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穴位埋线结合耳部近部腧穴电针治疗神经性耳鸣的近期与远期疗效分析

[Short-term and long-term efficacy analysis of acupoint catgut embedding at cervical Jiaji (EX-B 2) points combined with electroacupuncture at acupoints near ears for nervous tinnitus].

作者信息

Zhou Xin, Ruan Jingwen, Li Ziping, Xing Bingfeng

出版信息

Zhongguo Zhen Jiu. 2015 Jan;35(1):32-5.

Abstract

OBJECTIVE

To observe the efficacy differences between acupoint catgut embedding at cervical Jiaji (EX-B 2) points combined with electroacupuncture (EA) at acupoints near ear and simple EA for the treatment of nervous tinnitus.

METHODS

Sixty-three patients were randomly divided into an observation group (31 cases) and a control group (32 cases). The observation group was treated with acupoint catgut embedding at C4-C7 Jiaji (EXB 2) points on the affected side combined with EA at acupoints near ears, including Ermen (TE 21). Tinggong (SI 19), Tinghui (GB 2), etc.; the control group was treated with EA at regular acupoints near ears alone. The EA treatment was given five times per week, and the acupoint catgut embedding was given once every two weeks. All the treatment was given for 6 weeks. The Tinnitus severity score (TSS)was applied to assess the severity of tinnitus before the treatment, 2 weeks, 4 weeks and 6 weeks into treatment and one month after treat ment. Also the efficacy of two groups was compared.

RESULTS

After the treatment, the severity of tinnitus was both improved in two groups at each time point (all P<0.05). which was more significant in the observation group (P<0.05, P<0.01). The cured and markedly effective rate was 77.4% (24/31) in the observation group, which was superior to 50.0% (16/32) in the control group (P<0.05).

CONCLUSION

The short-term and long-term efficacy of acupoint catgut embedding at cervical Jiaji (EX-B 2) points combined with electroacupuncture are both superior to those of simple electroacupuncture for treatment of nervous tinnitus.

摘要

目的

观察颈夹脊穴(EX - B 2)穴位埋线联合耳部附近穴位电针与单纯电针治疗神经性耳鸣的疗效差异。

方法

将63例患者随机分为观察组(31例)和对照组(32例)。观察组采用患侧C4 - C7夹脊穴(EXB 2)穴位埋线联合耳部附近穴位电针治疗,耳部附近穴位包括耳门(TE 21)、听宫(SI 19)、听会(GB 2)等;对照组仅采用耳部附近常规穴位电针治疗。电针治疗每周5次,穴位埋线每两周1次。所有治疗均持续6周。采用耳鸣严重程度评分(TSS)在治疗前、治疗2周、4周、6周及治疗后1个月评估耳鸣严重程度,并比较两组疗效。

结果

治疗后,两组在各时间点耳鸣严重程度均有所改善(均P<0.05),观察组改善更显著(P<0.05,P<0.01)。观察组痊愈及显效率为77.4%(24/31),优于对照组的50.0%(16/32)(P<0.05)。

结论

颈夹脊穴(EX - B 2)穴位埋线联合电针治疗神经性耳鸣的短期和长期疗效均优于单纯电针治疗。

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