Zhou Guo-Ying
Department of Rehabilitation Medicine, The First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, China.
Zhongguo Zhen Jiu. 2012 May;32(5):413-6.
To test the therapeutic effect on moderate and severe sudden deafness treated with low-energy laser irradiation on acupoint and external auditory canal combined with auricular point sticking (APS) and as compared with electroacupuncture.
Two hundred and fifty-eight cases of moderate and severe sudden hearing loss were randomly divided into an observation group 1, an observation group 2 and a control group, 86 cases in each group. In three groups, 10% low molecular Dextran 500 mL were used for intravenous infusion. Based on the above treatment, the observation group 1 was treated with low-energy laser irradiation on acupoint and external auditory canal (such as Ermen (TE 21), Tinggong (SI 19) and Tinghui (GB 2)), combined with APS at Gan (liver), Shen (kidney) and Neifenmi (endorine), etc. The observation group 2 was treated with electroacupuncture at the same acupoints as those point irradiation in observation group 1. Fifteen days made one session. The therapeutic effects were evaluated after one and two sessions.
After two sessions, The cured rate was 40.7% (35/86) in observation group 1 and 38.4% (33/86) in observation group 2,which were superior to 25.6% (22/86) in control group (both P < 0.05). Compared with one session, the therapeutic effects after two sessions were better in two observation groups (both P < 0.05), but there was no significant difference between two groups (both P > 0.05). In comparison of the improvements of frequency audiometry and auditory function, the two observation groups were better than those in control group (P < 0.05, P < 0.01), and the improvements after two sessions were better in two observation groups (both P < 0.01).
Both of low-energy laser irradiation on acupoint and external auditory canal combined with APS and electroacupuncture are able to decrease frequency audiometry, improve auditory function, and the therapeutic effects are better with prolongation of treatment time. The clinical efficacy of above two the rapies on moderate and severe sudden deafness is superior remarkably to that of conventional treatment. The therapy of low-energy laser irradiation on acupoint and external auditory canal combined with APS can replace the electroacupuncture therapy in treating moderate and severe sudden deafness.
观察低能量激光穴位及外耳道照射联合耳穴贴压治疗中重度突发性聋的疗效，并与电针治疗对比。
将258例中重度突发性聋患者随机分为观察组1、观察组2和对照组，每组86例。三组均静脉滴注10%低分子右旋糖酐500 mL。在此基础上，观察组1采用低能量激光穴位及外耳道照射（如耳门（TE 21）、听宫（SI 19）、听会（GB 2）等），并结合肝、肾、内分泌等耳穴贴压；观察组2采用与观察组1相同穴位的电针治疗。15天为1个疗程，治疗1、2个疗程后评价疗效。
治疗2个疗程后，观察组1治愈率为40.7%（35/86），观察组2治愈率为38.4%（33/86），均高于对照组的25.6%（22/86）（P均<0.05）。与治疗1个疗程后比较，两个观察组治疗2个疗程后的疗效均更好（P均<0.05），但两组间差异无统计学意义（P均>0.05）。在纯音听力计及听觉功能改善方面，两个观察组均优于对照组（P<0.05，P<0.01），且两个观察组治疗2个疗程后的改善情况均更好（P均<0.01）。
低能量激光穴位及外耳道照射联合耳穴贴压与电针治疗均可降低纯音听阈、改善听觉功能，且随着治疗时间延长疗效更佳。上述两种疗法治疗中重度突发性聋的临床疗效显著优于传统治疗。低能量激光穴位及外耳道照射联合耳穴贴压疗法可替代电针疗法治疗中重度突发性聋。
