低能量激光照射加耳穴贴压治疗中重度突发性耳聋

目的:验证低能量激光照射穴位及外耳道加耳穴贴压治疗中重度突发性耳聋的效果,并与电针治疗效果相对比。方法:将258例中重度突发性耳聋病例随机分为观察1组、观察2组和对照组,每组86例。对照组给予静脉点注10%低分子右旋糖酐500mL等常规治疗,观察1组在此基础上予低能量激光照射穴位及外耳道,照射穴位为耳门、听宫、听会等,加耳穴贴压肝、肾、内分泌等穴;观察2组在对照组治疗基础上予电针治疗,取穴与观察1组照射穴位相同,15天为一疗程,分别于治疗1疗程、2疗程后判定疗效。结果:2疗程后观察1组治愈率为40.7%(35/86),观察2组为38.4%(33/86),均优于对照组的25.6%(22/86)(均P<0.05),且两个观察组2疗程治疗效果均优于1疗程(均P<0.05),而组间差异无统计学意义(均P>0.05)。两个观察组在降低语频听阈、改善听力方面均优于对照组(P<0.05,P<0.01),且2疗程疗效均优于1疗程(均P<0.01)。结论:在常规治疗基础上,低能量激光照射穴位及外耳道加耳穴贴压和电针对中重度突发性耳聋的治疗作用均优于单纯常规治疗,在降低语频听阈、改善听力方面具有持久性,随治疗时间的增长疗效逐步累加;低能量激光照射穴位及外耳道加耳穴贴压治疗可以代替电针治疗。

Moderate and severe sudden deafness treated with low-energy laser irradiation combined with auricular acupoint sticking

Objective To test the therapeutic effect on moderate and severe sudden deafness treated with lo-wenergy laser irradiation on acupoint and external auditory canal combined with auricular point sticking(APS) and as compared with electroacupuncture.Methods Two hundred and fifty-eight cases of moderate and severe sudden hearing loss were randomly divided into an observation group 1,an observation group 2 and a control group,86 cases in each group.In three groups,10% low molecular Dextran 500 mL were used for intravenous infusion.Based on the above treatment,the observation group 1 was treated with low-energy laser irradiation on acupoint and external auditory canal(such as Ermen(TE 21),Tinggong(SI 19) and Tinghui(GB 2)),combined with APS at Gan(liver),Shen(kidney) and Neifenmi(endorine),etc.The observation group 2 was treated with electroacupuncture at the same acupoints as those point irradiation in observation group 1.Fifteen days made one session.The therapeutic effects were evaluated after one and two sessions.Results After two sessions,The cured rate was 40.7%(35/86) in observation group 1 and 38.4%(33/86) in observation group 2,which were superior to 25.6%(22/86)in control group(both P<0.05).Compared with one session,the therapeutic effects after two sessions were better in two observation groups(both P<0.05),but there was no significant difference between two groups(both P>0.05).In comparison of the improvements of frequency audiometry and auditory function,the two observation groups were better than those in control group(P<0.05,P<0.01),and the improvements after two sessions were better in two observation groups(both P<0.01).Conclusion Both of low-energy laser irradiation on acupoint and external auditory canal combined with APS and electroacupuncture are able to decrease frequency audiometry,improve auditory function,and the therapeutic effects are better with prolongation of treatment time.The clinical efficacy of above two the rapies on moderate and severe sudden deafness is superior remarkably to that of conventio-nal treatment.The therapy of low-energy laser irradiation on acupoint and external auditory canal combined with APS can replace the electroacupuncture therapy in treating moderate and severe sudden deafness.