温通针法治疗特发性突发听力损失临床观察  

Clinical observation on idiopathic sudden hearing loss treated by warming-promoting needling technique

作　　者：雒成林[1] 何天有[1] 秦晓光[1] 陈强 田小刚[3] 侯春英[1] 

机构地区：[1]甘肃中医学院针灸推拿系,兰州730000 [2]张掖市中医院 [3]天水市第二人民医院

出　　处：《中国针灸》2012年第11期981-983,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:探寻治疗特发性突发听力损失(ISHL)的有效疗法。方法:将188例ISHL患者随机分为温通针法组(74例)、常规针刺组(56例)、药物组(58例)。常规针刺组穴取百会,患侧风池、翳风、听宫、头窍阴、支沟,采用常规针刺手法,每周治疗5次,共治疗6周;温通针法组在常规针刺组治疗基础上,于风池行温通针法;药物组予丹参、甲钴胺静脉滴注,每天1次,滴注10天,同时口服耳聋左慈丸,每次8粒,每天3次,连续服用30天。结果:3种方法对ISHL均有疗效,温通针法组总有效率为89.2%(66/74),优于常规针刺组的62.5%(35/56)、药物组的53.4%(31/58)(均P<0.01)。结论:温通针法治疗ISHL疗效显著,对听力的改善优于常规针刺和药物治疗。Objective To explore the effective therapeutic method in the treatment of idiopathic sudden hearing loss（ISHL）.Methods One hundred and eighty-eight cases of ISHL were randomized into a warming-promoting needling group（74 cases）,a conventional acupuncture group（56 cases） and a medication group（58 cases）.In the conventional acupuncture group,the conventional needling technique was applied to Baihui（GV 20）,Fengchi（GB 20）,Yifeng（TE 17）,Tinggong（SI 19）,Touqiaoyin（GB 11） and Zhigou（TE 6） on the affected side.The treatment was given 5 times each week.Totally,the treatment of 6 weeks was required.In the warming-promoting needling group,on the basic treatment as the conventional acupuncture group,the warming-promoting needling technique was applied to Fengchi（GB 20）.In the medication group,the intravenous drop with salvia injectio and mecobalamin was prescribed,once per day,for 10 days totally.Meanwhile,Erlong Zuoci Wan was prescribed for oral administration,8 pills each time,three times a day for 30 days continuously.Results All of the three therapeutic methods achieved the effect on ISHL.The total effective rate was 89.2%（66/74） in the warming-promoting needling group,which was better than 62.5%（35/56） in the conventional acupuncture group and 53.4%（31/58） in the medication group（both P0.01）.Conclusion The warming-promoting needling techinque achieves the significant efficacy on ISHL.The hearing improvement is superior to that treated with either the conventional needling technique or medication.

关 键 词：耳聋 特发性突发听力损失 温通针法 针刺疗法 

分 类 号：R246.81[医药卫生—针灸推拿学]