Analysis of effect and influencing factors of periauricular acupoint injection combined with cognitive behavioral therapy on chronic idiopathic tinnitus in the elderly
Objective To investigate the effect and influencing factors ofperiauricularacupoint injection combined with cognitive behavioral therapy on chronic idiopathic tinnitus in the elderly.Method A total of 128 elderly patients with chronic idiopathic tinnitus treated in the Department of Otorhinolaryngology,Longhua Hospital Affiliated to Shanghai University of Tra-ditional Chinese Medicine from October 2021 to September 2022 were divided into observation group and control group by ran-dom number method,with 64 cases in each group.The control group received periauricular acupoint injection treatment,and the observation group received cognitive behavioral therapy on the basis of the control group.Both groups were treated for 4 weeks.The Tinnitus Severity Assessment Scale,Pittsburgh Sleep Quality Index Scale and Hamilton Anxiety Scale were used to score before treatment,at the end of treatment and 1 month after treatment.The improvement of the two groups was compared at the end of treatment and 1 month after treatment.The factors affecting the curative effect of the observation group were ana-lyzed.Results The total effective rate of periauricular acupoint injection combined with cognitive behavioral therapy in the treatment of chronic idiopathic tinnitus in the elderly reached 37.5% .Compared with before treatment,there were statistically significant differences in the scores of Tinnitus Severity,PSQI,and HAMA in both groups at the end of treatment and one month after treatment(P＜0.01),and the improvement in the observation group was significantly better than that in the control group(P＜0.01).Age was one of the influencing factors of the therapeutic effect of periauricular acupoint injection combined with cognitive behavioral therapy on chronic idiopathic tinnitus in the elderly.Conclusion Periauricular acupoint injection combined with cognitive behavioral therapy can effectively treat chronic idiopathic tinnitus in the elderly,but the therapeutic effect is limited in senile patients.
国家科技期刊平台
NSTL
万方数据
维普
