从补肾活血论治老年性听力损失的疗效及对患者生活质量影响的观察-中医五官科学专业论文.docxVIP

质量影响。 方法:根据随机，对照原则，将符合观察标准的患者随机分为两组，治疗 组给予六味地黄丸加骨碎补、丹参加味方，对照组给予中成药耳聋左慈丸，两组 均服药 30 天，记录症状体征，采用老年人听力残疾量表进行生活质量评估。 结果:研究结果显示：两组患者的纯音听阈测试听力损失程度、言语分辨 率组内治疗前后对比，两组间对比，经统计学处理，P＞0.05，差异无统计学意 义，提示六味地黄丸加骨碎补、丹参加味方和耳聋左慈丸改善纯音听阈测试听力 损失程度、言语分辨率均无效，且两组间无明显差异；治疗组患者的伴随症状耳 鸣如蝉进行组内治疗前后对比，P＜0.05，提示六味地黄丸加骨碎补、丹参加味 方改善伴随症状耳鸣如蝉都有效，两组间对比治疗前、治疗第 30 天两组治疗效 果对比有统对比计学意义，P＜0.05，提示六味地黄丸加骨碎补、丹参加味方改 善伴随症状耳鸣如蝉疗效优于耳聋左慈丸；两组患者生活质量的统计分析，进行 组内治疗前后对比，P＜0.05，提示六味地黄丸加骨碎补、丹参加味和耳聋左慈 丸改善患者生活质量都有效，两组对比，P＜0.05，提示六味地黄丸加骨碎补、 丹参加味改善患者生活质量尤其情感障碍方面的疗效优于耳聋左慈丸。 结论:（1）六味地黄丸加骨碎补、丹参加味和耳聋左慈丸改善老年性听力 损失纯音听阈测试听力损失程度、言语分辨率均无效。 （2）六味地黄丸加骨碎补、丹参加味和耳聋左慈丸改善老年性听力损失伴随 症状耳鸣如蝉均有效，六味地黄丸加骨碎补、丹参加味方优于耳聋左慈丸。 （3）六味地黄丸加骨碎补、丹参加味改善老年性听力损失患者生活质量尤其 情感障碍方面优于耳聋左慈丸。 （4）生活质量可作为判定老年性听力损失的疗效指标之一，老年人听力残疾 量表适用于判定老年性听力损失患者的生活质量。 关键词:老年性听力损失 补肾活血 生活质量 临床研究 Abstract Objective: To observe reinforcing the kidney and activating blood from presbycusis treatment efficacy and quality of life of patients. Methods: The presbycusis patients were randomized into two groups.The treatment group of 22 cases were treated by the prescription witch is modified Liu Wei Di Huang Wan with Gusuibu and Danshen Decoction, and the controlled group of 20 cases treated by Er Long Zuo Ci Wan. Both groups were given treatment for 30 days.During the courses of treatment, recording clinical symptoms and signs and survey hearing handicap inventory for the elderly，screening version(HHIE—S) of patients’ health. Results: The results show that two groups of patients with pure tone audiometry hearing loss, word recognition sore before and after treatment and between the two groups, the statistical analysis, P＞0.05, the difference was not statistically significant, suggesting that the modified Liu Wei Di Huang Wan with Gusuibu and Danshen Decoction and Er Long Zuo Ci Wan improve pure tone audiometry hearing loss and word recognition sore are void, and no significant difference between the two groups. The treatment group of patients with symptoms of tinnitus such as the cicada contrast the gro