本文選題：針刺　切入點(diǎn)：刺血療法　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的本研究運(yùn)用針刺結(jié)合刺血療法治療痰火郁結(jié)型神經(jīng)性耳鳴,和單純的針刺組兩組互相進(jìn)行比較,來觀察研究病患耳鳴狀況是否癥狀有改善或者是痊愈,通過比較治療組與對照組兩組病患耳鳴治療的復(fù)原狀況,以及病患本人填寫耳鳴嚴(yán)重程度評估指標(biāo)表,來評價(jià)本次研究的針刺結(jié)合放血療法的治療效果。方法本研究納入符合診斷標(biāo)準(zhǔn)的痰火郁結(jié)型神經(jīng)性耳鳴患者60例,隨機(jī)分配治療組(針刺結(jié)合刺血療法組)30例和對照組(單純針刺組)30例。治療組和對照組患者取穴位聽宮,聽會(huì),完骨,中渚,太沖等穴給予針刺,留針30分鐘,每隔10分鐘進(jìn)行捻轉(zhuǎn)瀉法治療五分鐘,兩組患者每天針刺1次,每周針刺5天,休息兩天為一個(gè)療程,共治療兩個(gè)療程。針刺結(jié)束后治療組再進(jìn)行刺血療法,先用手按揉耳朵,讓耳朵充血,在耳尖用2.5%碘酊消毒,再用75%酒精來消毒,再使用一次性的注射針頭淺刺1-2mm,反復(fù)地輕壓針口周圍,讓血流出1-2m1,結(jié)束后用干棉球按壓出血孔止血,每一次取單側(cè)的耳尖穴來進(jìn)行刺血療法,雙耳交替進(jìn)行刺血療法。治療組刺血療法,每隔1天治療1次,每周3次為1個(gè)療程,共治療2個(gè)療程。療程結(jié)束后,再用耳鳴嚴(yán)重程度評估表來評估評分表的分級改變,來觀察患者的耳鳴狀況有沒有得到緩解和改善。使用SPSS20.0對病患收集的數(shù)據(jù)進(jìn)行分析和統(tǒng)計(jì),觀察數(shù)據(jù)來判斷兩組的治療方法治療神經(jīng)性耳鳴的療效。結(jié)果本研究完成的病例共60例,治療組(針刺結(jié)合刺血療法組)30例,對照組(單純針刺組)30例,治療前在性別,年齡,病程等一般資料比較上,兩組間都沒有統(tǒng)計(jì)學(xué)上的顯著差異,兩組的耳鳴嚴(yán)重程度分級,在統(tǒng)計(jì)學(xué)上也沒有顯著的差異。即接受本治療的患者在性別,年齡,病程與耳鳴嚴(yán)重分級程度上,是有可比性。療程結(jié)束后,治療組(針刺結(jié)合刺血療法組)和對照組比較治療前后的耳鳴嚴(yán)重分級均達(dá)統(tǒng)計(jì)學(xué)上顯著差異(P0.05),即治療組(針刺結(jié)合刺血療法)與對照組(單純針刺組)結(jié)果顯示皆能顯著改善臨床的癥狀。治療結(jié)束后的療效評估,針刺加刺血療法組痊愈9例(30.00%),顯效7例(23.33%),有效12例(40.00%),無效2例(6.67%),總有效率93.33%；單純針刺組痊愈2例(6.67%),顯效4例(13.3%),有效18例(60.0%),無效6例(20.00%),總有效率80.00%。兩組間治療的療效比較達(dá)統(tǒng)計(jì)學(xué)上顯著差異(P0.05)。證明針刺結(jié)合刺血療法組療效顯著優(yōu)于單純針刺組。結(jié)論由以上面所述,藉由耳鳴嚴(yán)重評估指示表,和病患的病情反饋,針刺結(jié)合刺血療法治療痰火郁結(jié)型神經(jīng)性耳鳴的治療組有更好的療效,由此證明針刺結(jié)合刺血療法值得運(yùn)用在臨床上治療痰火郁結(jié)型神經(jīng)性耳鳴。
[Abstract]:Objective to observe whether the symptoms of tinnitus in patients with tinnitus were improved or cured by acupuncture combined with blood acupuncture in the treatment of phlegm and fire stagnation type tinnitus. By comparing the recovery status of tinnitus treatment between the treatment group and the control group, and filling out the evaluation index table of the severity of tinnitus, Methods in this study, 60 patients with phlegm and fire stagnation type tinnitus were included in the study to evaluate the therapeutic effect of acupuncture combined with bloodletting therapy. The treatment group (acupuncture combined with blood pricking therapy group: 30 cases) and the control group (group B (30 cases)) were randomly assigned. The patients in the treatment group and control group were given acupuncture at acupoint hearing palace, hearing point, complete bone, Zhongzhu and Taicong points, and kept the acupuncture for 30 minutes. The patients in the two groups were treated with twirling and catharsis every 10 minutes for five minutes. The patients in the two groups were treated with acupuncture once a day, acupuncture for 5 days per week, rest two days as a course of treatment. After acupuncture, the treatment group was treated with blood pricking therapy, and the hands were first applied to rub the ears. Let the ears be hyperemia, sterilize with 2.5% iodine tincture at the ear tip, then sterilize with 75% alcohol, then use a disposable injection needle with a shallow puncture of 1-2mm, repeatedly gently press around the needle mouth to let the blood flow out of 1-2m1.After the end, use a dry cotton ball to press the bleeding hole to stop the bleeding. Blood pricking therapy was performed at one ear acupoint at each time, and blood pricking therapy was performed alternately on both ears. In the treatment group, blood pricking therapy was treated once every 1 day, 3 times a week as a course of treatment, and 2 courses of treatment were completed. Then we use the tinnitus severity assessment table to evaluate the grading changes in the scoring table to see if the patient's tinnitus status has been alleviated and improved. We use SPSS20.0 to analyze and statistics the data collected by the patients. Results there were 60 cases in this study, 30 cases in the treatment group (acupuncture combined with blood pricking therapy group) and 30 cases in the control group (30 cases in the simple acupuncture group, sex and age before treatment. There was no statistically significant difference between the two groups in general data such as course of disease, and there was no significant difference in the severity of tinnitus between the two groups, and there was no statistically significant difference between the two groups. The course of disease is comparable to the severity of tinnitus. After the course of treatment, The severe grade of tinnitus before and after treatment in the treatment group (acupuncture combined with blood pricking therapy group) was significantly different from that in the control group (P 0.05), that is, the treatment group (acupuncture combined with blood acupuncture therapy) and the control group (simple acupuncture group) showed significant results. Both can significantly improve clinical symptoms. In the acupuncture plus blood therapy group, 9 cases were cured, 7 cases were significantly effective, 12 cases were effective, 12 cases were effective, 2 cases were ineffective, 2 cases were effective, and the total effective rate was 93.33; in the simple acupuncture group, 2 cases were cured, 6 cases were cured, 4 cases were significantly effective, 18 cases were effective, 60.030% were effective, 6 cases were ineffective, and the total effective rate was 80.00B. the total effective rate was 80.005 in the two groups. The results showed that the effect of acupuncture combined with blood acupuncture was significantly better than that of simple acupuncture. Conclusion according to the above, the effect of acupuncture combined with blood acupuncture is better than that of simple acupuncture. With the indication of severe assessment of tinnitus and the feedback of the patient's condition, acupuncture combined with blood pricking therapy has better curative effect on phlegm-fire stagnation type neurotic tinnitus. It is proved that acupuncture combined with blood pricking therapy is worthy of clinical treatment of phlegm and fire stagnation type neurotic tinnitus.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.81

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