摘要
Abstract
Objective To observe the clinical efficacy of electroacupuncture plus fire needling in treating refractory sudden hearing loss(SHL)and the impact on the patient's hemorheological parameters.Method Eighty-six patients with refractory SHL were divided into an observation group and a control group using the random number table method,each consisting of 43 participants.During the treatment process,3 participants failed to complete the trial and thus dropped out.Finally,the observation group recruited 42 cases,and the control group recruited 41 cases.The control group was treated with intratympanic prednisolone injection,and the observation group additionally received electroacupuncture plus fire needling(soothing Shaoyang and tonifying the kidney essence method).The clinical efficacy and adverse reaction rate were compared between the two groups,and they were observed before and after the treatment for changes in the average hearing threshold,auditory brainstem response(ABR)parameters(the amplitude and latency of wave Ⅰ and the latency of wave Ⅲ),and hemorheological indexes(plasma viscosity,low-shear blood viscosity,and high-shear blood viscosity).Result The observation group obtained a total effective rate of 52.4%,higher than that in the control group,which was 29.3%(P＜0.05).After the intervention,the average hearing threshold,wave Ⅰ latency,plasma viscosity,low-shear blood viscosity,and high-shear blood viscosity all improved in both groups(P＜0.05),and the observation group was superior to the control group in comparing these measures(P＜0.05).There was no significant difference in comparing the adverse reaction rate between the two groups(P＞0.05).Conclusion When used together with intratympanic injection of prednisolone,electroacupuncture plus fire needling can further elevate the hearing level,enhance clinical efficacy,and improve hemorheology in treating refractory SHL.关键词
针刺疗法/电针/火针疗法/听力障碍/听力损失,突发/聋/血液流变学/全血黏度Key words
Acupuncture therapy/Electroacupuncture/Fire needling therapy/Hearing disorders/Hearing loss,Sudden/Deafness/Hemorheology/Blood viscosity分类
医药卫生
