电针配合高压氧治疗神经性耳鸣疗效观察*
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作者单位:

1.湖北省十堰市太和医院,湖北医药学院附属医院,湖北 十堰 442000;
2.湖北中医药大学,湖北 武汉 430000

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R246.81

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*基金项目:湖北省教育科学“十二五”规划课题(2014B095)
收稿日期:2015-09-14
作者简介:宋海云(1971-)女,湖北十堰人,副主任护师,主要从事针灸康复临床研究和教学工作。
△通信作者:望庐山,E-mail:21500466@qq.com


Effect Observations of Electroacupuncture Combined Hyperbaric OxygenChamber Therapy for Tinnitus Patients
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Affiliation:

1.Shiyan Taihe Hospital Affiliated of HubeiMedicalCollege, Shiyan 442000, China;
2.Hubei University of Chinese Medicine, Wuhan 430000, China

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    摘要:

    目的〓观察电针配合高压氧治疗神经性耳鸣的临床疗效。方法〓将90例神经性耳鸣患者按数字表法分为2组,治疗组45例(71耳)和对照组45例(66耳)。对照组主穴取听宫、听会、翳风、风池,配合辨证取穴进行单纯针刺治疗(不使用电针治疗仪),治疗组在对照组基础上取听宫、听会和翳风穴连接电针治疗仪及给予高压氧进行治疗,2组在治疗3个疗程后由专人采用SPSS17.0统计软件进行疗效评定。结果〓治疗组71耳中,显效50耳,有效14耳,无效7耳,总有效率为 90.1%;对照组66耳中,显效23耳,有效28耳,无效15 耳,总有效率为 77.3%. 治疗组总有效率明显优于对照组,2组比较差异具有统计学意义(P<0.05);2组治疗后从对耳鸣发生环境、对睡眠的影响、持续时间、对生活和工作的影响、对情绪的影响、患者主观感觉等6项进行耳鸣严重程度积分比较,治疗组明显优于对照组,差异有统计学意义(P<0.05)。结论〓电针配合高压氧治疗神经性耳鸣疗效显著,无不良反应,疗效明显优于单纯针刺治疗,值得临床推广应用。

    Abstract:

    Objective Clinical effect observations of electroacupuncture combined hyperbaric oxygen chamber therapy for Tinnitus patients. Methods Divide 90 Tinnitus patients into two 45-patient groups according to random number table—the treatment group(71 Ears)and the contrast group(66 Ears). Offer the contrast group with pure acupuncture therapy at main points:Tinggong(SI19), Tinghui(GB2), Yifeng(SJ17), Fengchi(GB20)and points of syndrome differentiation(no AE therapy). Offer treatment group with the same therapy but also AE therapy at Tinggong(SI19), Tinghui(GB2), Yifeng(SJ17) and hyperbaric oxygen chamber treatment. Give efficacy evaluation for two groups after 3 phases with statistics software SPSS 17. 0 by specialist. Results The total effective rate of treatment group(71 ears) is 90. 1% — the number of ears in 3 efficacy levels are 50(markedly), 14(effective), 7(invalid). The total effective rate of contrast group is 77. 3%—the number of ears in 3 efficacy levels are 23(markedly), 28(effective), 15(invalid). The total effective rate of treatment group is significantly better than this index of contrast group;there is statistically significant difference in two groups(P<0.05). And the effective of treatment group is significantly better than contrast group in Tinnitus levels according to 6-part evaluation:Tinnitus occurring condition, impact of sleep, lasting time, impact on daily time(the lives and work), effects on mood, patients’ subjective feeling, there is statistically significant difference in two groups(P<0.05). Conclusion The electroacupuncture combined hyperbaric oxygen chamber therapy for Tinnitus patients that has significant effect is worthy of clinical application—no adverse reactions, superior effect than pure acupuncture therapy.

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