耳部全息铜砭刮痧法联合放血疗法治疗肝火上炎型耳聋临床观察OA
Auricular Holographic Copper-Bian Scraping Therapy Combined with Bloodletting Therapy in the Treatment of Deafness of Liver Fire Flaring Upward Type
目的 观察耳部全息铜砭刮痧法联合放血疗法治疗肝火上炎型耳聋的临床疗效,为肝火上炎型突发性耳聋的中医外治提供客观依据.方法 选取2025年3月—2026年3月在山西省中医院针灸科住院的肝火上炎型耳聋患者60例,随机分为试验组与对照组,各30例.对照组给予耳聋的常规治疗及护理并联合放血疗法;试验组在此基础上加用耳部全息铜砭刮痧法.2组均连续治疗15 d.治疗前后检测平均听阈并评价耳聋和耳鸣疗效,同时记录匹兹堡睡眠质量指数(PSQI)及焦虑自评量表(SAS)得分变化.结果 治疗后,2组听力及耳鸣均较治疗前改善(P<0.05),试验组耳聋和耳鸣总有效率高于对照组(P<0.05);试验组PSQI和SAS下降幅度显著优于对照组(P<0.001).结论 耳部全息铜砭刮痧法联合放血疗法可显著改善肝火上炎型耳聋患者听力障碍与耳鸣症状,可以改善睡眠、缓解焦虑,且操作简便、安全性高,具有良好的临床推广前景.
Objective To observe the clinical efficacy of auricular holographic copper-bian scraping therapy combined with bloodletting therapy in treating deafness of liver fire flaring upward type,and to provide objective evidence for external therapy of traditional Chinese medicine(TCM)in the treatment of sudden deafness of liver fire flaring upward type.Methods Sixty inpatients diagnosed with deafness of liver fire flaring upward type admitted to Department of Acupuncture and Moxibustion of Shanxi Provincial Hospital of Traditional Chinese Medicine from March 2025 to March 2026 were enrolled and randomly divided into an experimental group and a control group,with 30 cases in each group.The control group received conventional treatment,nursing care for deafness combined with bloodletting therapy.On the basis of the control group,the experimental group was additionally treated with auricular holographic copper-bian scraping therapy.Both groups underwent continuous treatment for 15 days.The average hearing threshold was measured before and after treatment,the therapeutic effects on deafness and tinnitus were evaluated,and the changes in Pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)scores were recorded simultaneously.Results After treatment,hearing function and tinnitus symptoms were significantly improved in both groups(P<0.05).The total effective rates for deafness and tinnitus in the experimental group were higher than those in the control group(P<0.05).In addition,the reductions in PSQI and SAS scores of the experimental group were markedly superior to the control group(P<0.001).Conclusion Auricular holographic copper-bian scraping therapy combined with bloodletting therapy could significantly improve hearing impairment and tinnitus symptoms in patients with deafness of liver fire flaring upward type,enhance sleep quality,alleviate anxiety,and was characterized by simple operation and high safety,demonstrating promising clinical prospects for widespread application.
张春燕;李信旺;郝利芳;王昆;韩康洁;张敏
山西省中医院针灸科,山西 太原 030000山西省中医院针灸科,山西 太原 030000山西省中医院针灸科,山西 太原 030000山西省中医院针灸科,山西 太原 030000山西省中医院针灸科,山西 太原 030000山西省中医院针灸科,山西 太原 030000
医药卫生
耳部全息铜砭刮痧放血疗法肝火上炎证突发性耳聋
auricular holographic copper-bian scraping therapybloodletting therapyliver fire flaring upward syndromesudden deafness
《光明中医》 2026 (13)
41-45,5
山西省中医药研究院院级课题(No.2024HL02)
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