耳部全息铜砭刮痧联合药罐治疗气滞血瘀型突发性聋临床研究
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R276.1

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浙江省中医药科技计划项目(2023ZL169)


Clinical Study on Combination Use of Ear Holography Copper Bian Scraping and Medicinal Cupping for Sudden Deafness of Qi Stagnation and Blood Stasis Type
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    摘要:

    目的:观察耳部全息铜砭刮痧联合药罐治疗气滞血瘀型突发性聋的临床疗效。方法:选取2022年 7月—2024年3月在温州市中心医院耳鼻咽喉科治疗的80例气滞血瘀型突发性聋患者,按随机数字表法分为观 察组和对照组,每组40例。2组均给予常规护理,对照组给予糖皮质激素、改善微循环及营养神经等治疗,观 察组在对照组基础上施以耳部全息铜砭刮痧联合药罐治疗,药罐处方为通窍活血汤加减。每3天1次,共10次 为1个疗程。治疗前后,比较2组听阈值和耳鸣、耳闷视觉模拟评分法(VAS) 评分。比较2组临床疗效。结 果:治疗后,2组听阈值和耳鸣、耳闷VAS评分均较治疗前降低(P<0.05),且观察组听阈值和耳鸣、耳闷 VAS评分均低于对照组(P<0.05)。观察组总有效率72.5% (29/40),高于对照组50.0% (20/40)(P<0.05)。 结论:耳部全息铜砭刮痧联合药罐治疗气滞血瘀型突发性聋可有效改善患者耳鸣、耳闷症状,降低听阈值,有 利于恢复听力。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of ear holography copper bian scraping and medicinal cupping on sudden deafness of qi stagnation and blood stasis type. Methods:A total of 80 patients with sudden deafness of qi stagnation and blood stasis type treated in the Department of Otorhinolaryngology, Wenzhou Central Hospital from July 2022 to March 2024 were selected and divided into the observation group and the control group by the random number table method,with 40 cases in each group. Both groups were given conventional nursing. The control group was additionally given glucocorticoid,microcirculation improvement and neutral nutrition,and the observation group was additionally treated with ear holography copper bian scraping combined with medicinal cupping based on the treatment of the control group. The prescription of medicinal cupping was modified Tongqiao Huoxue Decoction,once every 3 days,10 times in total as a course of treatment. The Visual Analogue Scale (VAS) scores of hearing threshold, tinnitus and ear fullness before and after treatment, and the clinical effects were respectively compared between the two groups. Results:After treatment,the VAS of hearing threshold,tinnitus and ear fullness of the two groups were reduced when compared with those before treatment (P<0.05),and the above three scores of the observation group were lower than those of the control group( P<0.05). The total effective rate was 72.5%( 29/40) in the observation group,higher than 50.0% (20/40) of the control group (P<0.05). Conclusion:The combination use of ear holography copper bian scraping and medicinal cupping can improve the tinnitus and ear fullness of patients with sudden deafness of qi stagnation and blood stasis type,decrease the hearing threshold and help recover the hearing.

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陈海静,徐佳妮,徐瑶琪,熊国锋,陈宁.耳部全息铜砭刮痧联合药罐治疗气滞血瘀型突发性聋临床研究[J].新中医,2025,57(11):171-174

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  • 在线发布日期: 2025-06-13
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