Chen Surong, Tan Xuming, Fei Lanbo, Xiang Xiande
Hubei University of CM, Wuhan 430061, China.
Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of TCM, Wuhan 430061.
Zhongguo Zhen Jiu. 2018 Apr 12;38(4):369-73. doi: 10.13703/j.0255-2930.2018.04.007.
To observe the differences in the clinical therapeutic effects on idiopathic tinnitus between the combined therapy with acupuncture and the modified formula of and and the simple administration of the modified formula of and .
A total of 60 patients were randomized into a combined treatment group and an herbal medicine group, 30 cases in each one and 2 cases dropped out in the herbal medicine group. In the combined treatment group, acupuncture was given at the local acupoints for tinnitus, such as Yifeng (TE 17), penetrating needling technique from Ermen (TE 21) to Tinggong (SI 19) and Tinghui (GB 2) combined with the scalp acupuncture [the vertigo-auditory area, Baihui (GV 20)] and the oral administration of the modified formula of and . In the herbal medicine group, the oral administration of the modified formula of and was only applied. The treatment was given once a day in each group, 5 times a week for acupuncture and 7 times a week for the oral administration of herbal medicine. Totally, the treatment for 6 weeks was required in the two groups. Before and after treatment, the tinnitus severity score (TSS) and the score of tinnitus handicap inventory (THI) were observed and the clinical therapeutic effects were compared between the two groups.
After treatment, the TSS and THI scores reduced as compared with those before treatment in the two groups (all <0.05). The scores in the combined treatment group were lower than those in the herbal medicine group (both <0.05). The total effective rate in the combined treatment group was 93.3% (28/30), better than 67.9% (19/28) in the herbal medicine group (<0.05).
The combined treatment with scalp acupuncture, acupuncture around the ear and the modified formula of and achieve the superior therapeutic effects on idiopathic tinnitus as compared with the simple oral administration of the modified formula of and .
观察针刺联合 与 改良方与单纯给予 与 改良方治疗特发性耳鸣的临床疗效差异。
将60例患者随机分为联合治疗组和中药组,每组30例,中药组有2例脱落。联合治疗组采用针刺耳鸣局部穴位,如翳风(TE 17)、从耳门(TE 21)透刺至听宫(SI 19)和听会(GB 2),结合头皮针[眩晕 - 听觉区、百会(GV 20)],并口服 与 改良方。中药组仅口服 与 改良方。每组每天治疗1次,针刺每周5次,口服中药每周7次。两组均需治疗6周。观察治疗前后耳鸣严重程度评分(TSS)和耳鸣障碍量表(THI)评分,并比较两组的临床疗效。
治疗后,两组的TSS和THI评分均较治疗前降低(均P<0.05)。联合治疗组的评分低于中药组(均P<0.05)。联合治疗组的总有效率为93.3%(28/30),优于中药组的67.9%(19/28)(P<0.05)。
与单纯口服 与 改良方相比,头皮针、耳部周围针刺联合 与 改良方治疗特发性耳鸣疗效更佳。