中药联合针刺治疗感音神经性聋的效果.docVIP

中药联合针刺治疗感音神经性聋的效果 [摘要] 目的 观察中药联合针刺治疗感音神经性聋的临床效果。 方法 将2013年3月～2014年12月在天津中医药大学第一附属医院耳鼻喉科门诊就诊的120例感音神经性聋患者依据随机数字表法分为观察组和对照组，各60例。观察组采用辨证口服中药加针刺治疗，中医辨证包括风热侵袭型、肝火上扰型、痰火郁结型、气滞血瘀型、肾精亏损型、气血亏虚型，分别选用银翘散加减、龙胆泻肝汤加减、清气化痰丸加减、通窍活血汤加减、耳聋左慈丸加减、归脾汤加减，针刺穴取百会、四神聪、耳门、听宫、听会、翳风、风池、完骨、天柱等，中药2次/d，针刺1次/d，12 d为1个疗程；对照组仅采用辨证口服中药治疗，2次/d，12 d为1个疗程。治疗2个疗程后，观察两组疗效及不良反应情况。 结果 观察组总有效率为88.33%，对照组总有效率为68.33%，差异有统计学意义（P 0.05）。观察组出现1例针刺不良反应。 结论 中药联合针刺治疗感音神经性聋的效果优于单一应用中药口服治疗，且不良反应发生率低。 [关键词] 中药；针刺；感音神经性聋 [中图分类号] R764.43 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0088-04 [Abstract] Objective To observe clinical effect of herbal medicine combined with acupuncture in the treatment of sensorineural hearing loss. Methods 120 patients with sensorineural hearing loss in Department of ENT in the First Hospital Affiliated to Tianjin University of Traditional Chinese Medicine from March 2013 to December 2014 were divided into observation group and control group according to random number table method， each group had 60 cases. Observation group were treated with herbal medicine and acupuncture. The treatment with herbal medicine based on syndrome differentiation of wind heat invasion， liver fire， phlegm fire stagnation， qi stagnation and blood stasis type， deficiency of kidney essence type， qi and blood deficiency type. Prescription was respectively selected Yinqiao Powder， Longdan Xiegan Decoction， Qingqi Huatan Pills， Tongqiao Huoxue Decoction， Erlong Zuoci Pills， Guipi Decoction addition and subtraction. The acupuncture points included Baihui， Sishencong， Ermen， Tinggong， Tinghui， Yifeng， Fengchi， Wangu， Tianzhu， etc. The treatment with 2 times a day for herbal medicine and 1 time a day for acupuncture， and 12 days was 1 course of treatment. Herbal medicine treatment only was used in control group. 12 days was 1 course of treatment with 2 times a day. Efficacy and adverse reaction between two groups were observed after 2 courses of treatment. Results Total effective rate of observation group and control group was