针刺治疗感音神经性耳聋随机对照研究  

A Randomized Controlled Trial on Acupuncture in Treating Sensorineural Hearing Loss

作　　者：赵铭辉[1] 冯雅娟[2] 傅立新[1] 谯凤英[1] 朱慧贤[1] 

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]河北省邯郸市第一医院,河北邯郸056002

出　　处：《针灸临床杂志》2011年第9期5-8,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨针刺治疗感应神经性耳聋的疗效。方法:采用随机对照研究方法,将116例感音神经性耳聋患者(206耳)随机纳入针刺组58例(102耳),对照组58例(104耳)。分别观察治疗前、治疗2周、治疗4周患者纯音听阈测试的听力变化情况并评价其疗效。结果:两组疗效有显著性差异,针刺组疗效优于对照组(P<0.01);针刺对于各级耳聋患者的听力均有不同程度的改善,以轻度及中度听力损失的患者疗效显著(P<0.05),而重度听力损失的患者治疗后两组比较差异无显著性意义(P>0.05),而且治疗2周与治疗4周之间没有显著性差异。结论:针刺治疗感音神经性耳聋疗效优于药物治疗,且以轻度及中度听力损失的患者疗效显著。Objective：To assess the effectiveness of acupuncture in treating sensorineural hearing loss.Methods：In a randomized controlled trial,116 cases（206 ears） with sensorineural hearing loss were randomly assigned into 2 groups：Acupuncture group of 58 cases（102 ears） and control group of 58 cases（104 ears）.To observe the hearing change situation by pure tone audiometry and evaluate the effectiveness respectively before treatment,2 weeks and 4 weeks after treatment.Results：There was a significant difference between two groups,and acupuncture group was better than control group（P0.01）;Acupuncture can improve the patients＇ various deafness hearing,especially in mild hearing loss and moderate hearing loss（P0.05）.But there was no significant difference between two groups in severe hearing loss（P0.05）.And there was also no significant difference between 2 weeks and 4 weeks after treatment.Conclusion：Acupuncture is better than medication in treating sensorineural hearing loss,especially in mild and moderate hearing loss.

关 键 词：感音神经性耳聋 针刺 纯音听阈测听 针灸疗法 随机对照 

分 类 号：R246.81[医药卫生—针灸推拿学]