上海针灸杂志2024，Vol.43Issue(8)：830-835,6.DOI:10.13460/j.issn.1005-0957.2024.08.0830
循经电针联合穴位注射治疗突发性聋的疗效观察
Efficacy observation of along-meridian electroacupuncture combined with point injection for sudden hearing loss
摘要
Abstract
Objective To observe the clinical efficacy of along-meridian electroacupuncture at Chimai(TE18)and Ermen(TE21)plus point injection of Methylprednisolone sodium succinate at Luxi(TE19)in treating sudden hearing loss.Method One hundred and twenty patients with sudden hearing loss were recruited and divided into a control group and an observation group using the random number table method,with 60 cases in each group.Both groups received the conventional treatment.The control group was treated with point injection of Methylprednisolone sodium succinate at Luxi,and the observation group additionally received along-meridian electroacupuncture at Chimai and Ermen.The clinical efficacy in hearing and tinnitus and adverse reactions were compared between the two groups.Both groups were observed before and after the treatment for changes in the symptom score of traditional Chinese medicine(TCM)and serum levels of soluble vascular cell adhesion molecule-1(sVCAM-1),nitrogen oxide(NO),and superoxide dismutase(SOD).Result The observation group was higher than the control group in comparing the total effective rates in hearing and tinnitus(P＜0.05).After the treatment,the TCM symptom score declined in both groups(P＜0.05)and was lower in the observation group than in the control group(P＜0.05);the serum sVCAM-1 level dropped in the two groups(P＜0.05)and was lower in the observation group compared to the control group(P＜0.05);the serum NO and SOD levels increased in both groups(P＜0.05)and were higher in the observation group than in the control group(P＜0.05).There was no significant difference in the adverse reaction rate between the two groups(P＞0.05).Conclusion Based on the conventional treatment,along-meridian electro-acupuncture at Chimai and Ermen plus point injection of Methylprednisolone sodium succinate at Luxi produces better clinical efficacy in treating sudden hearing loss compared to the sole use of point injection.This method can effectively improve the patient's symptoms,which may be associated with its regulation of serum levels of sVCAM-1,NO,and SOD.关键词
针刺疗法/电针/水针/聋/听力损失/耳鸣Key words
Acupuncture therapy/Electroacupuncture/Hydro-acupuncture/Deafness/Hearing loss/Tinnitus分类
医药卫生引用本文复制引用
罗齐平,徐庆文,叶茂青,杨学森,肖慧瑜,贺凤艳..循经电针联合穴位注射治疗突发性聋的疗效观察[J].上海针灸杂志,2024,43(8):830-835,6.基金项目
中山市医学科研项目(2021A020442) （2021A020442）
