Luo Cheng-Lin, He Tian-You, Qin Xiao-Guang, Chen Qiang, Tian Xiao-Gang, Hou Chun-Ying
Department of Acupuncture-Moxibustion and Massage, Gansu College of TCM, Lanzhou 730000, China.
Zhongguo Zhen Jiu. 2012 Nov;32(11):981-3.
To explore the effective therapeutic method in the treatment of idiopathic sudden hearing loss (ISHL).
One hundred and eighty-eight cases of ISHL were randomized into a warming-promoting needling group (74 cases), a conventional acupuncture group (56 cases) and a medication group (58 cases). In the conventional acupuncture group, the conventional needling technique was applied to Baihui (GV 20), Fengchi (GB 20), Yifeng (TE 17), Tinggong (SI 19), Touqiaoyin (GB 11) and Zhigou (TE 6) on the affected side. The treatment was given 5 times each week. Totally, the treatment of 6 weeks was required. In the warming-promoting needling group, on the basic treatment as the conventional acupuncture group, the warming-promoting needling technique was applied to Fengchi (GB 20). In the medication group, the intravenous drop with salvia injectio and mecobalamin was prescribed, once per day, for 10 days totally. Meanwhile, Erlong Zuoci Wan was prescribed for oral administration, 8 pills each time, three times a day for 30 days continuously.
All of the three therapeutic methods achieved the effect on ISHL. The total effective rate was 89.2% (66/74) in the warming-promoting needling group, which was better than 62.5% (35/56) in the conventional acupuncture group and 53.4% (31/58) in the medication group (both P<0.01).
The warming-promoting needling techinque achieves the significant efficacy on ISHL. The hearing improvement is superior to that treated with either the conventional needling technique or medication.
探讨特发性突发性感音神经性听力损失(ISHL)的有效治疗方法。
将188例ISHL患者随机分为温针组(74例)、传统针刺组(56例)和药物组(58例)。传统针刺组采用传统针刺手法针刺患侧百会(GV 20)、风池(GB 20)、翳风(TE 17)、听宫(SI 19)、头窍阴(GB 11)和支沟(TE 6)。每周治疗5次,共需治疗6周。温针组在传统针刺组基础治疗的基础上,对风池(GB 20)采用温针技术。药物组采用丹参注射液和甲钴胺静脉滴注,每天1次,共10天。同时,口服耳聋左慈丸,每次8丸,每日3次,连续服用30天。
三种治疗方法对ISHL均有疗效。温针组总有效率为89.2%(66/74),优于传统针刺组的62.5%(35/56)和药物组的53.4%(31/58)(P均<0.01)。
温针技术治疗ISHL疗效显著,听力改善情况优于传统针刺技术或药物治疗。