Okada Daniel Mochida, Onishi Ektor Tsuneo, Chami Fernando Ioriatti, Borin Andrei, Cassola Nicolle, Guerreiro Viviane Maria
UNIFESP-EPM, Brazil.
Braz J Otorhinolaryngol. 2006 Mar-Apr;72(2):182-6. doi: 10.1016/s1808-8694(15)30053-7.
The treatment of tinnitus, which is defined as conscientious perception of a sound originated in the ears or nervous system, represents until the current days a great challenge. The use of Acupuncture (ACP) is based on the stimulation with needles of specific points on the human anatomy. A prospective, randomized and double-blinded study was carried through in 76 patients taken care of in the Clinic of Tinnitus of the Department of Otorhinolaryngology and Head and Neck Surgery of the UNIFESP-EPM in the period understood between April and June of 2005. All the patients had humming complaint and had been submitted to clinical anamnese, physical examination and subsidiary exams in order to investigate its etiology. The patients then were directed to a first researcher that determined an initial numeric value of the humming through Visual Analoge Scale(VAS), varying from 0 to 10 points. After this, had been directed for another room in which an acupuncturist doctor, who did not have access to the initial evaluation, separated the patients in Group Control and Group Study according to the attendance order, in alternating way. The ACP point used in patients of the Group Study places 6,5 cm above of the apex of the auditory pavilion in the parietal region. The point used in the Group Control places 3 cm above of the previous point, in the same vertical line. Then they had been sent back to the initial room for a new evaluation by the first researcher, where they had been guided to redefine the subjective score of the humming. Among the 76 studied patients, 29 were male (38,2%) and 47 female (61,8%), with average age 56,9 + 12,0 years. The Groups Study and Control had counted on 38 patients each. Through the Anova test it was evidenced that it had significant difference (p<0,001) between the moments pre and post needling and that in the group Study this improvement is more evident (p=0,0127). The t-independent test showed that it had a significant difference (p=0,017) between the two moments in the groups Study and Control. We conclude that there was significant reduction of the counting of the moments pre and post needling in both the groups, and in the group study the reduction is greater that in the group control.
耳鸣被定义为源自耳朵或神经系统的声音的自觉感知，直至如今，其治疗仍是一项巨大挑战。针灸疗法基于对人体特定穴位的针刺刺激。2005年4月至6月期间，在圣保罗联邦大学埃米利奥·里贝斯医院耳鼻喉头颈外科耳鸣诊所对76例患者进行了一项前瞻性、随机双盲研究。所有患者均有耳鸣主诉，并接受了临床问诊、体格检查及辅助检查以探究其病因。患者首先由一名研究人员通过视觉模拟量表（VAS）确定耳鸣的初始数值，范围为0至10分。之后，患者被引导至另一房间，由一名无法获取初始评估结果的针灸医生按照就诊顺序交替将患者分为对照组和研究组。研究组患者使用的针灸穴位位于顶叶区域耳郭顶点上方6.5厘米处。对照组使用的穴位位于同一直线上前一穴位上方3厘米处。然后他们被送回初始房间由第一名研究人员进行重新评估，在此过程中引导他们重新确定耳鸣的主观评分。在76例研究患者中，男性29例（38.2%），女性47例（61.8%），平均年龄56.9±12.0岁。研究组和对照组各有38例患者。通过方差分析表明，针刺前后存在显著差异（p<0.001），且在研究组这种改善更为明显（p=0.0127）。独立t检验显示，研究组和对照组在两个时间点之间存在显著差异（p=0.017）。我们得出结论，两组针刺前后的计数均有显著减少，且研究组的减少幅度大于对照组。
