Suppr超能文献

慢性主观性耳鸣患者的针灸治疗:一项前瞻性随机研究。

Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study.

作者信息

Kuzucu Ihsan, Karaca Onur

机构信息

Department of Otorhinolaryngology, Aksaray University, Aksaray, Turkey.

Ankara Numune Training and Research Hospital, Ankara, Turkey.

出版信息

Med Acupunct. 2020 Feb 1;32(1):24-28. doi: 10.1089/acu.2019.1367. Epub 2020 Feb 3.

Abstract

This study investigated the effect, onset, duration of action, and short-term outcomes of acupuncture therapy for treating patients with severe chronic subjective tinnitus. This randomized controlled trial evaluated patients with chronic, idiopathic, and severe tinnitus. A total of 105 participants were divided into 2 groups using a randomization method: a study group who received verum acupuncture therapy ( = 53) and a sham acupuncture group ( = 52). Ten acupuncture sessions were given over 5 weeks. After treatment, each participant was monitored for up to 3 months according to changes on a visual analogue Scale (VAS), and Tinnitus Handicap Inventory (THI), and Pure-Tone Audiometry and Speech Discrimination (Interacoustics AC-40, Denmark) scores. The VAS and THI scores were evaluated. A statistically significant difference was noted between the sham and verum acupuncture groups at post-treatment follow-up ( < 0.001). Decreases in the THI and VAS scores became significant in the second week of treatment ( < 0.001 and  < 0.001, respectively), but these scores increased again in the third month post-treatment ( < 0.001 and  < 0.001, respectively). Acupuncture is an effective treatment for patients with severe chronic subjective tinnitus. Patient complaints, decreased beginning at the second treatment week; however, in the third post-treatment month, the complaints reappeared. Maintenance acupuncture therapy is necessary for patients with tinnitus; this approach should be investigated in future studies.

摘要

本研究调查了针刺疗法对重度慢性主观性耳鸣患者的疗效、起效时间、作用持续时间及短期预后。这项随机对照试验评估了慢性、特发性重度耳鸣患者。共105名参与者采用随机化方法分为两组:接受真针刺疗法的研究组(n = 53)和假针刺组(n = 52)。在5周内进行10次针刺治疗。治疗后,根据视觉模拟量表(VAS)、耳鸣障碍量表(THI)、纯音听力测定和言语辨别(丹麦Interacoustics AC - 40)得分的变化,对每位参与者进行长达3个月的监测。评估VAS和THI得分。在治疗后随访时,假针刺组和真针刺组之间存在统计学显著差异(P < 0.001)。治疗第二周THI和VAS得分开始显著下降(分别为P < 0.001和P < 0.001),但在治疗后第三个月这些得分再次升高(分别为P < 0.001和P < 0.001)。针刺是治疗重度慢性主观性耳鸣患者的有效方法。患者的症状在治疗第二周开始减轻;然而,在治疗后第三个月,症状再次出现。耳鸣患者需要维持性针刺治疗;这种方法应在未来研究中进行探讨。

相似文献

引用本文的文献

本文引用的文献

7
The efficacy of individual treatment of subjective tinnitus with cognitive behavioural therapy.认知行为疗法对主观性耳鸣个体治疗的疗效。
Acta Otorrinolaringol Esp. 2016 Jul-Aug;67(4):187-92. doi: 10.1016/j.otorri.2015.05.003. Epub 2015 Nov 27.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验