五音疗法联合归脾汤治疗心神不宁型耳鸣临床疗效研究

发布时间：2018-10-19 16:00

【摘要】：目的:观察五音疗法联合归脾汤治疗心神不宁型耳鸣的临床疗效。方法:将78例心神不宁型耳鸣患者,随机分为治疗组与对照组,每组39例。对照组予归脾汤口服;治疗组在对照组基础上加用五音疗法,疗程3个月。疗程结束后观察两组耳鸣残疾量表(THI)、焦虑自评量表(SAS)、睡眠状态自评表(SRSS)评分变化,根据耳鸣响度分级进行疗效判定。结果:治疗后两组患者THI总分、情绪性评分及功能性评分均较治疗前明显改善(P0.05);治疗后组间比较,治疗组优于对照组(P0.05)。治疗后两组患者SAS、SRSS评分均较治疗前明显改善(P0.05);治疗后组间比较,治疗组优于对照组(P0.05)。两组治疗1月、3月后疗效比较,治疗组均优于对照组(P0.05)。结论:五音疗法配合归脾汤可有效改善心神不宁型原发性耳鸣患者临床症状,远期疗效良好。
[Abstract]:Objective: to observe the clinical effect of five-tone therapy combined with Guipi decoction in the treatment of restless tinnitus. Methods: 78 patients with restless tinnitus were randomly divided into treatment group (n = 39) and control group (n = 39). The control group was given Guipi decoction orally, and the treatment group was treated with five-tone therapy on the basis of the control group for 3 months. After the course of treatment, the changes of (SRSS) score of (SAS), sleep state of (THI), anxiety self-rating scale were observed, and the curative effect was evaluated according to tinnitus loudness grade. Results: after treatment, the total score of THI, emotional score and functional score of the two groups were significantly improved compared with those before treatment (P0.05); after treatment, the treatment group was better than the control group (P0.05). After treatment, the SAS,SRSS scores of the two groups were significantly improved compared with those before treatment (P0.05); after treatment, the treatment group was better than the control group (P0.05). The treatment group was better than the control group (P 0.05). Conclusion: five-tone therapy combined with Guipi decoction can effectively improve the clinical symptoms of patients with primary tinnitus.
【作者单位】：辽宁中医药大学;辽宁中医药大学附属医院;
【基金】：国家中医药管理局中医标准化项目[SATCM-2015-BZ(203)] 沈阳市科技局项目(17-230-9-94)
【分类号】：R276.1

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