1. 中国中医科学院望京医院耳鼻喉科
2. 中国中医科学院望京医院神经内科
3. 中国中医科学院西苑医院耳鼻喉科
纸质出版:2012
移动端阅览
[1]李漫,沈红强,信莉,白桦,辛忠海,杨翼.中药联合针刺治疗突发性耳聋100例临床观察[J].中医杂志,2012,53(20):1737-1741.
LI Man1, SHEN Hongqiang1, XIN Li1, et al. Clinical Observation on Chinese Medicine Combined with Acupuncture for 100 Cases of Sudden Deafness[J]. Journal of Traditional Chinese Medicine2012, 53(20): 1737-1741.
[1]李漫,沈红强,信莉,白桦,辛忠海,杨翼.中药联合针刺治疗突发性耳聋100例临床观察[J].中医杂志,2012,53(20):1737-1741. DOI: 10.13288/j.11-2166/r.2012.20.010.
LI Man1, SHEN Hongqiang1, XIN Li1, et al. Clinical Observation on Chinese Medicine Combined with Acupuncture for 100 Cases of Sudden Deafness[J]. Journal of Traditional Chinese Medicine2012, 53(20): 1737-1741. DOI: 10.13288/j.11-2166/r.2012.20.010.
目的观察中药联合针刺治疗突发性耳聋的临床疗效。方法选择突发性耳聋患者200例
随机分为中医组和西医组各100例
中医组中医辨证分风邪外犯、肝火上炎、气滞血瘀3型
分别给予中药银翘散、龙胆泻肝汤及通窍活血汤加减治疗;针刺取穴双侧翳风、耳门、听宫、听会、外关、合谷、足三里、三阴交、太溪、太冲、足窍阴等穴
隔日针刺1次;并用血塞通注射液静脉滴注。西医组给予前列地尔注射液及甲钴胺治疗。两组均以14天为1个疗程。观察两组患者听力、耳鸣及眩晕改善情况
两组患者症状消失时间
不同中医证型主要症状的疗效及不良反应。结果中医组听力、耳鸣、眩晕总有效率分别为91.00%、94.85%、95.92%;西医组分别为69.70%、90.11%、97.22%。两组听力疗效比较差异有统计学意义(P<0.05)
耳鸣和眩晕比较差异无统计学意义(P>0.05)
两组患者听力、耳鸣、眩晕症状消失时间比较差异无统计学意义(P>0.05)。中医组风邪外犯证22例治疗后听力总有效率95.45%
西医组32例为65.63%
两组比较差异有统计学意义(P<0.05)。中医组风邪外犯证伴耳鸣患者22例总有效率95.45%
西医组27例为74.07%。两组比较差异有统计学意义(P<0.05)。两组其他证型各症状疗效比较差异无统计学意义(P>0.05)。中医组出现1例皮疹反应
两组患者治疗期间无其他不良反应发生。结论中药联合针刺治疗突发性聋有确切的临床疗效。
Objective To observe the therapeutic effect of Chinese medicine combined with acupuncture for sudden deafness.Methods The sudden deafness patients were randomized into Chinese medication group and western medication group
with 100 in each.The modified Yingqiao Powder(Lonicera and Forsythia Powder)
Longdan Xiegan Decoction(Gentian Liver-Draining Decoction) and Tongqiao Huoxue Decoction(Orifice-Freeing Blood-Quickening Decoction) were given to the patients in the Chinese medication group respectively according to the three syndromes of invasion of the external pathogenic wind
upward flaring of liver fire
and qi stagnation with blood stasis.Then acupuncture was applied once every other day on Yifeng(TE 17)
Ermen(TE 21)
Tinggong(SI 19)
Tinghui(GB 2)
Waiguan(TE 5)
Hegu(LI 4)
Zusanli(ST 36)
Sanyinjiao(SP 6)
Taixi(KI 3)
Taichong(LR 3) and Zuqiaoyin(GB 44).Xuesaitong Injection(injection for thrombosis) was injected intravenously as well.The western medication group was treated with alprostadil injection and mecobalamin.The improvement of hearing
tinnitus and vertigo
the time of symptom disappearance
the therapeutic and adverse reactions were observed in both groups.Results The total effective rate of hearing was 91.00% and 69.70% respectively in the Chinese medication group and western medication group
with significant difference between groups(P<0.05).The total effective rate of tinnitus was 94.85% and 90.11% respectively in the Chinese medication group and western medication group
with no significant difference between groups(P>0.05).The total effective rate of vertigo was 95.92% and 97.22% respectively in the Chinese medication group and western medication group
with no significant difference between groups(P>0.05).The difference between groups in symptom disappearance time of hearing
tinnitus and vertigo was not statistically significant(P>0.05).There were 22 and 32 cases of invasion of the external pathogenic wind syndrome in the Chinese medication group and western medication group respectively
and the total effective rate of hearing was 95.45% and 65.63% respectively
with significant difference between groups(P<0.05).There were 22 and 27 cases of invasion of the external pathogenic wind syndrome accompanied with tinnitus in the Chinese medication group and western medication group respectively
and the total effective rate was 95.45% and 74.07% respectively
with significant difference between groups(P<0.05).There was no significant difference between groups in the symptom efficacy of other syndromes(P>0.05).There was no adverse reaction in both groups during treatment except for one case of rash in the Chinese medication group.Conclusion Chinese medicinal combined with acupuncture is effective for sudden deafness.
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