电针治疗突发性耳聋伴耳鸣、焦虑及睡眠障碍临床研究  

Clinical Effect of Electro-Acupuncture in the Treatment of Sudden Deafness with Tinnitus,Anxiety and Insomnia

作　　者：姜岳波[1] 王莉莉[1] 李英[1] JIANG Yuebo;WANG Lili;LI Ying(The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China)

机构地区：[1]解放军总医院第一医学中心

出　　处：《针灸临床杂志》2019年第9期38-40,共3页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨电针治疗突聋伴耳鸣及焦虑失眠症状的治疗效果。方法:将单侧突聋伴耳鸣患者70例分为药物组和针药组,药物组35例,针药组30例,脱落5例。以耳鸣残疾量表评分(THI)、耳鸣程度评级检测、焦虑量表(SAS)、睡眠量表(PSQI)评价治疗效果。结果:针药组和药物组在治疗突发性耳聋患者的听力损伤上中低频改善有统计学差异(P<0.05),在耳鸣治疗疗效上,针药组优于药物组(P<0.05),在改善焦虑及睡眠症状上,针药组优于药物组(P<0.05)。结论:针药结合对突聋患者的听力损伤有效,尤其是对伴有耳鸣和焦虑睡眠症状的突聋疗效好于药物治疗。Objective: To investigate the therapeutic effect of electro-acupuncture on sudden deafness with tinnitus, anxiety and insomnia. Methods: 70 cases of unilateral sudden deafness with tinnitus were randomly divided into the medication group( n =35) and the combined group(acupuncture combined with medication, n =30), there were five missing cases. The therapeutic effects were evaluated by tinnitus disability scale score(THI), tinnitus degree rating test, anxiety scale(SAS) and Pittsburgh Sleep Quality Index(PSQI). Results: There was statistical difference in improving hearing injury between the medication group and the combined group( P <0.05). The combined group was superior to the medication group in improving tinnitus( P <0.05). The combined group was also superior to the medication group in terms of improving anxiety and sleep( P <0.05 ). Conclusion: The combination of acupuncture and medication is effective in improve hearing impairment in the treatment of sudden deafness, especially it is better than single medication for those with tinnitus, anxiety and insomnia symptoms.

关 键 词：突发性耳聋 神经性耳鸣 电针 焦虑 失眠 

分 类 号：R246.81[医药卫生—针灸推拿学]