清心安神方联合TSC声治疗技术治疗原发性耳鸣的临床疗效观察

发布时间：2019-05-31 20:33

【摘要】：目的：探讨中药复方清心安神方联合TSC声治疗技术对心火上炎型原发性耳鸣的临床疗效。明确中药复方与声治疗技术联合治疗心火上炎型耳鸣的理论基础,为耳鸣治疗提供新思路、新方法。方法：选择2015年7月-2016年3月在江苏省中医院耳鼻喉科门诊就诊的原发性耳鸣患者共计39例。根据临床试验方案要求,将这39例患者分为三组。中药组采用中药清心安神方,声治疗组采用TSC声治疗技术,中药+声治疗组采用清心安神方联合TSC声治疗技术,每组各13例患者。所有患者均于治疗前以及治疗14天后,两个时间点分别进行纯音听阈测定、声导抗检查、耳鸣音调及响度匹配、AMA-PTA检查、耳鸣致残量表(THI)、耳鸣严重程度量表填写,对治疗前后的各项指标进行比较,从而对三种治疗方案的疗效进行评价。结果：中药组13例,显效2例,有效9例,无效2例,有效率84.62%；声治疗组13例,显效1例,有效10例,无效2例,有效率84.62%；中药+声治疗组13例,显效10例,有效3例,无效0例,有效率100%。结论：通过对比中药复方、TSC声治疗技术以及中药联合TSC声治疗技术三种治疗模式发现,三者对耳鸣的治疗都有一定的疗效,但以中药联合TSC声治疗技术疗效最佳。
[Abstract]:Objective: to investigate the clinical effect of Qingxin Anshen recipe combined with TSC acoustic therapy on primary tinnitus with inflammation of heart fire. To clarify the theoretical basis of the combination of traditional Chinese medicine and acoustic therapy in the treatment of inflammatory tinnitus on cardiac fire, and to provide a new idea and method for the treatment of tinnitus. Methods: a total of 39 patients with primary tinnitus were selected from July 2015 to March 2016 in the Department of Otolaryngology, Jiangsu Provincial Hospital of traditional Chinese Medicine. According to the requirements of clinical trial scheme, the 39 patients were divided into three groups. The traditional Chinese medicine group was treated with Qingxin Anshen recipe, the acoustic treatment group was treated with TSC sound therapy, and the traditional Chinese medicine acoustic treatment group was treated with Qingxin Anshen recipe combined with TSC acoustic therapy, with 13 patients in each group. All patients were examined by pure tone hearing threshold, acoustic immittance test, tinnitus tone and loudness matching, AMA-PTA examination and tinnitus disability scale (THI), tinnitus severity scale at two time points before treatment and 14 days after treatment. The indexes before and after treatment were compared to evaluate the curative effect of the three treatment schemes. Results: in the traditional Chinese medicine group, 13 cases were markedly effective, 2 cases were effective, 9 cases were effective, 2 cases were ineffective, the effective rate was 84.62%, 13 cases in acoustic treatment group were markedly effective, 10 cases were effective, 2 cases were ineffective, the effective rate was 84.62%. In the acoustic treatment group, there were 13 cases, 10 cases were markedly effective, 3 cases were effective, 0 cases were ineffective, the effective rate was 100%. Conclusion: by comparing the three treatment modes of traditional Chinese medicine compound, TSC acoustic therapy and traditional Chinese medicine combined with TSC acoustic therapy, it is found that the three methods have certain curative effect on tinnitus, but the traditional Chinese medicine combined with TSC acoustic therapy is the best.
【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R276.1

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