摘要
目的:以“玄府-脉络”为指导,观察针刺治疗气滞血瘀型特发性突聋患者的临床疗效。方法:选择符合纳入标准的气滞血瘀型特发性突聋患者60例,依据随机数字表随机分为治疗组和对照组,每组各30例。对照组采用常规西药治疗,治疗组在对照组用药基础上增加针刺治疗,两组均持续治疗7 d。观察两组患者治疗前后中医证候积分、纯音听力阈值及血液流变学指标的变化情况,同时比较临床疗效和不良反应发生率。结果:治疗组临床总有效率86.67%(26/30)高于对照组63.33%(19/30)(P<0.05);两组患者治疗后中医证候积分、纯音听力阈值、血液流变学指标均明显降低(P<0.05),且治疗组中医证候积分、纯音听力阈值、全血高切黏度、全血中切黏度和血浆黏度均低于对照组(P<0.05);两组患者治疗期间均未出现不良反应。结论:针刺可提高气滞血瘀型特发性突聋的临床疗效,显著降低患者听力损失程度,改善临床症状以及血液循环,且安全有效。
Objective:To observe the clinical efficacy of acupuncture in treating Qi stagnation and blood stasis type sudden deafness,guided by the"Xuanfu-Mailuo"theory.Methods:Sixty patients with Qi stagnation and blood stasis type sudden deafness who met the inclusion criteria were randomly divided into treatment and control groups,each with 30 cases,according to a random number table.The control group was treated with conventional Western medicine,while the treatment group received acupuncture in addition to the medication used by the control group.Both groups were treated for 7 days.Changes in TCM syndrome scores,pure-tone hearing thresholds,and blood rheology indicators were observed before and after treatment.Clinical efficacy and the incidence of adverse reactions were also compared.Results:The total clinical effective rate of the treatment group was 86.67%(26/30),which was significantly higher than the control group’s 63.33%(19/30)(P<0.05).After treatment,the TCM syndrome scores,pure-tone hearing thresholds,and blood rheology indicators of both groups significantly decreased(P<0.05).The treatment group had lower TCM syndrome scores,pure-tone hearing thresholds,whole blood high-shear viscosity,whole blood low-shear viscosity,and plasma viscosity compared to the control group(P<0.05).No adverse reactions were observed in either group during the treatment period.Conclusion:Acupuncture can improve the clinical efficacy of treating Qi stagnation and blood stasis type sudden deafness,significantly reduce hearing loss,improve clinical symptoms,and enhance blood circulation,and it is safe and effective.
作者
勾朝央
李雨欣
张亚
韦党军
GOU Chaoyang;LI Yuxin;ZHANG Ya;WEI Dangjun(Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Chinese Medicine,Taihe 236699,China)
出处
《中医药信息》
2025年第6期52-56,共5页
Information on Traditional Chinese Medicine
基金
安徽中医药大学2021年度临床科研项目(2021LCTH27)。
关键词
特发性突聋
气滞血瘀
玄府-脉络
针刺
Sudden deafness
Qi stagnation and blood stasis
Xuanfu-Mailuo theory
Acupuncture
作者简介
第一作者:勾朝央(1998-),女,2023级中医五官科学专业专硕研究生,主要研究方向:耳鼻咽喉。
