中渚穴循经感传治疗肝火上扰型神经性耳鸣的临床研究
发布时间:2018-05-08 10:51
本文选题:电揑针 + 循经感传 ; 参考:《黑龙江省中医药科学院》2017年硕士论文
【摘要】:目的:本研究旨在探索电揑针刺激中渚穴激发循经感传结合常规针刺治疗肝火上扰型神经性耳鸣的临床疗效,以提高临床上神经性耳鸣的疗效。方法:按照随机的原则,将64例患者分为两组,治疗组和对照组各32例。治疗组取患侧耳门穴、听会穴、中诸穴、听宫穴、翳风穴、侠溪穴,并于中渚穴行电揑针循经感传针法,其他腧穴行常规针刺;对照组取穴同治疗组,均行常规针刺。每日针刺30min,每周连续针刺6次,共针刺4周。针刺期间因不同原因治疗组和对照组各脱落2例,实际观察了60例病患。观察并记录两组接受治疗前、后的耳鸣严重程度评分、耳鸣致残量表评分、汉密尔顿抑郁量表评分、皮肤微循环血流灌注量及治疗组三级循经感传疗效比较。结果:1.治疗组的总有效率为90.00%,对照组的总有效率为76.67%,两组对比差异具有显著性(P0.05)。2.两组耳鸣患者治疗后耳鸣严重程度评分、耳鸣致残量表评分、汉密尔顿抑郁量表评分较治疗前均下降,与治疗前相比具有差异性(P0.05),且治疗组对耳鸣严重程度分级、耳鸣致残量表、汉密尔顿抑郁量表评分的改善程度明显优于对照组,两组疗效的组间比较具有差异性(P0.05)。3.治疗组激发循经感传后各观测点皮肤微循环血流灌注量与相对应的对照点对比,具有显著差异(P0.05);治疗组各观测点与对照组相应的观测点比较,具有显著差异(P0.05);对照组除外关穴与其对照点比较具有显著差异(P0.05),其它观测点均无明显明变化(P0.05)。4.治疗组根据感传程度分为Ⅰ、Ⅱ、Ⅲ级,其中Ⅰ级有效率20.00%;Ⅱ级有效率36.67%;Ⅲ级有效率33.33%;经统计分析Ⅱ、Ⅲ级感传与Ⅰ级感传的有效率比较有显著性差异(P0.01),而Ⅱ、Ⅲ级无差别(P0.05)。结论:1.电揑针循经感传结合常规针刺组与常规针刺组治疗肝火上扰型神经性耳鸣均有较好的疗效,但电揑针循经感传结合常规针刺组的疗效优于常规针刺组,说明电揑针循经感传能提高临床疗效。2.电揑针循经感传能有效改善耳鸣患者的耳鸣严重程度,使THI量表评分降低,改善患者的抑郁状况。3.电揑针中渚穴循经感传程度越明显,对肝火上扰型神经性耳鸣的治疗疗效越好。4.循经感传伴随着穴位皮肤微循环血流灌注量的升高,且血流升高具备循经性。
[Abstract]:Objective: to explore the clinical effect of electroacupuncture on nerve tinnitus induced by Zhonzhu acupoint in combination with routine acupuncture to improve the clinical efficacy of neurotic tinnitus. Methods: according to the random principle, 64 patients were divided into two groups: treatment group and control group. In the treatment group, the eimen points, the hearing points, the Zhongzhu points, the hearing temple points, the Yifeng points and the Xiaxi points were taken, and the electroacupuncture along the meridian and the other acupoints were used in the Zhongzhu point, and the other acupoints were treated with the conventional acupuncture in the control group. Acupuncture for 30 mins, 6 times a week for 4 weeks. During acupuncture period, 2 cases of treatment group and 2 cases of control group were dropped out for different reasons, and 60 cases were observed. To observe and record the scores of tinnitus severity, tinnitus disability scale, Hamilton depression scale, skin microcirculation blood flow perfusion and the curative effect of the treatment group before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 90.00g and that of the control group was 76.67.The difference between the two groups was significant (P 0.05). After treatment, the scores of tinnitus severity, tinnitus disability scale and Hamilton depression scale in both groups were lower than those before treatment, and there were significant differences between the two groups (P 0.05), and the severity of tinnitus was graded in the treatment group. The improvement of tinnitus disability scale and Hamilton depression scale was better than that of the control group. There was a significant difference between the blood perfusion volume of skin microcirculation and the corresponding control points in the treatment group after stimulating the meridian sensory transmission, and the comparison between the observation points of the treatment group and the corresponding observation points of the control group was significant (P 0.05). There was significant difference between the control group and the control group (P 0.05), while there was no obvious change in the other observation points. According to the degree of sensory transmission, the treatment group was divided into 鈪,
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