耳针联合穴位敷贴治疗突发性耳聋的效果及对血液流变学、听力水平、甲皱微循环的影响  

Curative effect of auricular acupuncture combined with acupoint application on sudden deafness and its influences on hemorheology,hearing level and nail-fold microcirculation

作　　者：周群丽 李洁 冯方 闵腊英 钟文兰 ZHOU Qunli;LI Jie;FENG Fang(Nanchong Central Hospital Jialing District External Third Department,Nanchong Sichuan 637000,China)

机构地区：[1]南充市中心医院嘉陵院区外三科,四川南充637000

出　　处：《四川中医》2023年第11期220-222,F0003,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨耳针联合穴位敷贴治疗突发性耳聋(SD)的效果及对血液流变学、听力水平、甲皱微循环的影响。方法:选取2020年6月至2022年6月本院收治的94例SD患者,将其随机分为联合组(n=47)和常规组(n=47)。常规组行传统西药治疗,联合组在其基础上行耳针联合穴位敷贴治疗。连续治疗10 d后比较两组疗效;比较两组血液流变学指标、听力水平及甲皱微循环指标变化;比较治疗期间两组不良反应发生率。结果:连续治疗10 d后,联合组治疗总有效率为95.74%,高于常规组的82.98%(P<0.05);联合组听阈值、耳聋评分、高切和低切全血黏度、血浆黏度、红细胞压积、红细胞聚集指数均低于常规组(P<0.05),红细胞变形指数、甲皱微循环血管流态积分、形态积分、管周状态积分及总积分均高于常规组(P<0.05);治疗期间两组不良反应发生率差异无统计学意义(P>0.05)。结论:耳针联合穴位敷贴治疗SD的临床效果显著,能显著改善患者血液流变学指标及甲皱微循环,提升其听力水平,且不会增加不良反应风险。Objective:To explore the curative effect of auricular acupuncture combined with acupoint application on sudden deafness(SD)and its influences on hemorheology,hearing level and nail-fold microcirculation.Methods:A total of 94 patients with SD admitted to the hospital were enrolled and randomly divided into combination group(n=47)and routine group(n=47)between June 2020 and June 2022.The routine group was treated with traditional western medicine,while combination group was additionally treated with auricular acupuncture and acupoint application.After 10d of continuous treatment,curative effect,changes of hemorheology,hearing level and nail-fold microcirculation,and incidence of adverse reactions during treatment were com pared between the two groups. Results: After 10d of continuous treatment, total response rate of treatment in combination groupwas higher than that in routine group (95. 74% vs 82. 98%, P<0. 05). The hearing threshold, deafness score, whole bloodhigh-shear and low-shear viscosity, plasma viscosity, hematocrit, and erythrocyte aggregation index in combination group werelower than those in routine group (P<0. 05), while erythrocyte deformation index, scores of nail-fold microcirculation vascularflow, morphology and peritubular status, and total score were higher than those in routine group (P<0. 05). There was no significantdifference in the incidence of adverse reactions between the two groups during treatment (P>0. 05). Conclusion: The clinicalcurative effect of auricular acupuncture combined with acupoint application is significant on SD patients, which can significantlyimprove hemorheology indexes and nail-fold microcirculation, and increase hearing level, with low risk of adverse reactions.

关 键 词：耳针 穴位敷贴 突发性耳聋 血液流变学 听力水平 甲皱微循环 

分 类 号：R248.9[医药卫生—中医临床基础]