Observation on therapeutic effects of acupuncture plus Chinese herbs for sudden deafness

Abstract

Objective

To observe the clinical effect of wind-expelling method of acupuncture and Chinese herbs for sudden deafness.

Methods

A total of 90 cases with sudden deafness were randomly divided into three groups based upon their visit order and random digital table, an acupuncture plus Chinese herbs (APCH) group, an acupuncture group, and a Western medication (WM) group, 30 cases in each group. The APCH group was treated by puncturing Fengchi (GB 20), Fengfu (GV 16) and Fengmen (BL 12), without retaining the needles, and then by puncturing Zhongwan (CV 12), Guanyuan (CV 4), Qihai (CV 6) and Tianshu (ST 25) with reinforcing technique after arrival of the needling sensation, and the needles were retained for 30 min, plus oral administration of wind-expelling Chinese herbs. The acupuncture group was treated with the acupoints selected by syndrome differentiation in reference to the textbook of Acupuncture and Moxibustion Science. The WM group was treated by intravenous infusion of Alprostadil injection, Adenosine Disodium Triphosphate and Coenzyme A and muscular injection of Vitamin B₁₂ and Vitamin B₁. The decibel values of hearing loss before and after treatment were respectively recorded and analyzed comparatively.

Results

In the intra-group comparison after treatment among the three groups, the decibel values of hearing loss all declined, with statistically significant differences (all P<0.05). After treatment, the decibel value of hearing loss in the APCH group was better than those in the acupuncture group (P<0.05) and the WM group (P<0.05). The total effective rate was respectively 83.3% in the APCH group, 60.0% in the acupuncture group and 56.7% in the WM group. The total effective rate in the APCH group was better than those in other two groups (both P<0.05).

Conclusion

The therapeutic effect was better for sudden deafness by wind-expelling method of acupuncture and Chinese herbs than by acupuncture alone or by Western medication.

摘要

目的

观察祛风法针药并用治疗突发性耳聋的临床疗效。

方法

将90 例突发性耳聋患者按照就诊先后顺序, 查随机数字表后根据随机号分成3 组, 针药并用组、针刺组和西药组, 每组30 例。针药并用组速刺风池、 风府、风门, 不留针; 然后针刺中脘、关元、气海、天枢, 得气后用补法, 留针30 min。同时口服祛风中药。针 刺组参照《针灸学》教材予以辨证取穴针刺治疗。西药组静滴前列地尔注射液、注射用三磷酸腺苷二钠和注射 用辅酶A; 肌注维生素B12 和维生素B1 注射液。分别记录3 组患者治疗前后的听力损失分贝值, 并进行比较分析。

结果

三组治疗后与同组治疗前比较, 听力损失分贝值均有下降, 差异均有统计学意义(均P<0.05); 治疗后, 三 组听力损失分贝值比较, 针药并用组优于针刺组(P<0.05)和西药组(P<0.05)。针药并用组总有效率为83.3%, 针 刺组总有效率为60.0%, 西药组总有效率为56.7%; 针药并用组总有效率高于其他两组(均P<0.05)。

结论

祛风法针药并用治疗突发性耳聋的疗效优于西药组和针刺组。