文章摘要
古金碧,何芸.天麻素联合利多卡因耳迷根穴位注射治疗特发性耳鸣的疗效分析[J].安徽医药,2018,22(4):739-742.
天麻素联合利多卡因耳迷根穴位注射治疗特发性耳鸣的疗效分析
Curative analysis of gastrodin plus lidocaine injection at ear root acupoint on idiopathic tinnitus
投稿时间:2016-08-10  
DOI:
中文关键词: 天麻素  利多卡因  耳迷根穴位  特发性耳鸣
英文关键词: gastrodin  lidocaine  ear fan root acupoint  idiopathic tinnitus
基金项目:
作者单位
古金碧 重庆市江津区中心医院耳鼻咽喉头颈外科,重庆 402260 
何芸 重庆市江津区中心医院耳鼻咽喉头颈外科,重庆 402260 
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中文摘要:
      目的 探讨天麻素联合利多卡因耳迷根穴位注射治疗特发性耳鸣的疗效。方法 选取该院2012年5月—2015年12月收治的特发性耳鸣患者130例为研究对象,根据随机数字表法将其分为观察组(n=70)和对照组(n=60),其中对照组在基础治疗的基础上口服银杏叶制剂和金纳多口服片剂,观察组在对照组的基础上于耳迷根穴位注射利多卡因和天麻素。比较两组患者治疗前和治疗后耳鸣残疾量表(THI)评分、视觉模拟量表(VAS)评分、耳鸣响度、睡眠量表(SPIEGEL)评分、焦虑量表评分、抑郁量表评分和耳鸣分级的变化,评价两组的临床疗效。结果 治疗后,两组患者的THI评分、VAS评分、耳鸣响度、SPIEGEL评分、焦虑量表评分、抑郁量表评分和耳鸣分级较治疗前均明显降低,且治疗后观察组THI评分、VAS评分、耳鸣响度、SPIEGEL评分、焦虑量表评分、抑郁量表评分和耳鸣分级均低于对照组,两组比较均差异有统计学意义(P<0.05)。对照组治疗的总有效率为58.3%,观察组治疗的总有效率为91.4%,两组总有效率比较差异有统计学意义(χ2=19.486,P<0.001)。结论 耳迷根穴位注射天麻素和利多卡因可明显改善特发性耳鸣患者的生活质量,提高治疗特发性耳鸣患者的临床有效率。
英文摘要:
      Objective To investigate the efficacy of gastrodin plus lidocaine injection at ear root acupoint on idiopathic tinnitus. Methods 130 cases of the specific tinnitus patients in our hospital from May 2012 to December 2015 were selected and randomly divided into two groups,the observation group (n=70) and control group (n=60),where in the control group on the basis treatment that oral Ginkgo biloba and ginaton oral tablets,the observation group based on the control group that injected lidocaine and gastrodin in the ear root acupoint.The tinnitus handicap inventory (THI) score,visual-analogue scale (VAS) score,tinnitus loudness,SPIEGEL score,clinical efficacy and anxiety scale score,tinnitus and depression scale score grading of the two groups,before and after treatment,were evaluated and compared. Results After the treatment,THI score,VAS score,before tinnitus loudness,SPIEGEL score,anxiety scale scores,and tinnitus grade depression scale score of the two groups of patients were significantly lower than before treatment,and after treatment in the observation group,THI score,VAS score,tinnitus loudness,SPIEGEL score,anxiety scale scores,and tinnitus grade depression scale scores were lower than the control group after treatment.The difference was statistically significant (P<0.05).The total effective rate of control group was 58.3 %,the total effective rate of observation group was 91.4 %,which was statistically significant (χ2=19.486,P<0.001). Conclusions Ear fans root gastrodin acupoint injection and lidocaine can significantly improve the quality of life in patients with idiopathic tinnitus,idiopathic tinnitus improves the clinical effectiveness in patients.
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