|
|
Clinical effect of Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of patients with tinnitus |
LYU Kun1 SUN Qinguo1 LUO Meng1 WU Longjun2 |
1.Department of Traditional Chinese Medicine, the Third Hospital of Wuhan City, Hubei Province, Wuhan 430060, China;
2.Department of Ophthalmology, the Third Hospital of Wuhan City, Hubei Province, Wuhan 430060, China |
|
|
Abstract Objective To observe clinical effect of Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of patients with tinnitus and insomnia. Methods A total of 90 patients with tinnitus and insomnia treated in Outpatient Department of Traditional Chinese Medicine and Department of Ophthalmology in the Third Hospital of Wuhan City from May 2018 to October 2019 were selected and divided into Chinese medicine group, Chinese medicine + electroacupuncture group and Chinese medicine + electroacupuncture + auricular point pressing group according to random number table method, with 30 cases in each group. Seven days was as a course of treatment, a total of four courses. Clinical efficacy, tinnitus handicap inventory (THI) score, Pittsburgh sleep quality index (FSQI) score and total score of three groups were observed. Results Total effective rate of Chinese medicine + electroacupuncture + auricular point pressing group was significantly higher than that of Chinese medicine group and Chinese medicine + electroacupuncture group (P < 0.0167). After treatment, THI scores of three groups were lower than those before treatment, and the scores of Chinese medicine + electroacupuncture + auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine + electroacupuncture group (P < 0.05), and the scores of Chinese medicine + electroacupuncture group were lower than those of Chinese medicine group (P < 0.05). After treatment, all items FSQI scores of three groups were lower than those before treatment, and the scores of Chinese medicine + electroacupuncture + auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine + electroacupuncture group (P < 0.05). After treatment, total FSQI scores of three groups were lower than those before treatment, and the scores of Chinese medicine + electroacupuncture + auricular point pressing group were lower than those of Chinese medicine group and Chinese medicine + electroacupuncture group (P < 0.05). Conclusion Bushen Huoxue Decoction combined with electroacupuncture and ear-point pressing beans in the treatment of tinnitus with insomnia has definite effect, which is worthy of clinical application.
|
|
|
|
|
[1] McCormack A,Edmondson M,Somerset S,et al. A systematic review of the reporting of tinnitus prevalence and severity [J]. Hear Res,2016,337(7):70-79.
[2] 刘颖,丁然然,郑剑龙,等.耳鸣患者的焦虑抑郁状况及其影响因素研究[J].中国听力语言康复科学杂志,2020, 18(2):106-110.
[3] Naderinabi B,Soltanipour S,Nemati S,et al. Acupuncture for chronic nonpulsatile tinnitus:a randomized clinical trial [J]. Caspian J Intern Med,2018,9(1):38-45.
[4] Kim BH,Kim K,Nam HJ. A comparative study on the effects of systemic manual acupuncture,periauricular electroacupuncture,and digital electroacupuncture to treat tinnitus:a randomized,paralleled,open-labeled exploratory trial [J]. Bmc Complement Altern Med,2017,17(1):85.
[5] 何琪,杨原芳,吴成林.浅针联合耳穴压豆治疗气郁质原发性失眠的疗效观察[J].针刺研究,2019,44(4):293-296.
[6] 熊大经,刘蓬.中医耳鼻咽喉科学[M].北京:中国中医药出版社,2012:88-93.
[7] 中华医学会精神科分会.CCMD-3中国精神障碍分类与诊断标准[M].济南:山东科学技术出版社,2001.
[8] 孙勤国,罗蒙,江波,等.补肾活血化痰开窍方对耳鸣大鼠耳蜗螺旋神经节神经元NMDA受体亚型表达的影响[J].广州中医药大学学报,2018,35(1):129-134.
[9] 江波,吕琨,罗蒙,等.补肾活血化痰开窍方对耳鸣模型大鼠血液肾虚相关指标的影响[J].广州中医药大学学报,2018,35(5):866-870.
[10] 吕琨,孙勤国.补肾活血化痰方联合电针治疗老年主观性耳鸣的疗效观察[J].医学新知杂志,2019,29(3):302-305.
[11] 中华人民共和国卫生部.中药新药临床研究指导原则[S].北京:人民卫生出版社,1997:7-12.
[12] Gundabattula SR,Resapu P,Surampudi K,et al. Ovarian apoplexy resulting from ruptured heterotopic pregnancy following intrauterine insemination [J]. J Obstet Gynaecol Res,2017,43(7):1222-1226.
[13] Buysse DJ,Reynolds CF,Monk TH,et al. The pittsburgh sleep quality index:a new instrument for psychiatric practice and research [J]. Psychiatry Res,1989,28(2):193-213.
[14] Kim HJ,Lee HJ,An SY,et al. Analysis of the prevalence and associated risk factors of tinnitus in adults [J]. PLoS One,2015,10(5):127578.
[15] 黄小段,钟翠萍.耳鸣的研究现况[J].医学研究杂志,2015,44(10):178-181.
[16] 兰家辉,李明,张剑宁.耳鸣中枢机制的基础研究进展[J].中华耳科学杂志,2018,16(1):102-106.
[17] Mahlke C,Wallh?覿usser-Franke E. Evidence for tinnitus related plasticity in the auditory and limbic system,demonstrated by arg31 and cfos immunocytochemistry [J]. Hear Res,2004,195(1/2):17-34.
[18] Jay MB,Neil B,Harrison WL. Relationships between tinnitus and the prevalence of anxiety and depression [J]. Laryngoscope,2017,127(2):466-469.
[19] Lasisi AO,Gureje O. Prevalence of insomnia and impact on quality of life among community elderly subjects with tinnitus [J]. Ann Otol Rhinol Laryngol,2011,120(4):226-230.
[20] Marks E,Hallsworth C,McKenna L. Cognitive behavioural therapy for insomnia (CBTi) as a treatment for tinnitus-related insomnia:protocol for a randomised controlled trial [J]. Trials,2019,20(1):667.
[21] 王云建,谯凤英.针灸治疗神经性耳鸣研究进展[J].中华针灸电子杂志,2014,3(6):22-24.
[22] 朱梦蝶,李湘胜,肖玉坤,等.电针联合药物治疗对主观性耳鸣患者听性脑干反应测试的影响[J].中医药导报,2017,23(5):87-89.
[23] 王柏善.中医五行音乐疗法结合耳穴压豆改善肝火扰心失眠患者的效果体会[J].中医临床研究,2020,12(2):81-83.
[24] 张敏,陈秀敏,张丽.耳穴压豆法治疗艾滋病失眠患者的PSQI量表分析[J].中国中医基础医学杂志,2019,25(1):91-93.
[25] 谭惠娟,兰颖,吴扶生,等.基于GRADE系统的耳穴贴压治疗原发性失眠系统评价[J].中医针灸,2014,34(7):726-730.
[26] 梁惠琼,李杏,张永银,等.吴茱萸穴位贴敷联合耳穴压豆治疗失眠的观察研究[J].中国医药科学,2020,10(13):55-58.
[27] 郭尚函,林炎龙,赵仓焕,等.耳穴贴压对睡眠剥夺大鼠脾脏TLR4信号通路关键基因mRNA表达的影响[J].暨南大学学报:自然科学与医学版,2015,36(4):313-318. |
|
|
|