治疗,对两组患者疗效进行比较。结果:治疗后两组听力损失分贝值均下降(P<0.05,P<0.01),且观察组对听力的改善优于对照组(P<0.05);观察组总有效率为80.0%(32/40),优于对照组的55.0%(22/40)(P<0.05)。结论:转移兴奋灶针灸疗法治疗突发性耳聋疗效优于常规西医治疗。Objective To compare the therapeutic effect on sudden deafness between acupuncture and moxibustion therapy of excitation-focus transfer and routine medication. Methods Eighty cases of sudden deafness were randomly divided into two groups, 40 cases in each one. Acupuncture and moxibustion therapy of excitation-focus transfer was adopted in observation group on Yongquan （KI 1） （with reducing and slightly heavy manipulation）, Tinggong （SI 19）, Tinghui （GB 2） and Ermen （TE 21）, and associated with suspending moxibustion for thermal sensitization on Yongquan （KI 1）. In control group, the routine medications were given. The therapeutic effects of two groups were compared with each other. Results After three sessions of treatment, dB value of hearing loss in two groups decreased （P〈0.05, P〈0. 01）, but the improvement of hearing in observation group was superior to that in control group （P〈0.05）. The total effective rate was 80.0% （32/40） in observation group, which was better than that 55.0% （22/40） in control group （P〈0. 05）. Conclusion Acupuncture and moxibustion therapy of excitation-focus transfer presents superior therapeutic effect on sudden deafness as compared with the routine western therapy.

关 键 词：突发性耳聋 针灸疗法 针灸效应 穴 涌泉 

分 类 号：R246.81[医药卫生—针灸推拿学]