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目的:观察耳周穴穴位注射联合高压氧治疗主观性耳鸣的临床疗效。方法:116主观性耳鸣患者被随机分成对照组和联合组,每组58例。对照组患者给予常规高压氧治疗,每日1次;联合组给予上述治疗的基础上,加用耳周穴穴位注射治疗(药液组成:天麻素+维生素B12+利多卡因),每隔3日注射1次,3次为1疗程。完成2~3个疗程后,比较两组患者伴随症状情况,并评价临床疗效。结果:治疗后,两组患者烦躁、失眠伴随症状均有一定程度改善,且联合组患者改善程度均明显优于对照组(P<0.05)。对照组和联合组治疗有效率分别为70.69%和91.38%,差异具有统计学意义(P<0.05)。结论:耳周穴穴位注射联合高压氧是一种更有效的治疗主观性耳鸣的方案,值得临床推广使用。
Objective: To observe the clinical effect of acupoint injection combined with hyperbaric oxygen therapy on subjective tinnitus. Methods: 116 subjective tinnitus patients were randomly divided into control group and combination group, 58 cases in each group. Patients in the control group were given conventional hyperbaric oxygen therapy once a day. On the basis of the above treatment, the acupuncture points of acupuncture points were added to the combination group (liquid composition: gastrodin + vitamin B12 + lidocaine) Injection 1, 3 times for a course of treatment. After completing 2 to 3 courses of treatment, the symptoms of the two groups were compared and the clinical efficacy was evaluated. Results: After treatment, irritability and symptoms of insomnia improved to some extent in both groups, and the improvement in combination group was better than that in control group (P <0.05). The effective rates of the control group and the combined group were 70.69% and 91.38% respectively, with statistical significance (P <0.05). Conclusion: Auricular acupoint injection combined with hyperbaric oxygen is a more effective treatment of subjective tinnitus program worthy of clinical promotion and use.