腹针治疗神经性耳鸣的临床研究

发布时间：2018-03-05 18:33

  本文选题：腹针　切入点：针刺　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过随机对照临床研究,比较腹针与单纯针刺治疗神经性耳鸣在治疗前后耳鸣严重程度、生活质量、耳鸣残疾量表积分方面的变化,评价腹针治疗神经性耳鸣的临床疗效,分析腹针在治疗神经性耳鸣方面的安全性、可行性、可重复性和应用价值。方法:本研究纳入66例符合神经性耳鸣中西医诊断标准的患者,以简单随机分组法分为治疗组与对照组,每组33例。每组患者均每周治疗3次,隔日治疗一次,4周为一个疗程。采用THI量表、耳鸣严重程度量表、SF-36生活质量量表分别于治疗前、治疗第4周结束、治疗第8周结束进行评分观察疗效,建立数据库进行统计分析,得出结论。结果:1.两组治疗后,治疗组总有效率93.33%,对照组总有效率83.33%,可以认为治疗组治疗神经性耳鸣的疗效优于对照组(P0.05)。2.两组治疗后THI量表评分均较治疗前降低(P0.01),表明两组均能缓解耳鸣,两组治疗后比较,说明治疗组较对照组在改善耳鸣残疾方面有较好的优势(P0.05)。3.两组治疗后耳鸣严重程度量表评分均降低(P0.01),表明两组均能降低耳鸣程度,两组治疗后比较,治疗组较对照组在降低耳鸣程度方面有较好的优势(P0.05)。4.两组治疗后SF-36量表评分均有所上升(P0.01),证明两组均能改善生活质量,两组治疗后比较,可以认为治疗组改善耳鸣患者生活质量效果较对照组明显(P0.05)。5.两组THI耳鸣残疾量表功能性F评分、情感性E评分、严重性C评分均数治疗前后对比,可以认为两组均能改善耳鸣患者功能性、情绪性和自我严重性认知障碍(P0.01)。两组治疗后功能性F评分对比,治疗组在改善神经性耳鸣功能性障碍方面优于对照组(P0.05)。两组治疗后情感性E评分对比,治疗组能更好地控制患者的情绪障碍(P0.05)。两组治疗后严重性C评分对比,两组在改善患者对耳鸣的自我认知方面无显著差异,疗效相当(P0.05)。结论:腹针和单纯针刺治疗神经性耳鸣均有临床疗效,腹针疗法在改善患者耳鸣残疾程度,降低严重程度,提高生活质量方面均比单纯针刺占优势,但两组在THI量表严重性C因子方面改善相当,无明显差异。通过随访,发现腹针的疗效要比单纯针刺更优。本研究说明了腹针作为治疗神经性耳鸣的方式是可推广的、安全的、有效的。
[Abstract]:Objective: to compare the severity of tinnitus, quality of life and integral score of tinnitus disability scale between abdominal acupuncture and simple acupuncture in the treatment of tinnitus before and after treatment. To evaluate the clinical efficacy of abdominal acupuncture in the treatment of neurotic tinnitus, and to analyze the safety and feasibility of abdominal acupuncture in the treatment of neurotic tinnitus. Methods: 66 patients who met the diagnostic criteria of traditional Chinese and western medicine for tinnitus were randomly divided into treatment group (n = 33) and control group (n = 33). THI scale, tinnitus severity scale and SF-36 quality of life scale were used before treatment, at the end of the 4th week, and at the end of the 8th week. Establish a database for statistical analysis, draw a conclusion. Results: 1. After two groups of treatment, The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 83.33. It can be considered that the curative effect of the treatment group on neurotic tinnitus was better than that of the control group (P 0.05) .2.After treatment, the score of THI scale in both groups was lower than that before treatment, indicating that both groups could relieve tinnitus, and compare the two groups after treatment. The results showed that the treatment group had a better advantage than the control group in improving tinnitus disability. The scores of the tinnitus severity scale decreased in both groups after treatment, indicating that both groups could reduce the tinnitus degree, and the comparison between the two groups after treatment, Compared with the control group, the treatment group had a better advantage in reducing tinnitus. 4. The scores of SF-36 scale increased after treatment in both groups, which proved that both groups could improve the quality of life, compared with the two groups after treatment. It can be concluded that the effect of improving the quality of life of tinnitus patients in the treatment group was significantly higher than that in the control group (P0.05.5.The functional F score, affective E score and severity C score of the THI tinnitus disability scale before and after treatment were compared between the two groups before and after treatment. It can be concluded that both groups can improve the functional, emotional and self-severity cognitive impairment of tinnitus patients (P 0.01). The scores of affective E in the treatment group were better than those in the control group in improving the functional disorder of neurotic tinnitus, and the scores of affective E in the treatment group were better controlled than those in the control group. There was no significant difference between the two groups in improving the self-cognition of tinnitus, and the curative effect was similar to that of P0.05.Conclusion: both abdominal acupuncture and simple acupuncture are effective in treating neurotic tinnitus. Abdominal acupuncture can improve the degree of tinnitus disability and reduce the severity of tinnitus. The improvement of quality of life was superior to that of acupuncture alone, but there was no significant difference between the two groups in terms of severity factor C of THI scale. It was found that abdominal acupuncture is more effective than simple acupuncture. This study shows that abdominal acupuncture is a popularized, safe and effective method for the treatment of neurotic tinnitus.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.81
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本文编号：1571431