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气功治疗耳鸣:一项前瞻性随机对照研究。

Qigong for the treatment of tinnitus: a prospective randomized controlled study.

机构信息

ENT-Clinic and Otolaryngology Department, Klinikum Traunstein, Traunstein, Germany.

出版信息

J Psychosom Res. 2010 Sep;69(3):299-304. doi: 10.1016/j.jpsychores.2010.04.013. Epub 2010 Jun 11.

Abstract

OBJECTIVE

Tinnitus is a frequent disorder which is very difficult to treat. Qigong is a mindful exercise and an important constituent of traditional Chinese medical practice. Here we performed a randomized controlled trial to evaluate the effect of a Qigong intervention on patients with tinnitus. We hypothesized that especially tinnitus patients with somatosensoric components may benefit from the mind-body technique of Qigong.

METHODS

Eighty patients with tinnitus of at least 3 months duration were randomly assigned to an intervention group (n=40) consisting of 10 Qigong training sessions in 5 weeks or a waiting-list control group (n=40). Tinnitus severity was assessed with a visual analogue scale (VAS) and with a tinnitus questionnaire (TBF-12) before treatment, immediately after treatment, and 1 and 3 months after treatment.

RESULTS

Qigong did not cause any side effects and was completed by 80% of the assigned patients. Compared with the control group, Qigong participants experienced improvement in tinnitus severity, as reflected by a significant reduction in both the VAS and the TBF-12. In the subgroup of patients with somatosensoric tinnitus, Qigong effects were more pronounced, resulting in a highly significant improvement in both scales compared to the waiting-list group.

CONCLUSION

These findings suggest that Qigong interventions could be a useful complement to the therapeutic management of patients with tinnitus and especially for those with somatosensoric components. Satisfaction with the intervention, a high degree of completion, and stability of the effects for at least 3 months after the intervention further underscore the potential of Qigong in the treatment of tinnitus.

摘要

目的

耳鸣是一种常见的疾病,治疗非常困难。气功是一种正念练习,是中医实践的重要组成部分。在这里,我们进行了一项随机对照试验,以评估气功干预对耳鸣患者的效果。我们假设,特别是具有体感成分的耳鸣患者可能会受益于气功的身心技术。

方法

80 名耳鸣至少 3 个月的患者被随机分为干预组(n=40)和等待名单对照组(n=40)。干预组包括 10 次气功训练课程,共 5 周。在治疗前、治疗后立即以及治疗后 1 个月和 3 个月,使用视觉模拟量表(VAS)和耳鸣问卷(TBF-12)评估耳鸣严重程度。

结果

气功没有引起任何副作用,有 80%的分配患者完成了治疗。与对照组相比,气功组的耳鸣严重程度有所改善,VAS 和 TBF-12 均显著降低。在具有体感成分的耳鸣患者亚组中,气功的效果更为明显,与等待名单组相比,这两个量表都有显著改善。

结论

这些发现表明,气功干预可能是耳鸣患者治疗的有用补充方法,尤其是对于具有体感成分的患者。对干预的满意度、高完成度以及干预后至少 3 个月效果的稳定性进一步凸显了气功在治疗耳鸣方面的潜力。

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