针刺十三鬼穴治疗肝郁脾虚型耳鸣临床疗效观察  

Clinical Observation on the Curative Effect of Acupuncture at Thirteen Ghost Points in the Treatment of Tinnitus of Liver-Stagnation and Spleen-Deficiency Type

作　　者：张静静 钱倩 王毅 胡智海 ZHANG Jingjing;QIAN Qian;WANG Yi;HU Zhihai(Shanghai TCM-Integrated Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai,200082,China)

机构地区：[1]上海中医药大学附属上海市中西医结合医院,上海200082

出　　处：《中国中西医结合耳鼻咽喉科杂志》2024年第3期178-181,共4页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：上海市虹口区卫生健康委员会中医药科研课题(面上项目)(HKQ-ZYY-2021-05)。

摘　　要：目的观察针刺十三鬼穴治疗肝郁脾虚型耳鸣临床疗效及对焦虑、抑郁、失眠的影响。方法将肝郁脾虚型耳鸣患者66例分为治疗组和对照组,治疗组33例,对照组33例,对照组脱落3例。以耳鸣残疾量表(THI)、焦虑量表(SAS)、抑郁量表(SDS)、睡眠量表(SRSS)、耳鸣严重程度评估量表评价治疗效果。结果两组耳鸣患者的THI评分均有降低(P<0.05),观察组改善较为明显,两组比较治疗组效果优于对照组(P<0.05);两组治疗对耳鸣影响的比较,SAS、SDS、SRSS评分均有降低(P<0.05),观察组改善较明显,说明观察组效果优于对照组(P<0.05);采用耳鸣严重程度评估量表评估,观察组总有效率90.1%,对照组总有效率83.3%,两组治疗疗效对比差异具有统计学意义(P<0.05),说明观察组的临床疗效优于对照组。结论针刺十三鬼穴治疗肝郁脾虚型耳鸣有效,且可以改善耳鸣伴焦虑抑郁、失眠症状。Objective To explore the curative effect of acupuncture at thirteen ghost points on the treatment of tinnitus of liver-stagnation and spleen-deficiency type and the influence on the symptoms of anxiety,depression and insomnia.Methods A total of 66 cases were grouped for treatment group and control group,33 cases in treatment group and 33 cases in control group(3 cases shedding).Tinnitus disability scale(THI),Tinnitus severity scale,anxiety scale(SAS),depression scale(SDS)and sleep scale(SRSS)were used to evaluate the therapeutic effect.Results The THI of tinnitus patients was improved both groups(P<0.05),and the improvement in the treatment group was better(P<0.05).Comparing the effect of treatment on tinnitus between the two groups,SAS,SDS and SRSS scores of tinnitus were improved(P<0.05),and the improvement was better in treatment group.It showed that the curative effect of the treatment group was better than that of the control group(P<0.05).Tinnitus severity scale evaluation showed that the total effective rate of treatment group and control group were 90.1%and 83.3%,with statistical difference(P<0.05),indicating that the clinical effect of treatment group was better.Conclusion Acupuncture at thirteen ghost points is effective in treating tinnitus of liver-stagnation and spleen-deficiency type and can improve the symptoms of tinnitus accompanied by anxiety,depression and insomnia.

关 键 词：十三鬼穴 耳鸣 焦虑抑郁 针刺 临床观察 

分 类 号：R246.81[医药卫生—针灸推拿学]