Tao Ran, Zuo Xin, Bai Shan, Zhu Peng-Yu
Department of Acupuncture and Moxibustion, Second Affiliated Hospital of Heilongjiang University of CM, Harbin 150001, China.
Graduate School of Heilongjiang University of CM.
Zhongguo Zhen Jiu. 2023 Aug 12;43(8):932-6. doi: 10.13703/j.0255-2930.20230223-k0002.
To observe the clinical effect of repeated transcranial acupuncture combined with electroacupuncture on flat descending sudden deafness.
A total of 80 patients with flat descending sudden deafness were randomly divided into an acupuncture and medication group (39 cases, 1 case dropped off) and a western medication group (39 cases, 1 case dropped off). Patients in the western medication group were treated with glucocorticoid + batroxobin + ginkgo leaf preparation. On the basis of the western medication group, patients in the acupuncture and medication group were treated with acupuncture at Baihui (GV 20), Ningshen, Yunting area, Mastoid 1 point, Mastoid 2 point, Fengchi (GB 20), Gongxue, Tinghui (GB 2), etc., repeated transcranial acupuncture was applied at Baihui (GV 20), Ningshen and Yunting area; Mastoid 1 point and Mastoid 2 point, Fengchi (GB 20) and Gongxue of the affected side were connected to the electroacupuncture instrument, continuous wave, 2 Hz in frequency. The needle was retained for 30 min, once a day, and rest for 1 d after 6 d of continuous treatment. All patients were treated for 3 weeks. The average hearing threshold, tinnitus handicap inventory (THI) score, dizziness handicap inventory (DHI) score and speech discrimination test score were compared between the two groups before and after treatment, and the clinical effect was evaluated.
After treatment, the average hearing threshold, THI and DHI scores of the two groups were lower than those before treatment (<0.05), and above indexes in the acupuncture and medication group were lower than those in the western medication group (<0.05). The speech discrimination test scores of the two groups were higher than those before treatment (<0.05), and the score in the acupuncture and medication group was higher than that in the western medication group (<0.05). The total effective rate was 87.2% (34/39) in the acupuncture and medication group, which was higher than 74.4% (29/39) in the western medication group (<0.05).
Repeated transcranial acupuncture combined with electroacupuncture can improve the hearing level of patients with flat descending sudden deafness, relieve tinnitus and vertigo symptoms.
观察重复经颅针刺结合电针治疗平坦下降型突发性聋的临床疗效。
将80例平坦下降型突发性聋患者随机分为针药组（39例，脱落1例）和西药组（39例，脱落1例）。西药组采用糖皮质激素+巴曲酶+银杏叶制剂治疗。针药组在西药组治疗的基础上，针刺百会（GV20）、定神、晕听区、乳突1点、乳突2点、风池（GB20）、供血、听会（GB2）等，于百会（GV20）、定神、晕听区行重复经颅针刺；患侧乳突1点、乳突2点、风池（GB20）、供血连接电针仪，连续波，频率2Hz。留针30分钟，每日1次，连续治疗6天后休息1天。所有患者均治疗3周。比较两组治疗前后的平均听阈、耳鸣 handicap 量表（THI）评分、眩晕 handicap 量表（DHI）评分及言语识别率测试评分，并评价临床疗效。
治疗后，两组的平均听阈、THI及DHI评分均低于治疗前（P<0.05），且针药组上述指标低于西药组（P<0.05）。两组言语识别率测试评分均高于治疗前（P<0.05），且针药组评分高于西药组（P<0.05）。针药组总有效率为87.2%（34/39），高于西药组的74.4%（29/39）（P<0.05）。
重复经颅针刺结合电针可提高平坦下降型突发性聋患者的听力水平，缓解耳鸣及眩晕症状。
