首页|经皮穴位电刺激联合穴位注射治疗急性难治性耳鸣的疗效观察

经皮穴位电刺激联合穴位注射治疗急性难治性耳鸣的疗效观察

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目的 探讨经皮穴位电刺激联合穴位注射治疗急性难治性耳鸣的临床疗效以及对患者焦虑、抑郁状态的影响.方法 将 80 例急性难治性耳鸣患者随机分为对照组和观察组,每组 40 例.在常规用药的基础上,对照组予经皮穴位电刺激,于患侧听宫穴、中渚穴、翳风穴行电刺激,刺激强度为患者能感知电刺激但不引起疼痛不适.观察组在对照组的基础上加用耳迷根穴注射治疗.以耳鸣功能指数量表(tinnitus functional index,TFI)、焦虑量表(generalized anxiety disorder,GAD-7)、抑郁状态(patient health questionnaire-9,PHQ-9)为主要检测指标,分别于治疗后 2 周、治疗后 4 周进行评估,并与治疗前结果相比较评价治疗效果.结果 两组患者耳鸣严重程度均较治疗前改善(P<0.05).其中不同时间点观察组耳鸣功能指数量表评分低于对照组(P<0.05),不同时间点两组内焦虑及抑郁量表评分均较治疗前降低(P<0.05),组间评分比较无统计学意义(P>0.05).结论 以经皮电刺激联合耳后穴位注射为主的中西医结合治疗对急性难治性耳鸣疗效显著,同时能够有效减轻耳鸣患者的焦虑及抑郁情绪,值得进一步研究及推广.
The efficacy of transcutaneous electrical acupoint stimulation combined with acupoint injection in the treatment of acute refractory tinnitus
Objective To investigate the clinical efficacy of transcutaneous electrical acupoint stimulation(TEAS)combined with acupoint injection in the treatment of acute refractory tinnitus and its impact on patient anxiety and depression scores.Methods Eighty patients with acute refractory tinnitus were randomly divided into a control group and an observation group,with 40 cases in each group.In addition to conventional medication,the control group received TEAS at the Tinggong,Zhongzhu,and Yifeng points on the affected side,with a stimulation intensity that the patients could perceive without causing pain or discomfort.The observation group underwent TEAS combined with Ermigen points injection.The Tinnitus Functional Index(TFI),Generalized Anxiety Disorder(GAD-7),and Patient Health Questionnaire-9(PHQ-9)were used as the main outcome measures.The assessments were conducted at 2 and 4 weeks after treatment,and the treatment effects were evaluated by comparing the results with those before treatment.Results The severity of tinnitus in both groups improved compared to before treatment(P<0.05).The observation group had lower TFI scores than the control group at different time points(P<0.05).Anxiety and depression scores in both groups decreased at different time points compared to before treatment(P<0.05),with no statistically significant differences between the groups(P>0.05).Conclusion The combination of traditional Chinese and Western medicine,mainly consisting of TEAS combined with retroauricular acupoint injection,has a significant therapeutic effect on acute refractory tinnitus,and can effectively alleviate anxiety and depression in tinnitus patients.It is worth further research and promotion.

transcutaneous electrical acupoint stimulationacute refractory tinnitusintegrated traditional Chinese and Western medicineanxietyacupoint injection

沈雪琴、刘业海、陈善文、沈海龙、吴飞虎

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安徽中医药大学(合肥,230038)

安徽医科大学中西医结合学系(合肥)

安徽医科大学第一附属医院(合肥)

安徽医科大学第一附属医院耳鼻咽喉头颈外科(合肥)

安徽中医药大学研究生院(合肥)

安徽中医药大学第一附属医院耳鼻喉科(合肥)

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经皮穴位电刺激 急性难治性耳鸣 中西医结合 焦虑 穴位注射

安徽省重大疑难疾病中西医协同攻关项目国家卫健委科技创新小微项目安徽省卫生健康委项目

2021-7020003AHWJ2021b160

2024

10.16542/j.cnki.issn.1007-4856.2024.03.003

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子：0.7
ISSN：1007-4856
年,卷(期)：2024.32(3)
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