针刺结合刺血疗法治疗痰火郁结型神经性耳鸣临床研究

发布时间：2018-03-27 17:33

本文选题：针刺　切入点：刺血疗法　出处：《广州中医药大学》2016年硕士论文

【摘要】：目的本研究运用针刺结合刺血疗法治疗痰火郁结型神经性耳鸣,和单纯的针刺组两组互相进行比较,来观察研究病患耳鸣状况是否症状有改善或者是痊愈,通过比较治疗组与对照组两组病患耳鸣治疗的复原状况,以及病患本人填写耳鸣严重程度评估指标表,来评价本次研究的针刺结合放血疗法的治疗效果。方法本研究纳入符合诊断标准的痰火郁结型神经性耳鸣患者60例,随机分配治疗组(针刺结合刺血疗法组)30例和对照组(单纯针刺组)30例。治疗组和对照组患者取穴位听宫,听会,完骨,中渚,太冲等穴给予针刺,留针30分钟,每隔10分钟进行捻转泻法治疗五分钟,两组患者每天针刺1次,每周针刺5天,休息两天为一个疗程,共治疗两个疗程。针刺结束后治疗组再进行刺血疗法,先用手按揉耳朵,让耳朵充血,在耳尖用2.5%碘酊消毒,再用75%酒精来消毒,再使用一次性的注射针头浅刺1-2mm,反复地轻压针口周围,让血流出1-2m1,结束后用干棉球按压出血孔止血,每一次取单侧的耳尖穴来进行刺血疗法,双耳交替进行刺血疗法。治疗组刺血疗法,每隔1天治疗1次,每周3次为1个疗程,共治疗2个疗程。疗程结束后,再用耳鸣严重程度评估表来评估评分表的分级改变,来观察患者的耳鸣状况有没有得到缓解和改善。使用SPSS20.0对病患收集的数据进行分析和统计,观察数据来判断两组的治疗方法治疗神经性耳鸣的疗效。结果本研究完成的病例共60例,治疗组(针刺结合刺血疗法组)30例,对照组(单纯针刺组)30例,治疗前在性别,年龄,病程等一般资料比较上,两组间都没有统计学上的显著差异,两组的耳鸣严重程度分级,在统计学上也没有显著的差异。即接受本治疗的患者在性别,年龄,病程与耳鸣严重分级程度上,是有可比性。疗程结束后,治疗组(针刺结合刺血疗法组)和对照组比较治疗前后的耳鸣严重分级均达统计学上显著差异(P0.05),即治疗组(针刺结合刺血疗法)与对照组(单纯针刺组)结果显示皆能显著改善临床的症状。治疗结束后的疗效评估,针刺加刺血疗法组痊愈9例(30.00%),显效7例(23.33%),有效12例(40.00%),无效2例(6.67%),总有效率93.33%；单纯针刺组痊愈2例(6.67%),显效4例(13.3%),有效18例(60.0%),无效6例(20.00%),总有效率80.00%。两组间治疗的疗效比较达统计学上显著差异(P0.05)。证明针刺结合刺血疗法组疗效显著优于单纯针刺组。结论由以上面所述,藉由耳鸣严重评估指示表,和病患的病情反馈,针刺结合刺血疗法治疗痰火郁结型神经性耳鸣的治疗组有更好的疗效,由此证明针刺结合刺血疗法值得运用在临床上治疗痰火郁结型神经性耳鸣。
[Abstract]:Objective to observe whether the symptoms of tinnitus in patients with tinnitus were improved or cured by acupuncture combined with blood acupuncture in the treatment of phlegm and fire stagnation type tinnitus. By comparing the recovery status of tinnitus treatment between the treatment group and the control group, and filling out the evaluation index table of the severity of tinnitus, Methods in this study, 60 patients with phlegm and fire stagnation type tinnitus were included in the study to evaluate the therapeutic effect of acupuncture combined with bloodletting therapy. The treatment group (acupuncture combined with blood pricking therapy group: 30 cases) and the control group (group B (30 cases)) were randomly assigned. The patients in the treatment group and control group were given acupuncture at acupoint hearing palace, hearing point, complete bone, Zhongzhu and Taicong points, and kept the acupuncture for 30 minutes. The patients in the two groups were treated with twirling and catharsis every 10 minutes for five minutes. The patients in the two groups were treated with acupuncture once a day, acupuncture for 5 days per week, rest two days as a course of treatment. After acupuncture, the treatment group was treated with blood pricking therapy, and the hands were first applied to rub the ears. Let the ears be hyperemia, sterilize with 2.5% iodine tincture at the ear tip, then sterilize with 75% alcohol, then use a disposable injection needle with a shallow puncture of 1-2mm, repeatedly gently press around the needle mouth to let the blood flow out of 1-2m1.After the end, use a dry cotton ball to press the bleeding hole to stop the bleeding. Blood pricking therapy was performed at one ear acupoint at each time, and blood pricking therapy was performed alternately on both ears. In the treatment group, blood pricking therapy was treated once every 1 day, 3 times a week as a course of treatment, and 2 courses of treatment were completed. Then we use the tinnitus severity assessment table to evaluate the grading changes in the scoring table to see if the patient's tinnitus status has been alleviated and improved. We use SPSS20.0 to analyze and statistics the data collected by the patients. Results there were 60 cases in this study, 30 cases in the treatment group (acupuncture combined with blood pricking therapy group) and 30 cases in the control group (30 cases in the simple acupuncture group, sex and age before treatment. There was no statistically significant difference between the two groups in general data such as course of disease, and there was no significant difference in the severity of tinnitus between the two groups, and there was no statistically significant difference between the two groups. The course of disease is comparable to the severity of tinnitus. After the course of treatment, The severe grade of tinnitus before and after treatment in the treatment group (acupuncture combined with blood pricking therapy group) was significantly different from that in the control group (P 0.05), that is, the treatment group (acupuncture combined with blood acupuncture therapy) and the control group (simple acupuncture group) showed significant results. Both can significantly improve clinical symptoms. In the acupuncture plus blood therapy group, 9 cases were cured, 7 cases were significantly effective, 12 cases were effective, 12 cases were effective, 2 cases were ineffective, 2 cases were effective, and the total effective rate was 93.33; in the simple acupuncture group, 2 cases were cured, 6 cases were cured, 4 cases were significantly effective, 18 cases were effective, 60.030% were effective, 6 cases were ineffective, and the total effective rate was 80.00B. the total effective rate was 80.005 in the two groups. The results showed that the effect of acupuncture combined with blood acupuncture was significantly better than that of simple acupuncture. Conclusion according to the above, the effect of acupuncture combined with blood acupuncture is better than that of simple acupuncture. With the indication of severe assessment of tinnitus and the feedback of the patient's condition, acupuncture combined with blood pricking therapy has better curative effect on phlegm-fire stagnation type neurotic tinnitus. It is proved that acupuncture combined with blood pricking therapy is worthy of clinical treatment of phlegm and fire stagnation type 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】：2016
【分类号】：R246.81

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