[1]罗本华,郭柳婷,吴小玲.“疏肝升清启闭”针刺治疗神经性耳鸣35 例原始观察[J].大众科技,2020,22(05):64-66.
　Original Observation of 35 Cases of Nervous Tinnitus Treated by Acupuncturewith "Shugan Shengqing Qibi"[J].Popular Science & Technology,2020,22(05):64-66.
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“疏肝升清启闭”针刺治疗神经性耳鸣35 例原始观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年05
页码:
64-66
栏目:
医药与卫生
出版日期:
2020-05-20

文章信息/Info

Title:
Original Observation of 35 Cases of Nervous Tinnitus Treated by Acupuncturewith "Shugan Shengqing Qibi"
作者:
罗本华;  郭柳婷;  吴小玲
（广西中医药大学针灸推拿学院，广西 南宁 530001）
关键词:
神经性耳鸣; “疏肝升清启闭”针法; 临床疗效
Keywords:
nervous tinnitus;  the "Shugan Shengqing Qibi" therapy;  clinical efficacy
文献标志码:
A
摘要:
目的：观察“疏肝升清启闭”针法治疗神经性耳鸣的临床疗效。方法：对“疏肝升清启闭”针法治疗的 35 个神经性耳鸣病例，整理并统计耳鸣分级及量化评分、临床疗效及 3 月随访的复发率等原始数据。结果：（1）治疗后，耳鸣轻重分级显著好转（P≤0.01），总体中度以上评分降至轻度范围以内；治疗后耳鸣分级量化评分显著降低（P≤0.01），绝大多数病例回落在Ⅰ级范畴。（2）治愈 22 例，占 62.8%；显效 7 例，占 20%；有效 4 例，占 11.4%；无效 2 例，占 5.8%；总有效率为 94.2%；痊愈显著病例的 3 个月内复发者 2 例，复发率为 6.9%。结论：“疏肝升清启闭”针法理论有据，疗效较高和复发率低，是值得临床肯定的耳鸣创新针法。
Abstract:
Objective: To observe the clinical efficacy of the "Shugan Shengqing Qibi" therapy in treatment of nervous tinnitus.Methods: 35 cases of neurotinnitus were treated by "Shugan Shengqing open close" acupuncture, and the original data of tinnitus gradingand quantitative score, clinical effect and recurrence rate of 3-month follow-up were collected and counted. Results: (1) After treatment,the tinnitus classification was significantly improved (P≤0.01), and the score above the middle level decreased to the range of light level;after the treatment, the tinnitus grading quantitative score decreased significantly (P≤0.01), and the vast majority of cases fell back to thecategory of grade I. (2) 22 cases were basically cured, accounting for 62.8%; obvious effect was found in 7 cases, accounting for 20%; 4cases were effective, accounting for 11.4%; 2 cases were ineffective, accounting for 5.8; the total effective rate was 94.2%; 2 casesrecurred within 3 months after the significant cases were cured, the recurrence rate was 6.9%. Conclusion：the "Shugan Shengqing Qibi"therapy has evidence,high efficacy and low rate of the recurrence. It is an innovative acupuncture method worthy of clinical affirmation.

参考文献/References:

[1] Nondahl D M, Cruickshanks K J, Wiley T L, et al.Prevalence and 5- year incidence of tinnitus among olderadults: the epidemiology of hearing loss study[J]. Journalof the American Academy of Audiology, 2002, 13(6):323-331.[2] Pattyn T, Van Den Eede F, Vanneste S, et al. Tinnitus andanxiety disorders: a review[J]. Hearing Research, 2016,333: 255-265.[3] 王永华. 实用耳鼻咽喉科学[M]. 杭州: 浙江大学出版社，2012.[4] 国家中医药管理局. 中医病证诊断疗效标准[M]. 北京:中国医药科技出版社，2012.[5] 郑筱萸. 中药新药临床研究指导原则[M]. 北京: 中国医药科技出版社，1993.[6] 世界中医药学会联合会中医耳鼻喉口腔科专业标准审定委员会，中华中医药学会耳鼻咽喉科分会. 耳鸣严重程度评估与疗效评定参考标准[J]. 世界中医药，2008，3(2): 71.[7] 罗本华，邓柏颖. “凡十一脏，取决于胆”别释. 中医药学刊，2002，20(1): 82.[8] 成福香，赵崎慧，王冠宇. 益肾养血通络法联合耳后注射治疗神经性耳鸣疗效观察[J]. 现代中西医结合杂志，2016，25(21): 2368-2370.[9] 谢感共，蒋垂刚，徐信山. 子午对冲气血互注理论临床应用[J]. 中国针灸，2005，25(10): 709-710.

相似文献/References:

[1]郭柳婷,李文康,罗本华.针灸治疗神经性耳鸣临床研究进展[J].大众科技,2019,21(10):92.
　Clinical Progress on Acupuncture and Moxibustion for Neuropathic Tinnitus[J].Popular Science & Technology,2019,21(05):92.

备注/Memo

备注/Memo:
【收稿日期】2020-03-10【作者简介】罗本华（1968－），男，湖南邵阳人，广西中医药大学针灸推拿学院主任医师，针灸博士，博士导师，从事针灸及壮医针刺治疗神经系统疾病基础与临床研究。
更新日期/Last Update: 2020-08-04