中西医结合护理 (Jun 2022)
Clinical application of the three-step auricular acupoint therapy for 23 patients with primary tinnitus (耳穴”三序”疗法治疗原发性耳鸣23例)
Abstract
Objective To investigate the effect of a three-step auricular acupoint therapy in the treatment of primary tinnitus. Methods The clinical data of 23 patients with primary tinnitus were retrospectively analyzed. Key issues in implementation of three-step auricular acupoint therapy and related nursing were summarized. Results The score of Tinnitus Evaluation Questionnaire(TEQ) was lower after treatment compared with that before treatment (P<0. 05). The score of Tinnitus Handicap Inventory(THI) dropped form (32. 63±11. 67) before treatment to(32. 63±11. 67) after treatment, with a significant difference(P<0. 05). The marked effective rate was 52. 17%(12/23) after 2 courses of treatment. Conclusion The three-step auricular acupoint therapy, consisting of auricular massage, auricular scraping therapy, and auricular acupoint sticking and pressing therapy by syndrome differentiation, is an easy-to-operate and effective therapy for primary tinnitus. It is able to tonify liver and kidney, dredging collaterals and relieving the symptoms of tinnitus. (目的 总结耳穴“三序”疗法治疗原发性耳鸣临床疗效。方法 收集23例采用耳穴“三序”疗法治疗的原发性耳鸣患者的临床资料, 总结操作方法, 分析临床疗效。结果 治疗后, 患者耳鸣评价量表(TEQ)评分低于治疗前, 差异有统计学意义(P<0. 05)。治疗后耳鸣致残量表(THI)评分(32. 63±11. 67)分, 低于治疗前(56. 59±0. 84)分, 差异有统计学意义(P<0. 05)。23例原发性耳鸣患者治疗2个疗程后的显效率为52. 17%(12/23)。结论 耳穴“三序”疗法通过先耳郭全息按摩、刮痧、最后辨证施穴进行耳穴贴压, 进而达到补益肝肾、通络益窍、改善耳鸣症状的目的, 其操作取材方便, 易于实施, 值得临床借鉴。)
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