天麻素、利多卡因耳后注射联合 TSC 疗法治疗特发性耳鸣临床研究
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R764.45


Clinical Study on Postauricular Injection of Gastrodin and Lidocaine Combined with TSC Therapy for Idiopathic Tinnitus
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    摘要:

    目的:观察天麻素、利多卡因耳后注射联合阈值声音调节(TSC)疗法治疗特发性耳鸣的临床疗效。方法:选取96例特发性耳鸣患者,按随机数字表法分为观察组和对照组,每组48例。对照组采用TSC疗法治疗,观察组在此基础上增加天麻素、利多卡因耳后注射。治疗结束后对比2组临床疗效,观察患者耳鸣程度的改善情况。结果:总有效率观察组93.75%,对照组81.25%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组耳鸣响度评分及心理适应程度评分均较治疗前降低(P<0.05);观察组耳鸣响度评分及心理适应程度评分均低于对照组(P<0.05)。治疗后,2组耳鸣残疾量化表(THI)评分、耳鸣严重程度评分均较治疗前降低(P<0.05);观察组THI评分、耳鸣严重程度评分均低于对照组(P<0.05)。结论:天麻素、利多卡因耳后注射联合TSC疗法治疗特发性耳鸣可以有效缓解耳鸣症状,疗效优于单纯采用TSC疗法治疗。

    Abstract:

    Objective:To observe the clinical effect of postauricular injection of gastrodin and lidocaine combined with threshold sound conditioning(TSC)therapy for idiopathic tinnitus.Methods:Selected 96 cases of patients with idiopathic tinnitus as the study objects and divided them into the observation group and the control group according to the random number table,with 48 cases in each group.The control group was treated with TSC therapy and the observation group was additionally given the postauricular injection of gastrodin and lidocaine on the basis of TSC therapy.After treatment,compared the clinical effect in the two groups and observed the improvement of the degree of tinnitus in patients.Results:The total effective rate was 93.75% in the observation group and 81.25% in the control group,compared the two groups,difference being significant(P< 0.05).After treatment,the scores of tinnitus volume and psychological adaptation degree in the two groups were decreased when compared with those before treatment(P < 0.05);the scores of tinnitus volume and psychological adaptation degree in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of tinnitus handicap inventory(THI)and the severity of tinnitus in the two groups were decreased when compared with those before treatment(P< 0.05);the scores of THI and the severity of tinnitus in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of postauricular injection of gastrodin and lidocaine combined with TSC therapy for idiopathic tinnitus can effectively relieve the symptoms of tinnitus,and the curative effect is better than that of the treatment with TSCtherapy alone.

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王剑.天麻素、利多卡因耳后注射联合 TSC 疗法治疗特发性耳鸣临床研究[J].新中医,2020,52(1):136-138

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  • 在线发布日期: 2020-01-06
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