不同疗法治疗突发性耳聋疗效观察

目的:在多种针灸治疗方法中寻找治疗突发性感音神经性耳聋的最佳疗法.方法:将187例患者随机分为针刺组(A组)、电针组(B组)、针刺加穴位注射组(C组)、电针加穴位注射组(D组),穴取患侧耳门、听宫、听会、翳风、风池,头部上星、百会、四神聪,体穴合谷、外关等.每日治疗1次,经治疗40次后再次进行听力测试,并对比疗效差异.结果:各组总有效率分别为A组47.6%、B组79.2%、C组76.0%、D组94.0%,D组疗效最好,A组疗效最差,D组与其他各组比较差异均有统计学意义(均P<0.05).在D组中,发病在2周之内的患者针刺疗效优于2周以上的患者(P<0.05);轻中度患者针刺疗效优于重度患者(P<0.05);年龄在50岁以下的患者针刺疗效优于50岁以上的患者(P<0.05).结论:电针加穴位注射是治疗急性突发性感音神经性耳聋的最佳疗法,同时观察到针灸的及时干预、病情的轻重程度、患者年龄都关系到本病的预后.

Obaservation on therapeutic effects of different treatments for sudden deafness

Objective To search for the best acupuncture treatment for sudden sensorineural deafness. Methods One hundred and eighty-seven patients were randomly divided into an acupuncture group (group A), an electroacu-puncture group (group B) , an acupuncture plus acupoint injection group (group C) , an electroacupuncture plus acu-point injection group (group D). Ermen (TE 21), Tinggong (SI 19),Tinghui (GB 2), Yifeng (TE 17), Fengchi (GB 20) on the affected side, and Shangxing (GV 23), Baihui (GV 20), Sishencong (EX-HN 1), Hegu (LI 4), Waiguan (TE 5), etc. were selected. The treatment was given once each day. Hearing was tested after treatment for 40 sessions and the therapeutic effects were compared. Results The total effective rate was 47.6% in the group A,79.2% in the group B, 76.0% in the group C and 94.0% in the group D, the group D being the best and the group A being the worst, and with significant differences between the group D and the other groups (all P<0.05). In the group D, the therapeutic effect for patients who received the treatment within 2 weeks after attack were superior to those who received the treatment over 2 weeks after attack (P<0.05) ; the acupuncture therapeutic effect for the mild and moderate patients was superior to that of severe patients (P<0.05) ; the acupuncture therapeutic effect for the patients less than 50 years old was superior to those more than 50 years old (P<0.05). Conclusion Electroacupuncture plus acupoint injection is the best therapy for sudden sensorineural deafness, and the timely intervention of acupuncture, the severity degree of the illness and the patient's age are all related to the prognosis of this disease.