导气通络针法治疗特发性耳鸣临床研究

Clinical Study of Qi-Conducting and Collateral-Unblocking Acupuncture for Idiopathic Tinnitus

摘要:

目的：观察导气通络针法治疗特发性耳鸣的临床疗效。方法：选取2024年6月—2025年5月期间在嵊州市中医院针灸科门诊治疗的特发性耳鸣患者74例，按随机数字表法分为观察组和对照组各37例。观察组给予导气通络针法（腹针、局部针刺、调神九针、辨证取穴、温针灸及耳后局部闪罐） 治疗，对照组给予甲钴胺片治疗。疗程均为4周，比较2组治疗前后耳鸣评价量表（TEQ）、耳鸣残疾量表（THI）、耳鸣响度视觉模拟评分法（VAS） 评分、匹兹堡睡眠质量问卷（PSQI） 评分，并评定临床疗效及安全性。结果：治疗后，观察组总有效率为89.19% （34/37），对照组为43.24% （16/37），2组比较，差异有统计学意义（P＜0.05）。治疗后， 2 组TEQ、THI、VAS、PSQI 评分均较治疗前降低（P＜0.05），且观察组4 项评分均低于对照组（P＜0.05）。治疗过程中，2组患者均未出现明显的不良反应。结论：导气通络针法治疗特发性耳鸣可缓解患者耳鸣程度，有助于改善睡眠质量，提高临床疗效，且安全性良好。

Abstract:

Abstract：Objective：To observe the clinical efficacy of qi-conducting and collateral-unblocking acupuncture in the treatment of idiopathic tinnitus. Methods：A total of 74 patients with idiopathic tinnitus treated at the Department of Acupuncture and Moxibustion， Shengzhou Traditional Chinese Medicine Hospital from June 2024 to May 2025 were selected and randomly divided into the observation group and the control group using the random number table method， with 37 cases in each group. The observation group received qi-conducting and collateral-unblocking acupuncture （including abdominal acupuncture， local needling， nine needling for regulating the spirit， acupoint selection based on syndrome differentiation，warm needle moxibustion，and local flash cupping behind the ear），while the control group received Mecobalamin Tablets. Both groups were treated for four weeks. The Tinnitus Evaluation Questionnaire （TEQ），Tinnitus Handicap Inventory （THI），Visual Analogue Scale （VAS） for tinnitus loudness，and Pittsburgh Sleep Quality Index （PSQI） scores were compared between the two groups before and after treatment. Clinical efficacy and safety were also evaluated. Results：After treatment，the total effective rate was 89.19% （34/37） in the observation group and 43.24% （16/37） in the control group，with a statistically significant difference between the two groups （P＜0.05）. After treatment，the TEQ，THI，VAS，and PSQI scores in both groups decreased compared with those before treatment （P＜0.05），and the TEQ，THI，VAS，and PSQI scores in the observation group were lower than those in the control group （P＜0.05）. No significant adverse reactions occurred in either group during treatment. Conclusion： Qi-conducting and collateral-unblocking acupuncture can alleviate the severity of tinnitus and improve sleep quality in patients with idiopathic tinnitus，thereby enhancing clinical efficacy，and its safety is good.