灵龟八法开穴针刺联合西药治疗平坦下降型突发性聋临床研究  

Clinical Study on Acupuncture with Method of Linggui Bafa Combined with Western Medicine for Flat Descent Sudden Deafness WANG Zhanshan,

作　　者：王占山 黄东辉 WANG Zhanshan;HUANG Donghui(The Eighth Clinical Medical School of Guangzhou University of Chinese Medicine/Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China)

机构地区：[1]广州中医药大学第八临床医学院/佛山市中医院,广东佛山528000

出　　处：《新中医》2024年第20期111-115,共5页New Chinese Medicine

基　　金：佛山市卫生健康局医学科研课题项目(20230023);佛山市“十四五”中医重点专科项目(ZDZKJS12)。

摘　　要：目的:观察灵龟八法开穴针刺联合西药治疗平坦下降型突发性聋的临床疗效及对患者耳鸣、眩晕和焦虑的影响。方法:采用随机数字表法将80例平坦下降型突发性聋患者分为治疗组、对照组各40例。对照组给予常规西药治疗,治疗组在对照组基础上加灵龟八法开穴针刺治疗,2组疗程均为2周。比较2组治疗前后平均听阈值、耳鸣致残量表(THI)、眩晕障碍量表(DHI)评分、汉密尔顿焦虑量表(HAMA)评分,并评估2组临床疗效及不良反应发生情况。结果:治疗后,治疗组总有效率85.00%,高于对照组70.00%(P<0.05)。2组治疗后平均听阈值及THI、DHI、HAMA评分均低于治疗前(P<0.05),且治疗组平均听阈值及THI、DHI、HAMA评分低于对照组(P<0.05)。2组均未发生不良反应。结论:灵龟八法开穴针刺联合西药治疗平坦下降型突发性聋,能有效改善患者听力水平,缓解耳鸣、眩晕、焦虑症状,安全性较高。Objective:To observe the clinical effect of the acupuncture with the method of Linggui Bafa(the eightfold method of the sacred tortoise)combined with western medicine on flat descent sudden deafness and its influence on tinnitus,dizziness and anxiety.Methods:A total of 80 patients with flat descent sudden deafness were divided into the treatment group and the control group by random number table method,with 40 cases in each group.The control group was treated with conventional western medicine,and the treatment group was additionally treated with acupuncture with the method of Linggui Bafa based on the treatment of the control group.The treatment course in both groups was two weeks.The average hearing threshold,Tinnitus Handicap Inventory(THI),Dizziness Handicap Inventory(DHI)and Hamilton Anxiety Scale(HAMA)before and after treatment were compared between the two groups,and the clinical effects and incidence of adverse reactions were evaluated.Results:After treatment,the total effective rate was 85.00%in the treatment group,higher than that of 70.00%in the control group(P<0.05).The average hearing threshold and the scores of THI,DHI and HAMA in the two groups after treatment were lower than those before treatment,and the average hearing threshold and the scores of THI,DHI and HAMA in the treatment group were lower than those in the control group(P<0.05).No adverse reactions occurred in both groups.Conclusion:The acupuncture with the method of Linggui Bafa combined with western medicine can effectively improve the hearing level of patients,relieve tinnitus,dizziness and anxiety symptoms,and have high safety.

关 键 词：突发性聋 平坦下降型 灵龟八法 开穴针刺 平均听阈值 耳鸣致残量表 眩晕障碍量表 汉密尔顿焦虑量表 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]