电针联合火针治疗突发性耳聋的疗效观察及对血液流变学的影响  

Therapeutic observation of electroacupuncture combined with fire needling for sudden hearing loss and the effect on hemorheology

作　　者：单萍萍 单倩倩 火琳嵛 SHAN Pingping;SHAN Qianqian;HUO Linyu(Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou 730020,China;Gansu University of Chinese Medicine,Lanzhou 730020,China)

机构地区：[1]甘肃中医药大学附属医院,兰州730020 [2]甘肃中医药大学,兰州730020

出　　处：《上海针灸杂志》2025年第4期471-475,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的 观察电针联合火针治疗难治性突发性耳聋的临床疗效及对患者血液流变学指标的影响。方法将86例难治性突发性耳聋患者按随机数字表法分为观察组和对照组,每组43例。治疗过程中有3例患者因未完成整个试验而脱落,最终观察组纳入42例,对照组纳入41例。对照组采用鼓室内注射泼尼松龙注射液治疗,观察组在对照组基础上联合电针联合火针(疏解少阳补肾培元法)治疗。比较两组临床疗效及不良反应发生率,观察两组治疗前后平均听阈值、听性脑干反应指标(波Ⅰ振幅、波Ⅰ潜伏期和波Ⅲ潜伏期)和血液流变学指标(血浆黏度、全血低切黏度和全血高切黏度)的变化。结果 观察组总有效率为52.4%,高于对照组的29.3%(P<0.05)。治疗后,两组平均听阈值、波Ⅰ潜伏期、血浆黏度、全血低切黏度和全血高切黏度均优于同组治疗前(P<0.05),且观察组上述观察指标均优于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论在鼓室内注射泼尼松龙注射液治疗基础上,电针联合火针治疗难治性突发性耳聋可进一步提高患者听力水平,提高临床疗效,同时可改善患者血液流变学状态。Objective To observe the clinical efficacy of electroacupuncture plus fire needling in treating refractory sudden hearing loss(SHL)and the impact on the patient’s hemorheological parameters.Method Eighty-six patients with refractory SHL were divided into an observation group and a control group using the random number table method,each consisting of 43 participants.During the treatment process,3 participants failed to complete the trial and thus dropped out.Finally,the observation group recruited 42 cases,and the control group recruited 41 cases.The control group was treated with intratympanic prednisolone injection,and the observation group additionally received electroacupuncture plus fire needling(soothing Shaoyang and tonifying the kidney essence method).The clinical efficacy and adverse reaction rate were compared between the two groups,and they were observed before and after the treatment for changes in the average hearing threshold,auditory brainstem response(ABR)parameters(the amplitude and latency of waveⅠand the latency of waveⅢ),and hemorheological indexes(plasma viscosity,low-shear blood viscosity,and high-shear blood viscosity).Result The observation group obtained a total effective rate of 52.4%,higher than that in the control group,which was 29.3%(P<0.05).After the intervention,the average hearing threshold,waveⅠlatency,plasma viscosity,low-shear blood viscosity,and high-shear blood viscosity all improved in both groups(P<0.05),and the observation group was superior to the control group in comparing these measures(P<0.05).There was no significant difference in comparing the adverse reaction rate between the two groups(P>0.05).Conclusion When used together with intratympanic injection of prednisolone,electroacupuncture plus fire needling can further elevate the hearing level,enhance clinical efficacy,and improve hemorheology in treating refractory SHL.

关 键 词：针刺疗法 电针 火针疗法 听力障碍 听力损失 突发 聋 血液流变学 全血黏度 

分 类 号：R246.81[医药卫生—针灸推拿学]