针刺研究2024，Vol.49Issue(6)：618-624,7.DOI:10.13702/j.1000-0607.20230299
针刺介入时机对突发性聋患者疗效的影响
Effect of acupuncture intervention time on the therapeutic effect in patients with sudden hearing loss
摘要
Abstract
Objective To observe the clinical efficacy of acupuncture intervention at different time for patients with sudden hearing loss.Methods According to the timing of acupuncture intervention,86 patients were divided into early exposure group(n=43)and late exposure group(n=43).The early exposure group was given acupuncture treatment within 14 days of onset,and the late exposure group was given acupuncture treatment after 14 days of onset.After propensity score matching(PSM,a statistical matching technique for observational data)processing by using SPSS26.0 software,outcomes of 30 cases in the early exposure group and 30 cases in the late exposure group were analyzed.In addition to receiving basic treatment with drugs for vascular dilatation,thrombolysis,nourishing nerve,etc.,all patients of the two groups were treated with neck acupuncture("Neck Seven Meridian Lines"acupuncture),once every other day except Sundays,for a total of 12 time.Before,after the treatment and 3 months after the treatment,the total score of the Tinnitus Handicap Inventory(THI,0,2 and 4 points for each of the 25 items,total scores=100 points)scale was used to evaluate the improvement of tinnitus symptoms caused by hearing loss.The clinical therapeutic effect was evaluated according to the efficacy grading criteria in the Guidelines for Diagnosis and Treatment of Sudden Deafness(2015)and the changes of pure tone audiometry curve.Multivariate Logistic regression was used to analyze the effect of factors that might influence efficacy before propensity score matching.Results The THI scores of patients in both groups decreased strikingly after the treatment and 3 months'follow-up(P<0.05).Compared with the same time-points of the late exposure group,the total THI scores of post-treatment and 3 months'follow-up were evidently lower in the early exposure group(P<0.05).The effective rate of the early exposure group(22/30,80.00%)was significantly higher(P<0.05)than that of the late exposure group(16/30,53.33%).The classification of sudden deafness and the application of traditional Chinese medicine in this study were not independent factors affecting the total effective rate.Conclusion The time point of acupuncture intervention is an important factor affecting the effect on hearing and tinnitus disability of patients with sudden deafness.The earlier acupuncture treatment is accepted,the better the therapeutic effect is.关键词
突发性聋/针刺/介入时机/颈部七线法/耳鸣残疾评估量表Key words
Sudden hearing loss/Acupuncture/Intervention time/"Neck Seven Meridian Lines"acupuncture/Tinnitus handicap inventory scale引用本文复制引用
石安妮,李阳,张佳佳,邢御,洪玉颖,白鹏..针刺介入时机对突发性聋患者疗效的影响[J].针刺研究,2024,49(6):618-624,7.基金项目
北京市自然科学基金面上项目(No.7222283) （No.7222283）
全国中医药创新骨干人才培训项目(No.国中医药人教函[2019]128号) （No.国中医药人教函[2019]128号）
2022年青年岐黄学者培养项目(No.国中医药人教函[2022]256) （No.国中医药人教函[2022]256）
