揿针结合认知行为疗法治疗老年慢性特发性耳鸣的临床观察  

Clinical Observation of Thumb-tack Needling for Subcutaneous Embedding Combined with Cognitive Behavioral Therapy for Treatment of Elderly Patients with Chronic Idiopathic Tinnitus

作　　者：张薇[1] 李妙红[1] 袁芳[1] ZHANG Wei;LI Miao-Hong;YUAN Fang(Dept,of Ophthalmology and Otorhinolaryngology,Zhejiang Provincial Litongde Hospital,Hangzhou 310012 Zhejiang,China)

机构地区：[1]浙江省立同德医院五官科,浙江杭州310012

出　　处：《广州中医药大学学报》2021年第8期1656-1660,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察揿针结合认知行为疗法治疗老年慢性特发性耳鸣患者的临床疗效。【方法】将80例老年慢性特发性耳鸣患者随机分为对照组和观察组,每组各40例,对照组给予认知行为疗法治疗,观察组在对照组的基础上给予揿针治疗,治疗4周。治疗4周后,观察2组患者治疗前后耳鸣严重程度与耳鸣残疾评估量表(THI)评分的变化情况,以及贝克抑郁量表Ⅱ(BDI-Ⅱ)与贝克焦虑量表(BAI)评分的变化情况,并比较2组患者治疗前后匹茨堡睡眠质量指数量表(PSQI)与欧洲五维健康量表(EQ-5D)评分的变化情况。【结果】(1)治疗后,2组患者的耳鸣严重程度与THI评分均明显改善(P<0.05),且观察组在改善耳鸣严重程度与THI评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的BDI-Ⅱ与BAI量表评分均明显改善(P<0.05),且观察组在改善BDI-Ⅱ与BAI量表评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的PSQI与EQ-5D评分明显改善(P<0.05),且观察组在改善PSQI与EQ-5D评分方面明显优于对照组,差异有统计学意义(P<0.05)。【结论】揿针结合认知行为疗法治疗老年慢性特发性耳鸣,能显著改善患者耳鸣的症状,缓解抑郁、焦虑的负性情绪,从而提高患者的睡眠质量和生活质量,疗效显著。Objective To observe the therapeutic efficacy of thumb-tack needling for subcutaneous embedding combined with cognitive behavioral therapy for elderly patients with chronic idiopathic tinnitus. Methods Eighty elderly patients with chronic idiopathic tinnitus were randomly divided into control group and observation group,40 cases in each group. The control group received cognitive behavioral therapy, and the observation group received thumb-tack needling for subcutaneous embedding on the base of the treatment of the control group,the treatment lasting 4 weeks. After 4-week treatment,the changes of tinnitus severity grading,tinnitus disability assessment(THI)score,Beck Depression Inventory Ⅱ(BDI-Ⅱ)score,Beck Anxiety Inventory(BAI)score,Pittsburgh Sleep Quality Index(PSQI)score and European Five Dimensional Health Scale(EQ-5 D)score were compared between the two groups before and after treatment. Results(1)After treatment,the tinnitus severity and THI scores of the two groups were improved(P < 0.05),and the improvement in tinnitus severity and THI scores of the observation group was superior to that of the control group(P < 0.05).(2)After treatment,the BDI-Ⅱ and BAI scores of the two groups were improved(P < 0.05),and the improvement in BDI-Ⅱ and BAI scores of the observation group was superior to that of the control group(P < 0.05).(3)After treatment, PSQI and EQ-5 D scores were improved(P < 0.05),and the improvement in PSQI and EQ-5 D scores of the observation group was superior to that of the control group(P < 0.05). Conclusion Thumb-tack needling for subcutaneous embedding combined with cognitive behavioral therapy is effective for improving tinnitus symptom of the elderly patients with chronic idiopathic tinnitus,relieving the negative emotions of depression and anxiety,thus improves the quality of sleep and life of the patients.

关 键 词：揿针 认知行为疗法 老年 慢性 特发性耳鸣 抑郁 焦虑 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]