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揿针埋针治疗突发性耳聋临床疗效观察

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目的 研究揿针埋针联合药物治疗突发性耳聋的临床疗效,以冀为临床治疗方案的制定提供参考.方法 选取南充市中心医院耳鼻咽喉头颈外科2020年11月-2023年11月住院治疗的368名突发性耳聋患者为研究对象.根据住院期间是否使用揿针埋针治疗,将患者分为对照组(住院期间常规进行西医治疗)和试验组(住院期间在西医治疗的基础上加用揿针埋针治疗).比较2组患者的临床疗效,再根据患者入院时纯音测听的听力曲线的分型、听力损失的程度以及患者的年龄再次分组,对比不同分组患者采用揿针埋针治疗的疗效.结果 试验组患者总有效率为74.39%,对照组患者总有效率为60.66%,试验组总有效率高于对照组,差异具有统计学意义(P<0.05).治疗前,2组患者的平均听阈差异无统计学意义(P>0.05);治疗后,2组患者的平均听阈均有下降(P<0.05),且试验组下降幅度大于对照组,差异具有统计学意义(P<0.05).在全聋型患者中,试验组患者总有效率为63.38%,对照组患者总有效率为41.46%,2组患者的总有效率比较,差异有统计学意义(P<0.05).在极重度听力下降患者中,试验组患者总有效率为63.75%,对照组患者总有效率为45.24%,2组患者的总有效率比较,差异有统计学意义(P<0.05).在老年患者中,试验组患者总有效率为79.82%,对照组患者总有效率为62.79%,2组患者的总有效率比较,差异有统计学意义(P<0.05).治疗后,全聋型组、极重度组及老年组患者的平均听阈均有所下降,且试验组下降幅度大于对照组,差异均有统计学意义(P<0.05).结论 揿针埋针联合药物疗法是治疗突发性耳聋的有效手段,特别对极重度、全聋型或老年患者的治疗比常规治疗效果更好.
Clinical efficacy observation of press needle and embedded needle therapy for sudden hearing loss
Objective To investigate the clinical efficacy of press needle and embedded needle combined with medication for the treatment of sudden hearing loss,aiming to provide a reference for clinical treatment plans.Methods A total of 368 pa-tients with sudden hearing loss who were hospitalized at the Department of Otolaryngology &Head and Neck Surgery of Nanchong Central Hospital from November 2020 to November 2023 were selected as study subjects.Patients were allocated to a control group(receiving standard Western medicine treatment during hospitalization)and an experimental group(re-ceiving press needle and embedded needle therapy in addition to standard treatment).The clinical efficacy of the two groups was compared.Further subgroup analysis was conducted based on audiogram type,degree of hearing loss,and patient age to evaluate the efficacy of press needle and embedded needle therapy.Results The overall response rate in the experimental group was significantly higher than that in the control group(74.39%vs.60.66%;P<0.05).Before treatment,there was no significant difference in average hearing threshold between the two groups(P>0.05);however,after treatment,both groups showed a reduction in average hearing threshold(P<0.05),with a more significant reduction observed in the experimental group(P<0.05).Among patients with total deafness,the response rate was 63.38%in the experimental group and 41.46%in the control group,showing a statistically significant difference(P<0.05).For patients with profound hearing loss,the response rate was 63.75%in the experimental group and 45.24%in the control group,also showing a sta-tistically significant difference(P<0.05).Among elderly patients,the response rate was 79.82%in the experimental group and 62.79%in the control group,with a statistically significant difference(P<0.05).Post-treatment,average hear-ing threshold decreased in the total deafness,profound hearing loss,and elderly subgroups,with the experimental group showing a more significant reduction compared to the control group(P<0.05).Conclusion The press needle and embed-ded needle therapy combined with medication is an effective treatment for sudden hearing loss,particularly providing superi-or results for patients with profound hearing loss,total deafness,or elderly patients compared to conventional treatments.

Sudden hearing lossPress needleIntegrated traditional Chinese and Western medicineEfficacy

任誉昌、邢晏、李雯彬、唐进渝、谌楠清、彭涛

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川北医学院附属南充市中心医院耳鼻咽喉头颈外科,四川 南充 637000

川北医学院附属南充市中心医院科教科,四川 南充 637000

突发性耳聋 揿针 中西医结合 疗效

四川省科技计划项目

2023JDR0209

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(6)