颈夹脊穴埋线配合耳周局部穴电针治疗神经性耳鸣近、远期疗效分析  

Short-term and long-term efficacy analysis of acupoint catgut embedding at cervical Jiaji (EX-B 2) points combined with electroacupuncture at acupoints near ears for nervous tinnitus

作　　者：周歆[1] 阮经文[1] 李滋平[2] 汪燕玲[1] 幸冰峰[3] 

机构地区：[1]中山大学附属第一医院针灸科,广东广州510080 [2]广东省中医院针灸科 [3]广东药学院附属第一医院中医科

出　　处：《中国针灸》2015年第1期32-35,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的：观察颈椎夹脊穴埋线配合耳周穴位电针与单纯电针治疗神经性耳鸣的疗效差异。方法：将63例患者随机分为观察组（31例）、对照组（32例）。观察组予耳鸣侧C4~C7颈夹脊穴位埋线,配合常规耳周穴位（耳门、听宫、听会等）电针治疗;对照组只接受常规耳周穴位电针治疗。电针治疗每周5次,穴位埋线每两周1次,共治疗6周。采用耳鸣程度分级表评价患者治疗前、治疗2周、治疗4周、治疗6周及治疗后1个月的耳鸣严重程度,并比较两组疗效。结果：治疗后各时点两组耳鸣严重程度均有改善（均P〈0.05）,且观察组优于对照组（P〈0.05,P〈0.01）。观察组愈显率为77.4%（24/31）,优于对照组的50.0%（16/32,P〈0.05）。结论：颈夹脊穴埋线配合电针治疗神经性耳鸣近远期疗效均优于单纯电针治疗。Objective To observe the efficacy differences between acupoint catgut embedding at cervical Jiaji （EX-B 2） points combined with electroacupuncture （EA） at acupoints near ear and simple EA for the treatment of nervous tinnitus. Methods Sixty-three patients were randomly divided into an observation group （31 cases） and a control group （32 cases）. The observation group was treated with acupoint catgut embedding at C4 -C7 Jiaji （EX-B 2） points on the affected side combined with EA at acupoints near ears, including Ermen （TE 21）, Tinggong （SI 19）, Tinghui （GB 2）, etc. ; the control group was treated with EA at regular acupoints near ears alone. The EA treatment was given five times per week, and the acupoint catgut embedding was given once every two weeks. All the treatment was given for 6 weeks. The Tinnitus severity score （TSS）was applied to assess the severity of tinnitus before the treatment, 2 weeks, 4 weeks and 6 weeks into treatment and one month after treat- ment. Also the efficacy of two groups was compared. Results After the treatment, the severity of tinnitus was both improved in two groups at each time point （all P〈0. 05）, which was more significant in the observation group （P〈0.05, P〈0.01）. The cured and markedly effective rate was 77.4% （24/31） in the observation group, which was superior to 50.0% （16/32） in the control group （P〈0.05）. Conclusion The short-term and long-term efficacy of acupoint catgut embedding at cervical Jiaji （EX-B 2） points combined with electroacupuneture are both superior to those of simple electroacupuncture for treatment of nervous tinnitus.

关 键 词：耳鸣 电针 穴位埋线 随机对照试验 

分 类 号：R246.8[医药卫生—针灸推拿学]