从心脾论治突发性耳聋的疗效观察

doi:10.6040/j.issn.1673-3770.0.2019.584

摘要/Abstract

摘要： 目的研究归脾汤治疗突发性耳聋患者的临床疗效。方法以2015年1月至2019年6月广州中医药大学附属中山中医院耳鼻咽喉科住院治疗且临床资料完整的108例气血亏虚型突发性耳聋患者为研究对象,根据是否使用中药汤剂归脾汤分为研究组78例和对照组30例,其中对照组采用常规西药治疗,研究组在此基础上给予归脾汤治疗。结果研究组总有效率为79.49%,高于对照组的总有效率60.00%,两组比较差异有统计学意义(P<0.05);伴随症状方面,研究组耳鸣有效率为96.43%(54/56),对照组的耳鸣有效率为66.67%(12/18),两组的耳鸣有效率差异比较有统计学意义(P<0.05);两组患者头晕、耳堵闷感的有效率比较差异无统计学意义(P>0.05)。结论常规西药联合归脾汤治疗气虚亏虚型突发性耳聋伴耳鸣患者的临床疗效优于单纯常规西药治疗,有一定的临床推广应用价值。

关键词: 突发性耳聋, 气血亏虚证, 归脾汤, 临床疗效

Abstract: Objective The aim of this study was to examine the clinical effects of Guipi Decoction in the treatment of sudden deafness. Methods From January 2015 to June 2019, 108 patients with sudden deafness of Qi and blood deficiency type, who were hospitalized in the otolaryngology department of Zhongshan Hospital(affiliated with Guangzhou University of Traditional Chinese Medicine), and had complete clinical data were divided into the study group(n=78)and the control group(n=30). The control group was treated with conventional western medicine, while the study group was given Guipi Decoction along with western medicine treatment. Results The total effective rate of the study group was 79.49%, which was higher than that of the control group(60.00%). The difference between the two groups was statistically significant(P<0.05). There was no significant difference in the effective rate of sense(P>0.05). Conclusion The clinical effect of routine western medicine combined with Guipi Decoction in the treatment of sudden deafness of qi deficiency type is better than that of routine western medicine alone, which may have a clinical application.

Key words: Sudden deafness, Deficiency of Qi and blood, Guipi Decoction, Clinical effect

中图分类号:

R764

林育珊,卢标清. 从心脾论治突发性耳聋的疗效观察[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 6-11.

LIN Yushan, LU Biaoqing. Treatment of sudden seafness by heart and spleen[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 6-11.

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