电针配合西医综合疗法对突发性耳聋不同频率听力损害的临床观察（英文）

目的:比较电针配合西医综合疗法与单纯西药综合疗法对突发性耳聋患者不同频率听力损害的临床疗效差异。方法:将58例患者随机分为针药组28例(32只患耳)和西药组30例(34只患耳)。针药组采用电针配合西医综合疗法治疗,电针主穴选择耳门、听宫、听会、翳风等,西医疗法使用扩血管药物、促进神经功能药物、缓解内耳水肿药物和高压氧综合治疗;西药组单纯采用西医综合疗法治疗,10天为一疗程,治疗2个疗程。治疗1、2个疗程后,对患者进行疗效观察及电测听评定,并进行血常规和肝肾功能检测。结果:针药组总有效率为50.0%(16/32),西药组为55.9%(19/34),两组疗效相当(P>0.05);治疗1个疗程、2个疗程后,在250 Hz、500 Hz和1 kHz水平,两组电测听数值均较治疗前有显著恢复(均P<0.01);在2 kHz水平,针药组在治疗1疗程、2个疗程后较治疗前电测听数值有显著改善(P<0.05, P<0.01);在4 kHz水平,两组治疗前后比较差异无统计学意义(均P>0.05)。两组治疗前后血常规和肝肾功能检测无异常。结论:电针配合西医综合疗法与单纯西医综合疗法对于突发性耳聋的低频听力损害均有效,高频听力损害均无效,对中频听力损害,电针配合西医综合疗法优于单纯西医综合疗法。

Clinical observation on the different frequency hearing damages in sudden deafness treated by electroacupuncture combined with western medicine comprehensive therapy

Objective To compare the difference in the clinical efficacy on the different frequency hearing damages for the patients with sudden deafness between the comprehensive therapy of electroacupuncture and western medicine and the simple western medicine comprehensive therapy. Methods Fifty-eight cases were randomized into an acupuncture plus medication group (28 cases, 32 damaged ears) and a western medicine group (30 cases, 34 damaged ears). In the acupuncture plus medication group, the comprehensive therapy of electroacupuncture and western medicine was used. The main points were ěrmén (耳门 TE 21), Tīnggōng (听宫 SI 19), Tīnghuì (听会 GB 2), Yìfēng (翳风 TE 17), etc. The western medicine therapy was the comprehensive treatment with vasodilators, the medicines for promoting nerve function and releasing inner ear edema and hyperbaric oxygen. In the western medicine group, the western medicine comprehensive therapy was adopted. 10-day treatment made one session. Two sessions of treatment were required. In 1 or 2 sessions of treatment, the efficacy was observed, the electric audiometry was evaluated. Additionally, the blood routine and liver and kidney functions were detected. Results The total effective rate was 50.0% (16/32) in the acupuncture + medication group and was 55.9% (19/34) in the western medicine group. The efficacies were similar between the two groups (P>0.05). In 1 and 2 sessions of treatment, at 250 Hz, 500 Hz and 1 kHz, the electric audiometry values in either group were recovered significantly as compared with those before treatment (all P<0.01). At 2 kHz, in 1 and 2 sessions of treatment, the improvements of the electric audiometry values were significant as compared with those before treatment in the acupuncture plus medication group separately (P<0.05, P<0.01). At 4 kHz, the differences were not significant statistically before and after treatment in either group (all P>0.05). There were no abnormalities in the blood routine and liver and kidney function detections before and after treatment in either group. Conclusion Either the comprehensive therapy of electroacupuncture and western medicine or the simple western medicine comprehensive therapy is effective in the treatment of low frequency hearing damage of sudden deafness. Either of them has no effect on high frequency hearing damage. But for the middle frequency hearing damage, the efficacy of the comprehensive therapy of electroacupuncture and western medicine is superior to that of the simple western medicine comprehensive therapy.