正骨手法治疗颈源性突发性耳聋的随机对照试验  

A randomized controlled trials on treatment of cervicogenic sudden hearing loss with chiropractic

作　　者：周翔[1] 罗华送[1] 何嘉莹[1] 王睿[1,2] 庄艺[2] 詹强[1] 

机构地区：[1]杭州市中医院,浙江杭州310007 [2]成都中医药大学,四川成都610075

出　　处：《中国骨伤》2015年第1期62-65,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨正骨手法治疗颈源性突发性耳聋的疗效及安全性。方法：2011年1月至2013年10月收治颈源性突发性耳聋患者90例，采用SPSS19．0统计软件生成的随机数字表，将患者随机分为治疗组和对照组。治疗组45例，男17例，女28例；年龄31-62岁，平均（47．57±9．43）岁；病程1-3d，平均（1．43±0．68）d，纯音听阈为46．5±77．8dB，平均（61．20±9．83）dB；颈痛量表（NPQ）评分为17±31分，平均（23．46±7．18）分。对照组45例，男15例，女30例；年龄28±64岁，平均（45．77±6．99）岁；病程1-3d，平均（1．50±0．73）d，纯音听阈为48．1～75．0dB，平均（63．91±8．05）dB；NPQ评分为20±29分，平均（25．61±10．43）分。对照组给予地塞米松10mg静滴，3d后减至5mg，再3d停药；并配合弥可保500μg静滴，连续治疗10d10治疗组在对照组的基础上，给予颈椎正骨推拿治疗，包括放松局部肌肉、点按穴位及寰枢关节双侧扳法三步，连续10d10分别于治疗前后，使用纯音听力计测量纯音听阈数值及NPQ评估颈椎病情况，并进行有效率评定。结果：疗程结束后，治疗组纯音听阈提高值为（40．23±8．14）dB，对照组为（37．70±10．61）dB，治疗组明显优于对照组（P〈0．05）；颈病NPQ评分治疗组为12．70±8．29，对照组为21．24±11．13，治疗组明显优于对照组（P〈0．05）。结论：与单用常规西药治疗相比，配合正骨治疗对颈源性突发性耳聋患者可更好改善听力下降及颈痛症状，提高患者总体有效率。Objective：To investigate the clinical effect and safety of chiropractic in treating cervicogenic sudden hearing loss. Methods：From January 2011 to October 2013,90 patients with cervicogenic sudden hearing loss were randomly divided into treatment group and control group according to the random number table produced by SPSS 19.0 software. In the treatment group, there were 17 males and 28 females, aged from 31 to 62 years old with an average of （47.57±9.43） years;course of disease was from 1 to 3 days with an average of （1.43±0.68） days;pure-tone andiometry score was from 46.5 to 77.8 dB with the mean of （61.20±9.83 ） dB ;Northwick Park Neck Pain Questionnaire （NPQ） score was from 17 to 31 scores with an average of （23.46±7.18） scores. In the control group ,there were 15 males and 30 females ,aged from 28 to 64 years old with an average of （45.77±6.99） years;course of disease was from 1 to 3 days with an average of （1.50±0.73） days;pure-tone audiometry score was from 48.1 to 75.0 dB with the mean of （63.91±8.05） dB ;Northwick Park Neck Pain Questionnaire （NPQ） score was from 20 to 29 scores with an average of （25.61 ± 10.43 ） scores. The patients of control group were treated with dexamethasone intravenous drip of 10 mg,3 days later,decreased to 5 mg,3 days again. And with the methycobal intravenous drip of 500 μg,treatment continued for 10 days. The patients of treatment group were treated with chiropractic additionally except for the therapeu- tic methods of control group. Chiropractic included local muscle loosening, attacking point, bilateral pulling atlanto-axial joint, and continuous treatment for 10 days. The pure-tone audiometry score and NPQ score were compared between two groups after treatment. Results：After the treatment,pure-tone audiometry score and NPQ score in treatment group improved to （40.23± 8.14） dB and （12.70±8.29） scores respectively, which were obviously better than that of control group＇ s （37.70± 10.61 ） dB and （21.

关 键 词：听觉丧失 突发性 正骨手法 随机对照试验 

分 类 号：R4[医药卫生—临床医学]