滋肾活血汤治疗肾虚血瘀型感音神经性耳聋的临床探究.pdfVIP

提 要 目的：通过观察滋肾活血通窍法治疗肾虚血瘀型感音神经性耳聋患者在治疗前后 症状、体征方面的改善情况，进一步探讨中医药治疗该病的理论内涵和更有效的临床 治法。方法：选择符合肾虚血瘀型感音神经性耳聋诊断标准的患者 60 例，采用随机 分组的方法，将患者均分为两组：治疗组和对照组。将两组患者治疗前后症状、体征 的改善情况分别做记录，采用统计软件 SPSS13.0 进行统计分析，做描述性统计，计 2 量资料采用 t 检验，计数资料用χ 检验，等级资料用 Ridit 分析，样本量小时用秩 和检验。结果：经统计学处理，治疗组患者症状、体征改善的总积分大于对照组，具 有显著差异（P＜0.05）。两组患者的性别与临床疗效无显著性关系，年龄、病程与临 床疗效有相关性。两组患者在治疗过程中均无不良反应事件发生。结论：试验结果表 明治疗组的总有效率 76.67％，对照组的总有效率 53.33％，治疗组的总有效率明显 高于对照组。治疗组患者耳鸣、耳堵闷感、头昏眼花、腰膝酸软、虚烦失眠等各项症 状的疗效明显优于对照组。性别因素与疗效无显著性关系，年龄、病程因素与疗效有 显著性关系。两组均为年龄越小，病程越短，疗效越好。 关键词 感音神经性耳聋；耳鸣；肾虚血瘀；临床研究 The clinical research on treating Sensorineral Deafness of the kidney blood stasis type by the Zishenhuoxue decoction Speciality: E.N.T.of TCM Author: Zhang Lei Tutor: prof. Gu Zhen Abstract Objective:Through the observation after zi kidney invigorate the treatment of kidney blood stasis hair: tqbyp has good effect on allergic type sensorineural deafness patients before and after treatment neurological symptoms, physical signs of improvement,Further discussion of TCM theoretical connotation and cure the clinical treatment is more effective.Methods:Option meets kidney blood stasis syndrome sensorineural diagnostic criteria of patients neurogenic deafness 60 cases,use randomized method,Patients were divided into two groups:The treatment group and control group.Record two groups of patients improve symptoms and signs before and after the treatment.Using statistical software SPSS13.0 of statistical analysis,Doing descriptive statistics,Measuring material using t-test,Count with χ 2 test,level material with Ridit analysis, Sample size with rank and inspection test.Results:The treatment group improving patients symptoms, signs total score are