董氏奇穴配合牵引针法、耳尖放血治疗肝胆火盛型耳鸣耳聋的临床疗效及安全性研究被引量：1

Clinical Efficacy and Safety Study on the Treatment of Tinnitus and Deafness Caused by Hyperactivity of Liver and Gallbladder with Dong's Qi Acupoint Combined with Traction Acupuncture and Ear Tip Bleeding

在线阅读下载PDF

导出

摘要目的探究董氏奇穴配合牵引针法、耳尖放血在肝胆火盛型耳鸣耳聋患者中的临床疗效及安全性。方法选取该院2021年1月—2022年10月收治的60例肝胆火盛型耳鸣耳聋患者为研究对象,根据随机数字表法分为两组。对照组(n=30)采用常规取穴方法治疗,观察组(n=30)采用董氏奇穴配合牵引针法、耳尖放血治疗,均治疗1个疗程。比较两组治疗前、治疗后的证候积分、临床疗效、异常情况及不良反应发生率。结果治疗后,观察组耳鸣及耳聋、耳胀及耳痛、头痛面赤、口苦咽干、心烦易怒评分分别为(0.86±0.17)分、(0.91±0.21)分、(0.89±0.19)分、(0.74±0.14)分、(0.78±0.18)分,均低于对照组的(1.94±0.26)分、(1.86±0.35)分、(1.56±0.21)分、(1.99±0.28)分、(2.14±0.32)分,组间差异有统计学意义(P<0.05);观察组治疗总有效率为93.33%,高于对照组的66.67%,组间差异有统计学意义(P<0.05);两组治疗过程中的异常情况及不良反应发生率比较,差异无统计学意义(P>0.05)。结论董氏奇穴配合牵引针法、耳尖放血用于肝胆火盛型耳鸣耳聋患者中,能降低证候积分,提高患者临床疗效,未增加异常情况及不良反应发生率,值得推广应用。 Objective To analyze the clinical efficacy and safety of Dong's Qi acupoint combined with traction acupuncture and ear tip bleeding in patients with tinnitus and deafness caused by hepatobiliary fire.Methods 60 patients with tinnitus and deafness caused by hepatobiliary fire admitted to our hospital from January 2021 to October 2022 were selected as the study subjects and were divided into two groups according to the random number table method.The control group(n=30)was treated with routine acupoint selection,while the observation group(n=30)was treated with Dong's Qi acupoint combined with traction acupuncture and ear tip bloodletting,both groups were treated continuously for 1 course.The syndrome scores,clinical efficacy,abnormality and adverse reaction rate before and after treatment were compared between the two groups.Results After treatment,the scores of tinnitus and deafness,ear distension and earache,headache,red face,bitter mouth and dry throat,and irritability in the observation group were(0.86±0.17)points,(0.91±0.21)points,(0.89±0.19)points,(0.74±0.14)points,and(0.78±0.18)points,respectively,lower than(1.94±0.26)points,(1.86±0.35)points,(1.56±0.21)points,(1.99±0.28)points,and(2.14±0.32)points in the control group,the difference between groups was statistically significant(P<0.05);the total effective rate of the observation group was 93.33%,which was higher than that of the control group 66.67%,and the difference was statistically significant(P<0.05);there was no statistical difference between the incidence of needle syncope,needle stagnation,broken needle and needle detachment during treatment and the incidence of syncope,pain and subcutaneous hematoma in the two groups(P>0.05).Conclusion Dong's Qi acupoint,combined with traction acupuncture and ear tip bleeding,can reduce the syndrome score,improve the clinical efficacy of patients with tinnitus and deafness caused by hepatobiliary fire,without increasing the incidence of abnormal conditions and adverse reactions,which is worthy of popularization and application.

作者刘艳王坤 Liu Yan;Wang Kun(Department of Acupuncture and Moxibustion,Zaozhuang Traditional Chinese Medicine Hospital,Zaozhuang Shandong,277000,China)

机构地区枣庄市中医医院针灸科

出处《反射疗法与康复医学》 2023年第9期44-47,共4页 Reflexology And Rehabilitation Medicine

基金山东省中医药科技项目(2020M127)。

关键词董氏奇穴牵引针法耳尖放血肝胆火盛型耳鸣耳聋证候积分临床疗效异常情况不良反应 Dong's strange acupoint Traction needle method Ear tip bleeding Liver and gallbladder fire type tinnitus and deafness Syndrome score Clinical efficacy Abnormal conditions Adverse reactions

分类号 R764.43 [医药卫生—耳鼻咽喉科]

作者简介刘艳(1985-),女,山东临沂人,硕士研究生,主治医师,研究方向:多种针法治疗临床常见病;通信作者:王坤(1984-),男,山东莱芜人,本科,主治医师,研究方向:针药结合治疗颈肩腰腿痛,邮箱:420010469@qq.com。