针刺与中医药物结合辨证治疗特发性主观性耳鸣的疗效

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Abstract Objective To observe the clinical efficacy of acupuncture combined with traditional Chinese medicine (TCM) based on syndrome differentiation on patients with primary subjective tinnitus. Methods A non-randomized controlled trial design was performed. Patients with primary subjective tinnitus who met the criteria were included and divided into the acupuncture combined with TCM group and the acupuncture alone group according to their intervention. The acupuncture alone group was treated with acupuncture alone, and the acupuncture combined with TCM group was treated with TCM based on syndrome differentiation on the basis of the above acupuncture treatment. Treatment lasted for 4 weeks. Tinnitus Evaluation Questionnaire (TEQ) was completed before treatment, 4 weeks after treatment and 3 months after the end of treatment to score efficacy and recurrence, and the difference in efficacy and recurrence rate between the two groups was compared. Results There were 55 analyzable cases in the acupuncture combined with TCM group and 43 cases in the acupuncture alone group. There were significant differences in gender, age and course of disease between two groups (P<0.05). After the propensity score matching method, 38 patients in each group reached to the matching tolerance, thus ensuring the comparability of baseline between two groups. After 4 weeks of treatment, the TEQ score of acupuncture combined with TCM group was significantly lower than that of acupuncture alone group (P<0.05), and the total effective rate of acupuncture combined with TCM group was 89.47%, which significantly higher than that of acupuncture alone group (71.05%) (P<0.05). At the three months’ follow-up after the end of treatment, the recurrence rate of acupuncture combined with TCM group (5.88%) was significantly lower than that of acupuncture alone (18.52%) (P<0.05). Conclusions The efficacy of acupuncture combined with TCM group based on syndrome differentiation on primary subjective tinnitus is better than that of acupuncture alone.

Key words： primary subjective tinnitus acupuncture combined with traditional Chinese medicine treatment based on syndrome differentiation clinical efficacy

Received: 17 April 2022

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	XING Qingchang
	WANG Weiwei
	HU Wenhui

Cite this article:

XING Qingchang,WANG Weiwei,HU Wenhui. Study on treatment of primary subjective tinnitus with acupuncture combined with traditional Chinese medicine based on syndrome differentiation[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(11): 938-940.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I11/938

[1]	朱晓月,罗征,孙越甲,等.主观性耳鸣患者心理人格特征研究[J].中国耳鼻咽喉头颈外科,2022,29(5):301-303,316.
[2]	余力生,杨仕明,王秋菊,等.耳鸣的诊断与治疗[J].临床耳鼻咽喉头颈外科杂志,2022,36(5):325-334.
[3]	Wu D, Ham D, Rosedale R. Physiotherapy assessment and treatment of chronic subjective tinnitus using mechanical diagnosis and therapy: a case report[J]. J Man Manip Ther,2020,28(2):119-126.
[4]	师强华,尚俊枝.中医外治法治疗耳鸣的临床探析[J].中国民间疗法,2022,30(5):15-17.
[5]	吴惠兰,吴飞虎,宋任洁,等.中医药治疗耳鸣研究进展[J].国医论坛,2021,36(2):76-78.
[6]	邢庆昌,王卫卫,胡文慧.针药结合治疗主观性耳鸣56例临床疗效观察[J].空军医学杂志,2021,37(4):331-334.
[7]	龚树生.“十三五”规划教材-耳鼻咽喉头颈外科学[M].2版.南京:江苏凤凰科学技术出版社,2018:147-150.
[8]	Okamoto H, Kakigi R. Diagnosis of Subjective Tinnitus[J]. Brain Nerve, 2018,70(4):467-471.
[9]	阮岩.中医耳鼻咽喉科学[M].2版.北京:人民卫生出版社,2016:111.
[10]	刘宇清,刘蓬,李刚,等.耳鸣评价量表(TEQ)的耳鸣疗效评定新标准探索[J].中华耳科学杂志,2020,18(1):180-184.
[11]	Sruthi N, Venkataramanujam N C, Karthikeyan P, et al. A comparative study of treatment outcomes of music therapy, tinnitus maskers and pharmacotherpy in chronic subjective tinnitus[J]. Indian J Otolaryngol, 2021, 74 (2): 185-189.
[12]	Baykara M, Sagiroglu S. An evaluation of magnetic resonance imaging with histogram analysis in patients with idiopathic subjective tinnitus[J]. North Clin Istanb,2018,6(1):59-63.
[13]	韩朝.耳鸣的发生机制和诊疗概述[J].中国中西医结合耳鼻咽喉科杂志, 2020,28(5):329-331.
[14]	Koning H M. Proprioception: the missing link in the pathogenesis of tinnitus?[J]. Int Tinnitus J,2021,24(2):102-107.
[15]	Han, Q, Zhang, Y, Liu, D, et al. Disrupted local neural activity and functional connectivity in subjective tinnitus patients: evidence from resting-state fMRI study[J]. Neuroradiology,2018,60(11):1193-1201.
[16]	王亚玲,徐斌.浅议针药结合的现状与发展[J].中华中医药杂志,2020,35(8):4066-4068.
[17]	赵晓倩,贾红玲.近5年针药结合治疗耳鸣研究概况[J].针灸临床杂志,2018,34(9):85-87.
[18]	陈刚.针药结合治疗肝火上扰型耳鸣的临床观察[J].世界中医药,2016,11(5):888-890.
[19]	孙生明,杜艺超,王毳,等.针药结合治疗特发性耳鸣的应用研究进展[J].湖北民族学院学报(医学版),2019,36(2):69-72.
[20]	宋梦楠.针药结合治疗特发性耳鸣的临床研究[D].广州:广州中医药大学,2016.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(9): 804-806.