中药加电针治疗突发性耳聋的临床随机对照研究  

Randomized Controlled Clinical Trial on Efficacy of Chinese Medicine Combined with Electric Acupuncture in the Treatment of Sudden Deafness

作　　者：李种泰[1] 

机构地区：[1]延边大学附属医院,吉林133000

出　　处：《世界科学技术-中医药现代化》2013年第6期1406-1411,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：延边大学科技发展应用项目科题(延大科合字[2013]第36号):针刺颈段夹脊穴为主对感音神经性聋鼠的机制研究;负责人:李种泰

摘　　要：目的:探讨中药加电针与西药治疗突发性耳聋的临床疗效差异及血液流变学变化差异。方法:选择符合突发性耳聋诊断标准的患者,随机分为中药加电针组(35例)和西药组(30例)。中药加电针组采用口服通窍活血汤煎剂结合针刺加电针颈部夹脊穴治疗,西药组采用前列地尔及强的松治疗;两组皆10 d为1个疗程。结果:两个疗程治疗后,对两组患者进行比较,听力改善效果,中药加电针组总有效率为91.4%,西药组总有效率为66.7%,两组比较有显著性差异(P<0.05);治疗后对两组患者耳鸣改善效果进行比较,中药加电针组总有效率为91.2%,西药组总有效率为78.6%,两组比较无显著性差异;眩晕改善效果,中药加电针组总有效率为94.1%,西药组总有效率为73.3%,两组比较无显著性差异;血液流变学改善效果,中药加电针组在全血黏度比、血浆黏度比、红细胞电泳时间、红细胞压积方面较治疗组均有明显的改善,两组比较有显著性差异(P<0.05)。结论:中药加电针与西药对改善突发性耳聋临床症状、体征及血液流变学有显著疗效,且中药加电针疗效优于西药。This study was aimed to explore the clinical efficacy and differences in hemorheological parameters in sudden deafness treated with Chinese medicine combined with electric acupuncture and western medicine . Patients were selected according to the diagnostic criteria of sudden deafness. Patients were randomly divided into the Chinese medicine combined with electric acupuncture group （ 35 cases ） and the western medicine group （30 cases）. In the treatment group, Tongqiao Huoxue Decoction was orally administrated in combination with electric acupuncture on Jiaj i points on the neck region . In the western medicine group , alprostadil and prednisone were used . For both groups , 10 days were one treatment course . The results showed that after two treatment courses , the hearing improvement of two groups was compared . The total efficiency of Chinese medicine combined with electric acupuncture group was 91 . 4%. And the total efficiency of the western medicine group was 66 . 7%. There were significant differences between two groups （ P 〈 0 . 05 ） . The treatment efficiency of tinnitus between two groups was also compared . The total efficiency of Chinese medicine combined with electric acupuncture group was 91 . 2%. And the total efficiency of the western medicine group was 78 . 6%. There was no significant difference between two groups . The comparison of dizziness relieving effect between two groups showed that the total efficiency of Chinese medicine combined with electric acupuncture group was 94 . 1%; and the total efficiency of the western medicine group was 73 . 3%. There was no significant difference between two groups . The hemorheological parameters were also improved . In the Chinese medicine combined with electric acupuncture group , indexes such as blood viscosity ratio , plasma viscosity ratio , erythro-cyte electrophoresis time and hematocrit were all improved obviously compared to western medicine group . There was significant difference between two groups （ P 〈 0 . 05 ） . It was c

关 键 词：突发性耳聋 中药 通窍活血汤 电针 颈部夹脊穴 

分 类 号：R246.81[医药卫生—针灸推拿学]