耳门、听会穴深刺配合电针治疗肝胆火盛型耳鸣的临床疗效观察

摘要

[Objective]To observe the clinical efficacy of deep needling the Ermen(SJ 21), Tinghui(GB 2) combined with electroacupuncture in treating the hepatobiliary fire type tinnitus. [Method] Totally 55 patients with hepatobiliary fire type tinnitus were randomized into electroacupuncture group and acupuncture group,electroacupuncture group of 28 cases, and acupuncture group of 27 cases. Two groups were chosen with Ermen(SJ 21), Tinghui(GB 2), Fengchi(GB 20), Gongxue and so on, the electroacupuncture group on the basis of acupuncture to the dilatational wave treatment,the needles were retained for 20 min,twice a week around for one period of treatment,continuous after two courses of treatment,compared to observe the clinical effects of two groups. [Result]Patients with acupuncture group, 1 case healed,7cases significant curative effect, 14 cases effective, 5 cases ineffective,the curative rate was 29.6%, total efficacy rate was 81.4%.Patients with electroacupuncture group, 2 cases healed, 20 cases significant curative effect, 3 cases effective,3 cases ineffective, the curative rate was 78.6%,total efficacy rate was 89.3%.The overall treatment effect comparison, there was statistically significant difference( P<0.05);comparing two groups total efficay rate,there was no statistically significant difference( P>0.05).But there was a statistically significant difference in the curative rate between two groups(P<0.001).[Conclusion]The deep needling Ermen(SJ 21) and Tinghui(GB 2) combined with electroacupuncture is better than the conventional acupuncture in treating hepatobiliary fire type tinnitus and worthy to be clinically popularized and applied.%[目的]观察耳门、听会穴深刺配合电针治疗肝胆火盛型耳鸣的临床疗效.[方法]将55例肝胆火盛型耳鸣患者随机分为电针组和针刺组,其中电针组28例,针刺组27例,两组均选用患侧耳门、听会、风池、供血穴等穴,电针组在针刺的基础上予以电针疏密波治疗,两组每次均留针20min,每周治疗2次,4周为1疗程,连续治疗2个疗程后,对比观察两组的临床疗效.[结果]针刺组痊愈1例,显效7例,有效14例,无效5例,愈显率为29.6%,总有效率为81.4%.电针组痊愈2例,显效20例,有效3例,无效3例,愈显率为78.6%,总有效率为89.3%.两组总的治疗效果比较,差异有统计学意义(P<0.05);两组总有效率比较,差异无统计学意义(P>0.05);两组间愈显率比较,差异具有统计学意义(P<0.001).[结论]耳门、听会穴深刺配合电针治疗肝胆火盛型耳鸣疗效优于常规针刺,值得临床推广.