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[电针治疗突发性聋的疗效观察]

[Observation on therapeutic effect of electroacupuncture for treatment of sudden hearing loss].

作者信息

Luo Ren-han, Zhou Jie, Huang Yun-sheng, Xu Kai

机构信息

Department of Acupuncture and Rehabilitation, Guangdong Provincial Second Hospital of TCM, Guangzhou 510405, China.

出版信息

Zhongguo Zhen Jiu. 2009 Mar;29(3):185-7.

Abstract

OBJECTIVE

To observe the therapeutic effect of electroacupuncture for treatment of sudden hearing loss and to compare with western medicine therapy.

METHODS

Sixty cases were randomly divided into an electroacupuncture group and a medication group, 30 cases in each group. The electroacupuncture group was treated with electroacupuncture at Tinghui (GB 2), Yifeng (TE 17), Hegu (LI 4), Xiaxi (GB 43), Zhongzhu (TE 3), etc. and the medication group with intravenous dripping of 6% low molecule dextran 500 mL with ATP and coenzyme A, and oral administration of Nimodipine, Gold Theragan. Whole blood specific viscosity, plasma specific viscosity, hematocrit and fibrinogen before and after treatment and their therapeutic effects were observed.

RESULTS

The total effective rate was 86.7 in the electroacupuncture group and 60.0% in the medication group with a significant difference between the two groups (P<0.05), the former being better than the latter; there were significant differences in whole blood specific viscosity, plasma specific viscosity, hematocrit and fibrinogen before and after treatment in the electroacupuncture group (P<0.05), and with no significant difference in the medication group (P>0.05) before and after treatment, and with a significant difference in whole blood specific viscosity, plasma specific viscosity and fibrinogen between the two groups (P<0.05).

CONCLUSION

Electroacupuncture has a significant therapeutic effect on sudden hearing loss, which is better than that of the medication, and the mechanism is possibly related with regulative action on indexes of blood rheology.

摘要

目的

观察电针治疗突发性聋的疗效,并与西药治疗作比较。

方法

60例患者随机分为电针组和药物组,每组30例。电针组取听会(GB 2)、翳风(TE 17)、合谷(LI 4)、侠溪(GB 43)、中渚(TE 3)等穴行电针治疗;药物组采用静脉滴注6%低分子右旋糖酐500 mL加三磷酸腺苷及辅酶A,并口服尼莫地平、敏使朗。观察两组治疗前后全血比黏度、血浆比黏度、血细胞比容及纤维蛋白原变化情况及疗效。

结果

电针组总有效率为86.7%,药物组为60.0%,两组比较差异有统计学意义(P<0.05),电针组疗效优于药物组;电针组治疗前后全血比黏度、血浆比黏度、血细胞比容及纤维蛋白原比较差异有统计学意义(P<0.05),药物组治疗前后比较差异无统计学意义(P>0.05),两组治疗后全血比黏度、血浆比黏度及纤维蛋白原比较差异有统计学意义(P<0.05)。

结论

电针治疗突发性聋疗效显著,优于药物治疗,其机制可能与调节血液流变学指标有关。

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