电针治疗突发性耳聋疗效对照观察

目的:观察电针对突发性耳聋的治疗作用,并与西药进行对比.方法:将60例患者随机分为电针组和药物组,各30例.电针组采用电针治疗,穴取听会、翳风、合谷、侠溪、中渚等.药物组给予6%低分子右旋糖苷、ATP、辅酶A静脉点注,口服尼莫地平片、金施尔康.观察治疗前后全血黏度、血浆黏度、红细胞压积、纤维蛋白原的变化及疗效.结果:电针组总有效率86.7%,优于药物组的60.0%,差异有统计学意义(P＜0.05).电针组全血黏度、血浆黏度、红细胞压积、纤维蛋白原与治疗前比较差异有统计学意义(均P＜0.05),全血黏度、血浆黏度以及纤维蛋白原与药物组比较,差异有统计学意义(均P＜0.05);药物组全血黏度、血浆黏度、红细胞压积、纤维蛋白原治疗前后比较,差异无统计学意义(均P＞0.05).结论:电针治疗突发性耳聋疗效显著,优于药物治疗,其机制可能与电针对血液流变学指标的调节作用有关.

Observation on therapeutic effect of electroacupuncture for treatment of sudden hearing loss

Objective To observe the therapeutic effect of electroacupuncture for treatment of sudden hearing loss and to compare with western medicine therapy. Methods Sixty cases were randomly divided into an electroacupuncture group and a medication group, 30 cases in each group. The electroacupuncture group was treated with electroacupuncture at Tinghui (GB 2) , Yifeng (TE 17) , Hegu (LI 4) , Xiaxi (GB 43) , Zhongzhu (TE 3) , etc. and the medication group with intravenous dripping of 6% low molecule dextran 500 mL with ATP and coenzyme A, and oral administration of Nimodipine, Gold Theragan. Whole blood specific viscosity, plasma specific viscosity, hematocrit and fibrinogen before and after treatment and their therapeutic effects were observed. Results The total effective rate was 86. 7% in the electroacupuncture group and 60. 0% in the medication group with a significant difference between the two groups (P<0. 05), the former being better than the latter; there were significant differences in whole blood specific viscosity, plasma specific viscosi-ty, hematocrit and fibrinogen before and after treatment in the electroacupuncture group (P<0. 05) , and with no significant difference in the medication group (P>0. 05) before and after treatment, and with a significant difference in whole blood specific viscosity, plasma specific viscosity and fibrinogen between the two groups (P<0. 05). Conclusion Electroacupuncture has a significant therapeutic effect on sudden hearing loss, which is better than that of the medication, and the mechanism is possibly related with regulative action on indexes of blood rheology.