中医综合疗法挽救性治疗突发性聋的临床疗效观察  

Clinical Observation of Comprehensive Chinese Medicine Therapy for Salvage Treatment of Sudden Deafness

作　　者：曹祖威[1] 岳凤娟[2] 郭华民[3] 蔡文伟[3] 刘蓬[3] 何伟平[3] 

机构地区：[1]广州中医药大学第一临床医学院 [2]广州中医药大学附属清远市中医院五官科,广东清远511500 [3]广州中医药大学第一附属医院耳鼻喉科,广东广州510405

出　　处：《广州中医药大学学报》2015年第3期423-425,429,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省科技计划项目(编号:2011B080701037)

摘　　要：【目的】观察中医综合疗法挽救性治疗突发性聋的临床疗效。【方法】选取经西医常规治疗无效的53例突发性聋的患者,采取中医综合疗法(包括中药辨证内服、中成药静脉滴注、穴位注射、耳穴贴压、穴位敷贴、针灸、按摩导引及声信息治疗等)进行挽救性治疗,观察其临床疗效、主要伴随症状缓解情况及其病程与疗效关系。【结果】(1)经中医综合治疗后,53例患者中,痊愈4例,显效9例,有效13例,无效27例,总有效率为49.06%。(2)在患者耳鸣、耳闷、眩晕等主要伴随症状中,因2例描述不够详细未纳入统计,其余患者中大部分获得不同程度的缓解。(3)病程在14 d内者22例,总有效率为72.73%;病程超过14 d者31例,总有效率为32.26%;病程在14 d内的疗效显著优于病程超过14 d者(P<0.01)。【结论】中医综合疗法挽救性治疗突发性聋疗效确切,且越早进行中医干预治疗效果越好。Objective To evaluate the effect on salvage treatment of sudden deafness with comprehensive Chinese medicine therapy. Methods Fifty-three sudden deafness patients failing in conventional western medicine＆nbsp;treatment were given comprehensive Chinese medicine therapy, and the salvage treatment followed by oral use of Chinese medicine, intravenous injection of Chinese patent medicine, acupoint injection, ear acupoint plastering, acupoint application, acupuncture, sound healing, and massage. The therapeutic effect and the relief of major accompanying symptoms were evaluated after treatment, and the relationship of disease course with clinical efficacy was also investigated. Results （1） After treatment, 4 cases were cured, 9 were markedly effective, 13 were effective, 27 were ineffective, and the total effective rate was 49.06%. （2） Except for the 2 excluded cases, the major accompanying symptoms such as tinnitus, auricular distress, and vertigo were relieved to various degrees in other cases. （ 3） Twenty-two patients had a course of disease within 14 days, and the total effective rate for them was 72.73%. A total effective rate of 32.26% was achieved in 31 cases with disease course over 14 days. It is indicated that the therapeutic effect for patients with a disease course less than 14 days was superior to that with a disease course over 14 days （P〈0.01）. Conclusion Comprehensive Chinese medicine therapy exerts inspiring therapeutic effect on salvage treatment of sudden deafness, and earlier intervention results into better effect.

关 键 词：突发性聋 中医综合疗法 

分 类 号：R276.1[医药卫生—中医五官科学]