透刺加程氏“蜻蜒点水术”针刺治疗神经性耳鸣

透刺加程氏“蜻蜒点水术”针刺治疗神经性耳鸣

迟慧，奚向东*

(南京中医药大学附属常州市中医医院，江苏 常州 213003)

摘要：目的观察透刺加程氏“蜻蜓点水术”针刺治疗神经性耳鸣的疗效，评价针刺治疗神经性耳鸣的临床价值。方法将60例神经性耳鸣患者随机分成2组,每组30例，治疗组采用透刺加程氏“蜻蜓点水术”针刺治疗，穴取耳门(听宫、听会)、曲鬓(角孙)、完骨(翳风)、中渚(液门)、侠溪(地五会)等，留针30 min，针刺隔日1次，疗程为4周；对照组采用口服甲钴胺片、银杏叶片及盐酸氟桂利嗪胶囊进行治疗，每日按要求服药，疗程为4周。治疗后对2组治疗结果进行临床疗效评定，并对相关数据进行统计学分析。结果透刺加程氏“蜻蜓点水术”针刺治疗神经性耳鸣与口服西药治疗神经性耳鸣2组疗效进行统计学分析，治疗组总有效率为86.7%，对照组总有效率为76.7%，且治疗组愈显率、总有效率均明显高于对照组，差异具有统计学意义(P<0.05)。结论透刺加程氏“蜻蜓点水术”通过促进局部血液循环，恢复耳部神经功能，有效减轻了耳鸣患者的症状，是治疗神经性耳鸣的一种安全、经济、有效的方法，值得临床推广。

关键词：神经性耳鸣；蜻蜓点水术；针刺；耳鸣程度；临床观察

DOI:10.13463/j.cnki.jlzyy.2015.10.031

中图分类号：R246.81文献标志码： A

文章编号：1003-5699(2015)10-1074-03

基金项目:2012年国家中医药管理局全国名老中医药专家传承工作室建设项目：程子俊全国名老中医工作室(国中医药人教函【2012】149号)。

作者简介:迟慧(1984-)，女，硕士，住院中医师，主要从事针刺治疗脑血管及运动系统疾病。

收稿日期:(责任编辑：赵玉芝2015-03-22)

*通信作者:奚向东,电话-13861066123,电子邮箱-xiangdongxi@163.com

Tou ci and Cheng Shi “Qing Ting Dian Shui” Acupuncture Therapy in the Treatment of nervous tinnitus

CHI Hui,XI Xiangdong*

(Nanjing University of Chinese Medicine Changzhou Hospital of Traditional Chinese Medicine，

Changzhou 213003，Jiangsu Province,China)

Abstract:ObjectiveTo observe the curative effect of Tou ciand Cheng Shi Qing Ting Dian Shui acupuncture therapy in the treatment of nervous tinnitus.To evaluate the value of Tou ci and Cheng Shi Qing Ting Dian Shui acupuncture therapy on nervous tinnitus.MethodsThe 60 patients met the study inclusion criteria of nervous tinnitus were randomly divided into acupuncture group and control group,n=30 cases.The acupuncture group use “Tou ci and Cheng Shi Qing Ting Dian Shui” acupuncture therapy,the main acupoints included Ermen (Tinggong,Tinghui),Qubin(Jiaosun),Wangu(Yifeng),Zhongzhu(Yemen),Xiaxi(Diwuhui),etc,retaining needle 30 min,every other day at a time,treated four weeks;the control group was treated with Mecobalamin tablets,Ginkgo biloba and Flunarizine Hydrochloride Capsules for treatment.To observe the efficacy in the end of treatment,and then analyzed the data statistically.ResultsAfter the treatment,the total effective rate of the treatment group was 86.7%.The control group total effective rate was 76.7%，and the efficient,and greater rates of the treatment group were significantly higher than the control group，there was remarkable difference in two groups after the treatment (P<0.05) compared.ConclusionTou ci and Cheng Shi “Qing Ting Dian Shui” Acupuncture Therapy promote local blood circulation,and can through the ear nerve function,effectively relieve the symptoms of tinnitus patients.The results suggest that Tou ci and Cheng Shi “Qing Ting Dian Shui” Acupuncture Therapy is a safety,economical and effective method for nervous tinnitus patients,worthy of clinical use.

Keywords:nervous tinnitus;Qing Ting Dian Shui;acupuncture therapy；level of tinnitus；clinical observation

神经性耳鸣是指患者在其周围环境中无相应声源或电刺激存在的情况下，自觉耳内或颅内有声响的一种主观症状，其声或细或暴，或如蝉鸣、如潮声，安静时症状尤甚，多伴有听力下降、头晕、睡眠障碍等症状，严重地影响了患者的工作及生活质量。……