中西医结合治疗职业性噪声聋疗效分析  

Therapeutic effect of integrated traditional Chinese and Western Medicine on occupational noise-induced deafness

作　　者：郑莹 佘惜金[1] 林敏[1] 黄伟欣[1] 刘文娟[1] 赖丽丽[1] 吴劲松[1] ZHENG Ying;SHE Xijin;LIN Min;HUANG Weixin;LIU Wenjuan;LAI Lili;WU Jingsong(Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment, Guangzhou, Guangdong 510300, China)

机构地区：[1]广东省职业病防治院广东省职业病防治重点实验室

出　　处：《中国职业医学》2019年第3期359-362,共4页China Occupational Medicine

基　　金：广东省中医药局面上科研项目(20172021);广东省职业病防治重点实验室(2017B030314152)

摘　　要：目的观察中西医结合治疗职业性噪声聋(ONID)的效果。方法采用判断抽样法,选择80例ONID患者为研究对象,将其随机分为对照组和治疗组,每组40例。对照组患者予甲钴胺片、复合维生素B、注射用鼠神经生长因子、高压氧等西医常规治疗,治疗组患者在对照组西医常规治疗的基础上,加予针灸结合耳穴压籽治疗。2组患者均连续治疗30 d。治疗前、后,分别采用《自觉症状调查表》记录2组患者耳鸣、头痛、头晕、失眠等自觉症状,同时对患者进行纯音测听检查。结果治疗后,治疗组患者双耳高频平均听阈及左、右耳听阈加权值均较同组治疗前改善(P<0.05);治疗组患者双耳高频平均听阈及右耳听阈加权值治疗前后差值均高于对照组(P<0.05)。治疗后,2组患者耳鸣、头痛、头晕、失眠自觉症状均较同组治疗前改善;治疗组患者耳鸣、头晕的改善率高于对照组(P<0.05)。结论中西医结合治疗ONID,可改善患者听力水平,有效缓解伴随自觉症状,适合临床推广。Objective To observe the effect of integrated Chinese and Western medicine for the treatment of occupational noise-induced deafness( ONID). Methods A total of 80 ONID patients were selected and randomly divided into control group and treatment group by judgment sampling method,with 40 cases in each group. The control group received routine western medicine treatment using mecobalamin tablets,vitamin B complex,nerve growth factor and hyperbaric oxygen. The treatment group received routine western medicine as the control group,plus acupuncture,moxibustion and auricular point pressing. The patients in both groups were treated continuously for 30 days. The questionnaire of conscious,the selfconscious symptoms such as tinnitus,headache,dizziness and insomnia were recorded in these two groups before and after treatment. Pure tone audiometry was performed on the patients at the same time. Results After treatment,the binaural high frequency threshold average( BHFTA) and threshold of weighted value of the left and right ears in the treatment group were better than that in the same group before treatment( P < 0. 05). The difference of the BHFTA and threshold of weighted value of the right ear in the treatment group before and after treatment was higher than that in the control group( P < 0. 05). After treatment,the symptoms of tinnitus,headache,dizziness and insomnia in the two groups were better than those in the same group before treatment. The total improvement rate of tinnitus and dizziness symptoms in the treatment group was higher than that in the control group( P < 0. 05). Conclusion The treatment with integrated traditional Chinese and Western medicine for ONID can improve the hearing level of patients,effectively alleviate the accompanying self-conscious symptoms,and is suitable for promotion in clinical use.

关 键 词：职业性噪声聋 针刺 艾灸 耳穴压籽 治疗 

分 类 号：R135.8[医药卫生—劳动卫生]