芳香精油穴位按摩法对慢性主观性耳鸣疗效初探  

Preliminary study on the curative effect of acupoint massage therapy with aromatic essential oil on chronic subjective tinnitus

作　　者：李斌 林羽沁 唐旭霞[1] 何晓 谌晶晶 石涯 徐慧芳[1] 宋济 陈倩 LI Bin;LIN Yuqin;TANG Xuxia;HE Xiao;CHEN Jingjing;SUI Ya;XU Huifang;SONG Ji;CHEN Qian(The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine)Hangzhou,Zhejiang 310000,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院),杭州310000

出　　处：《中国中西医结合耳鼻咽喉科杂志》2025年第1期18-22,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：国家自然科学基金委员会,面上项目(编号:82171157)。

摘　　要：目的 探索芳香精油穴位按摩法对慢性主观性耳鸣的疗效。方法 选取2022年6月~2023年1月在我科就诊的80例慢性主观性耳鸣患者,等量随机分为两组。对照组给予定制音乐疗法,每次听音乐半小时,每天4~6次。观察组给予复合精油,晨起及睡前在特定穴位进行穴位按摩。分别在治疗前及治疗4周后填写耳鸣障碍量表(THI)、焦虑自评量表(SAS)、抑郁自评量表(SDS),匹兹堡睡眠质量指数(PSQI),比较分析结果,评定二组疗效。结果 治疗4周后,对照组的有效率为70%,观察组为65%,两组间疗效无明显差异。两组THI总得分及各维度得分均显著降低(P<0.05),但组间比较差异无统计学意义;两组SAS、SDS得分均较治疗前降低,且观察组得分低于对照组(P<0.05);两组PSQI得分均较前降低,且观察组得分低于对照组(P<0.05)。结论 芳香精油疗法对慢性主观性耳鸣具有良好效果,可以减轻耳鸣症状,改善患者的焦虑、抑郁、睡眠障碍等不适,值得临床推广应用。Objective The purpose of this study was to explore the efficacy of aromatic essential oil acupoint massage in the treatment of chronic subjective tinnitus.Methods 80 patients with chronic subjective tinnitus who were treated in our department from June 2022 to January 2023 were randomly divided into two groups.The control group was given customized music therapy,listening to music for half an hour each time,4~6 times a day.The observation group was given compound essential oil,and acupoint massage was performed at specific acupoints in the morning and before bedtime.Before and after 4 weeks of treatment,THI(Tinnitus Handicap Inventory),SAS(Self-rating Anxiety Scale),SDS(Self-rating Depression Scale)and PSQI(Pittsburgh Sleep Quality Index)were used to evaluate the efficacy.Results After 4 weeks of treatment,the effective rate was 70%in the control group and 65%in the observation group.There was no significant difference in efficacy between the two groups.The total score of THI and the scores of each dimension in the two groups were significantly decreased (P<0.05),but there was no significant difference between the two groups.The scores of SAS and SDS in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).The PSQI scores of the two groups were lower than before,and the score of the observation group was lower than that of the control group(P<0.05).Conclusion Aromatic essential oil therapy has a good effect on chronic subjective tinnitus.It can reduce tinnitus symptoms and improve patients'anxiety,depression,sleep disorders and other discomforts.It is worthy of clinical application.

关 键 词：芳香精油 穴位按摩 中医外治 耳鸣 

分 类 号：R276.1[医药卫生—中医五官科学]