世界科学技术-中医药现代化
世界科學技術-中醫藥現代化
세계과학기술-중의약현대화
WORLD SCIENCE AND TECHNOLOGY-MODERNIZATION OF TRADITIONAL CHINESE MEDICINE
2013年
6期
1406-1411
,共6页
突发性耳聋%中药%通窍活血汤%电针%颈部夹脊穴
突髮性耳聾%中藥%通纖活血湯%電針%頸部夾脊穴
돌발성이롱%중약%통규활혈탕%전침%경부협척혈
Sudden deafness%Chinese medicine%Tongqiao Huoxue Decoction%electric acupuncture%Jiaji points on the neck region
目的：探讨中药加电针与西药治疗突发性耳聋的临床疗效差异及血液流变学变化差异。方法：选择符合突发性耳聋诊断标准的患者，随机分为中药加电针组（35例）和西药组（30例）。中药加电针组采用口服通窍活血汤煎剂结合针刺加电针颈部夹脊穴治疗，西药组采用前列地尔及强的松治疗；两组皆10 d为1个疗程。结果：两个疗程治疗后，对两组患者进行比较，听力改善效果，中药加电针组总有效率为91.4%，西药组总有效率为66.7%，两组比较有显著性差异（P<0.05）；治疗后对两组患者耳鸣改善效果进行比较，中药加电针组总有效率为91.2%，西药组总有效率为78.6%，两组比较无显著性差异；眩晕改善效果，中药加电针组总有效率为94.1%，西药组总有效率为73.3%，两组比较无显著性差异；血液流变学改善效果，中药加电针组在全血黏度比、血浆黏度比、红细胞电泳时间、红细胞压积方面较治疗组均有明显的改善，两组比较有显著性差异（P<0.05）。结论：中药加电针与西药对改善突发性耳聋临床症状、体征及血液流变学有显著疗效，且中药加电针疗效优于西药。
目的：探討中藥加電針與西藥治療突髮性耳聾的臨床療效差異及血液流變學變化差異。方法：選擇符閤突髮性耳聾診斷標準的患者，隨機分為中藥加電針組（35例）和西藥組（30例）。中藥加電針組採用口服通纖活血湯煎劑結閤針刺加電針頸部夾脊穴治療，西藥組採用前列地爾及彊的鬆治療；兩組皆10 d為1箇療程。結果：兩箇療程治療後，對兩組患者進行比較，聽力改善效果，中藥加電針組總有效率為91.4%，西藥組總有效率為66.7%，兩組比較有顯著性差異（P<0.05）；治療後對兩組患者耳鳴改善效果進行比較，中藥加電針組總有效率為91.2%，西藥組總有效率為78.6%，兩組比較無顯著性差異；眩暈改善效果，中藥加電針組總有效率為94.1%，西藥組總有效率為73.3%，兩組比較無顯著性差異；血液流變學改善效果，中藥加電針組在全血黏度比、血漿黏度比、紅細胞電泳時間、紅細胞壓積方麵較治療組均有明顯的改善，兩組比較有顯著性差異（P<0.05）。結論：中藥加電針與西藥對改善突髮性耳聾臨床癥狀、體徵及血液流變學有顯著療效，且中藥加電針療效優于西藥。
목적：탐토중약가전침여서약치료돌발성이롱적림상료효차이급혈액류변학변화차이。방법：선택부합돌발성이롱진단표준적환자，수궤분위중약가전침조（35례）화서약조（30례）。중약가전침조채용구복통규활혈탕전제결합침자가전침경부협척혈치료，서약조채용전렬지이급강적송치료；량조개10 d위1개료정。결과：량개료정치료후，대량조환자진행비교，은력개선효과，중약가전침조총유효솔위91.4%，서약조총유효솔위66.7%，량조비교유현저성차이（P<0.05）；치료후대량조환자이명개선효과진행비교，중약가전침조총유효솔위91.2%，서약조총유효솔위78.6%，량조비교무현저성차이；현훈개선효과，중약가전침조총유효솔위94.1%，서약조총유효솔위73.3%，량조비교무현저성차이；혈액류변학개선효과，중약가전침조재전혈점도비、혈장점도비、홍세포전영시간、홍세포압적방면교치료조균유명현적개선，량조비교유현저성차이（P<0.05）。결론：중약가전침여서약대개선돌발성이롱림상증상、체정급혈액류변학유현저료효，차중약가전침료효우우서약。
This study was aimed to explore the clinical efficacy and differences in hemorheological parameters in sudden deafness treated with Chinese medicine combined with electric acupuncture and western medicine . Patients were selected according to the diagnostic criteria of sudden deafness. Patients were randomly divided into the Chinese medicine combined with electric acupuncture group ( 35 cases ) and the western medicine group (30 cases). In the treatment group, Tongqiao Huoxue Decoction was orally administrated in combination with electric acupuncture on Jiaj i points on the neck region . In the western medicine group , alprostadil and prednisone were used . For both groups , 10 days were one treatment course . The results showed that after two treatment courses , the hearing improvement of two groups was compared . The total efficiency of Chinese medicine combined with electric acupuncture group was 91 . 4%. And the total efficiency of the western medicine group was 66 . 7%. There were significant differences between two groups ( P < 0 . 05 ) . The treatment efficiency of tinnitus between two groups was also compared . The total efficiency of Chinese medicine combined with electric acupuncture group was 91 . 2%. And the total efficiency of the western medicine group was 78 . 6%. There was no significant difference between two groups . The comparison of dizziness relieving effect between two groups showed that the total efficiency of Chinese medicine combined with electric acupuncture group was 94 . 1%; and the total efficiency of the western medicine group was 73 . 3%. There was no significant difference between two groups . The hemorheological parameters were also improved . In the Chinese medicine combined with electric acupuncture group , indexes such as blood viscosity ratio , plasma viscosity ratio , erythro-cyte electrophoresis time and hematocrit were all improved obviously compared to western medicine group . There was significant difference between two groups ( P < 0 . 05 ) . It was concluded that in the improvement of clinical symptoms of sudden deafness, physical signs and hemorheology, Chinese medicine combined with elec-tric acupuncture receives better effects compared to western medicine .
