陕西中医2025，Vol.46Issue(4)：550-554,5.DOI:10.3969/j.issn.1000-7369.2025.04.025
宁神通窍法治疗神经性耳鸣伴听力下降随机对照试验及相关性分析
Randomized controlled trial and correlation analysis of Ningshen Tongqiao therapy for neurotic tinnitus with hearing loss
摘要
Abstract
Objective:To investigate the clinical efficacy of Ningshen Tongqiao method in the treatment of neu-rogenic tinnitus with hearing loss,as well as the correlation between the duration of tinnitus and the effect of acu-puncture and the clinical characteristics of tinnitus.Methods:120 patients with neurogenic tinnitus with hearing loss were selected and divided into an observation group(60 cases,2 cases of shedding)and a control group(60 cases,2 cases of shedding)by using digital randomization table method.The control group was treated with blunt-ended Stre-itberger placebo needles,and the points were Dazhui,Baihui,Yamen,the affected side's Tinggong,Touqiaoyin,Yifeng and Zhongzhu.The points of Tinggong and Touqiaoyin were connected to the poles without electric current.The ob-servation group was treated with the same acupoints as those in the control group and was given Ningshen Tongqiao acupuncture method,and the two points of Tinggong and Touqiaoyin were connected tothe electroacupuncture appa-ratus,and the sparse and dense wave was used with the frequency of 2/50 Hz,according to the patient's tolerance.Two groups were treated 20 times each,3 times a week,30 minutes each time,a total of two courses.Observe the scores of Tinnitus Handicap Inventory(THI),Tinnitus Evaluation Questionnaire(TEQ),average threshold of air permeability hearing,Pittsburgh Sleep Quality Index(PSQI)and Hospital Anxiety and Depression Scale(HADS)before and after the treatment of two groups.Results:The total effective rate was 87.93%in the observation group and 62.07%in the control group and there were statistical differences between the two groups(P<0.05).After treatment,there were significant improvements in THI,TEQ,PSQI,HADS scores and mean air-conducted hearing thresholds in both groups(all P<0.05),and the degree of improvement in the observation group was better than that in the control group(all P<0.05).The results of correlation analysis demonstrated that the duration of the dis-ease was positively correlated with the mean air-conducted hearing thresholds before treatment in patients with tinni-tus(r=0.333,P<0.01),and there was no significant correlation with THI,TEQ,PSQI,and HADS scores.In the observation group,the change value of mean hearing threshold was negatively correlated with the duration of the dis-ease(r=-0.306,P<0.05),and positively correlated with the change value of THI(r=0.372,P<0.05).In the control group,the change value of mean hearing threshold was positively correlated with the change value of THI(r=0.371,P<0.05),and there was no significant correlation with the duration of the disease.Conclusion:The treat-ment of nerve-induced tinnitus by Ningshen Tongqiao has good clinical effect.Moreover,the longer the course of the disease,the more serious the hearing loss,the worse the effect of acupuncture to improve the hearing level and tinni-tus symptoms,should be interventional treatment at the early stage of the disease to improve the hearing level of pa-tients,reduce the severity of tinnitus,and improve the quality of life.关键词
神经性耳鸣/宁神通窍/针刺/随机对照/临床疗效/相关性分析Key words
Neurogenic tinnitus/Ningshen Tongqiao/Acupuncture/Randomized controlled/Clinical efficacy/Correlation analysis分类
医药卫生引用本文复制引用
刘婉婷,陈荣荣,张雅婷,刘思城,于雷雨,叶子愚,黄志霖,查必祥,杨骏..宁神通窍法治疗神经性耳鸣伴听力下降随机对照试验及相关性分析[J].陕西中医,2025,46(4):550-554,5.基金项目
国家自然科学基金资助项目(82104994) （82104994）
国家中医药管理局全国名中医杨骏传承工作室建设项目[皖中医药发展秘(2022)19号] （2022）
安徽省临床医学研究转化专项(202304295107020125) （202304295107020125）
安徽省高校自然科学研究项目(2022AH050468) （2022AH050468）
