“导气通络”法针灸治疗慢性原发性耳鸣32例  

Thirty-two cases of chronic primary tinnitus treated with acupuncture and moxibustion technique of Daoqi Tongluo

作　　者：杨雯雯 李璐[2] 杨斯月 李素菁 顾鑫波 高宏[2] YANG Wenwen;LI Lu;YANG Siyue;LI Sujing;GU Xinbo;GAO Hong(Third Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Acupuncture and Moxibustion,Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310005)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第三医院针灸科,杭州310005

出　　处：《中国针灸》2025年第4期448-452,共5页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药科技计划项目:2023ZF025;浙江省自然科学基金项目:LQ20H270011。

摘　　要：目的:观察“导气通络”法针灸治疗慢性原发性耳鸣的临床疗效。方法:纳入32例慢性原发性耳鸣患者,均采用“导气通络”法针灸治疗,包括腹针、体针、温针灸及耳后局部闪罐穴取中脘、关元及患侧阴都、听宫、聪耳、外关等。隔日1次,每周3次,10次为一疗程,治疗1个疗程。观察患者治疗前后耳鸣残疾量表(THI)、耳鸣评价量表(TEQ)、睡眠状况自评量表(SRSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并评定临床疗效。结果:治疗后,患者THI、TEQ、SRSS、SAS、SDS评分均较治疗前降低(P<0.001,P<0.01,P<0.05),总有效率为71.9%(23/32)。结论:“导气通络”法针灸可有效治疗慢性原发性耳鸣,缓解患者耳鸣程度,并改善睡眠质量及焦虑抑郁情绪。Objective To observe the clinical effect of acupuncture-moxibustion therapy of Daoqi Tongluo(conducting qi and unblocking collateral)on chronic primary tinnitus.Methods A total of 32 patients with chronic primary tinnitus were included and treated with the acupuncture-moxibustion therapy of Daoqi Tongluo.This regimen was composed of abdominal acupuncture,body acupuncture,warm needling and posterior-auricular local flashing cupping,Zhongwan(CV12),Guanyuan(CV6)and Yindu(KI9),Tinggong(S19),Cong'er point,Waiguan(TE5)of the affected side,etc.are selected.The treatment was given once every two days,3 treatments a week;and one course of intervention was required,with 10 treatments included.Before and after treatment,the scores of tinnitus handicap inventory(THI),tinnitus evaluation questionnaire(TEQ),self-rating scale of sleep(SRSS),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were observed,and the clinical effect was evaluated.Results After interventions,the scores of THI,TEQ,SRSS,SAS and SDS were reduced in comparison with those before interventions in the patients(P<0.001,P<0.01,P<0.05),and the total effective rate was 71.9%(23/32).Conclusion Acupuncture-moxibustion therapy of Daoqi Tongluo is effective on chronic primary tinnitus and this therapy can alleviate tinnitus degree,improve sleep quality and attenuate the anxious and depressive emotion of the patients.

关 键 词：慢性原发性耳鸣 针灸 “导气通络”法 腹针 

分 类 号：R246.81[医药卫生—针灸推拿学]