调神针刺在难治性突发性聋患者中的临床效果  

Clinical effect of Tiaoshen acupuncture in patients with refractory sudden deafness

作　　者：孙连珠 丁定明 潘猛 李思康[1] 俞丽君 马睿杰[2] SUN Lianzhu;DING Dingming;PAN Meng;LI Sikang;YU Lijun;MA Ruijie(Department of Acupuncture and Moxibustion,Wuhu Municipal Hospital of Traditional Chinese Medicine,Anhui Province,Wuhu241000,China;Department of Acupuncture and Moxibustion,the Third Affiliated Hospital of Zhejiang Chinese Medical University,Zhejiang Province,Hangzhou310053,China)

机构地区：[1]安徽省芜湖市中医医院针灸科,安徽芜湖241000 [2]浙江中医药大学附属第三医院针灸科,浙江杭州310053

出　　处：《中国医药导报》2023年第25期138-142,共5页China Medical Herald

基　　金：安徽省“十四五”临床重点专科建设项目(皖卫医秘〔2022〕91号)。

摘　　要：目的探讨调神针刺在难治性突发性聋患者中的临床效果。方法选择2021年1月至2022年12月在安徽省芜湖市中医医院针灸科就诊的难治性突发性聋患者为研究对象,按照随机数字表法将其分为对照组与治疗组,每组30例。对照组予电项针治疗,治疗组在此基础上选取调神针刺治疗(穴位:百会、本神、内关、神门、三阴交),两组均每日治疗1次,每周5次,分别在治疗前及治疗1、2、4周后进行听阈水平、匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)评分,并在治疗4周后进行临床疗效的评价。结果整体分析发现:两组PSQI评分、SAS评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:治疗组各时间PSQI评分比较,差异均有统计学意义(P<0.05),对照组治疗2、4周后PSQI评分低于治疗前和治疗1周后,治疗4周后PSQI评分低于治疗2周后,差异均有统计学意义(P<0.05)。两组治疗2、4周后SAS评分低于治疗前和治疗1周后,治疗4周后SAS评分低于治疗2周后,差异均有统计学意义(P<0.05)。组间比较:治疗1、2、4周后,治疗组PSQI评分低于同期对照组,差异均有统计学意义(P<0.05)。治疗2、4周后,治疗组SAS评分低于同期对照组,差异均有统计学意义(P<0.05)。整体分析发现;两组平均听阈数值组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:治疗2、4周后,两组平均听阈数值低于治疗前和治疗1周后,治疗4周后平均听阈数值低于治疗2周后,差异均有统计学意义(P<0.05)。组间比较:治疗2、4周后,治疗组平均听阈数值低于同期对照组,差异均有统计学意义(P<0.05)。两组临床疗效比较,差异无统计学意义(P>0.05)。结论调神针刺联合电项针治疗对难治性突发性聋患者平均听阈水平的改善较单纯电项针组更为明显,这与调神针刺改善了患者睡眠质量、焦虑状态等有关,二者具有协同�Objective To investigate the clinical effect of Tiaoshen acupuncture in patients with refractory sudden deafness.Methods Patients with refractory sudden deafness treated in Department of Acupuncture and Moxibustion,Wuhu Municipal Hospital of Traditional Chinese Medicine,Anhui Province from January 2021 to December 2022 were selected as the study objects,and they were divided into control group and treatment group according to random number table method,with 30 cases in each group.The control group was treated with electric nape needles,and the treatment group was treated with Tiaoshen acupuncture(acupoints:bǎihuì,běnshén,nèiguān,shénmén,sānyīnjiāo)on this basis.Both groups were treated once a day,five times a week.Hearing threshold level,Pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)scores were performed before treatment,one,two,and four weeks after treatment,respectively,and clinical efficacy was evaluated four weeks after treatment.Results Overall analysis showed that comparison between groups,comparison at time points and interaction of PSQI scores and SAS scores between the two groups were statistically significant(P<0.05).Intra-group comparison:there was statistical significance in PSQI scores of the treatment group at all times(P<0.05).The PSQI score of the control group after two and four weeks of treatment was lower than that before and after one week of treatment,and the PSQI score after four weeks of treatment was lower than that after two weeks of treatment,the differences were statistically significant(P<0.05).The SAS scores of the two groups after two and four weeks of treatment were lower than those before and after one week of treatment,and the SAS scores after four weeks of treatment were lower than those after two weeks of treatment,the differences were statistically significant(P<0.05).Inter-group comparison:After one,two,and four weeks of treatment,PSQI scores in the treatment group were lower than those in the control group,the differences were statistically

关 键 词：难治性突发性聋 调神针刺 电项针 焦虑 治神 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]