“疏肝调神”针灸联合治疗难治性突发性耳聋的临床研究  

Clinical Study of Acupuncture and Moxibustion Guided by Soothing Liver and Regulating Shen in Treatment of Sudden Deafness

作　　者：张明垚 马祖彬[2] 卢岩[1] ZHANG Mingyao;MA Zubin;LU Yan(Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250000,China)

机构地区：[1]山东中医药大学,山东济南250000 [2]山东中医药大学附属医院,山东济南250000

出　　处：《针灸临床杂志》2024年第6期12-16,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：山东省自然科学基金面上项目,编号:ZR2020MH364。

摘　　要：目的:探讨“疏肝调神”法针灸联合治疗难治性突发性耳聋的临床疗效。方法:将68例诊断为突发性耳聋的患者随机分为观察组和对照组,每组各34例。对照组采用常规西医疗法,观察组在对照组治疗基础上施以“疏肝调神”针灸联合治疗。观察两组患者治疗前后纯音测听听力阈值、常见伴随症状(耳鸣)严重程度(TEQ)、汉密尔顿抑郁(HAMD)与焦虑(HAMA)程度评定疗效。结果:观察组总有效率为97.06%(33/34),高于对照组的73.53%(25/34)。治疗后两组患者纯音测听听力阈值、TEQ、HAMD与HAMA评分均降低,差异具有统计学意义(P<0.05),且观察组降低程度均优于对照组,差异具有统计学意义(P<0.05)。结论:“疏肝调神”针灸联合疗法可有效治疗难治性突发性耳聋,能够显著降低患者听力损失程度,改善常见伴随症状,具有较高的临床应用价值。Objective:To observe the clinical efficacy of acupuncture combined with moxibustion guided by soothing Liver and regulating Shen in treatment of sudden deafness.Methods:68 patients diagnosed with sudden deafness were randomly divided into the observation group(n=34) and the control group(n=34).The control group was treated with conventional Western medications;on which basis,the observation group was also treated with acupuncture combined with moxibustion guided by soothing Liver and regulating Shen.Pure-tone audiometry hearing thresholds,the scores of tinnitus evaluation questionnaire(TEQ),Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA) were observed before and after the treatment in the two groups.Results:The total effective rate was 97.06%(33/34) in the observation group,which was higher than 73.52%(25/34) in the control group(P<0.05).The threshold of pure-tone audiometry hearing and the scores of TEQ,HAMD and HAMA were decreased after the treatment than those before the treatment in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.05).Conclusion:The combination of acupuncture and moxibustion guided by soothing Liver and regulating Shen can effectively treat intractable sudden deafness,significantly reducing the degree of hearing loss in patients,improving common accompanying symptoms,and possessing high clinical utility.

关 键 词：突发性耳聋 暴聋 疏肝调神 针刺 实按灸 

分 类 号：R246.81[医药卫生—针灸推拿学]