| Objectives:By comparing the difference of clinical efficacy of acupuncture combined with ear transport and oral fluunrizine hydrochloride capsules and mecobalamine tablets in the treatment of primary tinnitus with kidney essence deficiency,and the influence of the two methods on TCM syndrome score scale,tinnitus evaluation scale,tinnitus disability evaluation scale and average threshold of qi conduction,this study provides reference and reference for the clinical treatment of primary tinnitus with kidney essence deficiency.Methods:A total of 62 patients with primary tinnitus of kidney essence deficiency type who were admitted to the Department of acupuncture and moxibustion and the Department of otolaryngology,the Second People’s Hospital Affiliated to Fujian University of Chinese Medicine from July 2022 to January 2023 were randomly divided into the treatment group(acupuncture plus ear transport)and the control group(oral Western medicine),with 31 cases in each group.Treatment group: acupuncture combined with auricular transport treatment,acupuncture once a day,two times of auricular transport after each acupuncture,6 days as a course of treatment,continuous treatment for 4 courses,rest for 1 day after each course of treatment.Acupuncture points: auricular,Audihui,Yifeng,Fengchi(all affected side);Matching points: Guanyuan point,Shenshu point,Taixi point(both sides).Auricular point selection: starting point,sympathetic,divine gate,kidney area,spleen and stomach area,heart point,outer ear,inner ear point,opposite tragus,earlobe.Control group: Flunarizine hydrochloride capsule combined with mecobalamine tablet oral administration.Flunarizine hydrochloride capsules,10 mg each time,before going to bed,once a day;Mecobalamine tablets,0.5mg each time,taken after meals,three times a day,a total of 4 weeks.The changes of TCM syndrome score,tinnitus assessment scale,tinnitus disability assessment scale and average hearing threshold of qi conduction were observed before and after treatment in the two groups,and the efficacy of the two groups was evaluated.All data were analyzed using SPSS 24.0 software.Rusults:1.A total of 62 cases of primary tinnitus patients with kidney essence deficiency type were included in this study,and 59 cases were finally completed by researchers(including 1 case of shedding in the treatment group and 2 cases in the control group,with a total shedding rate of4.84%).2.TCM syndrome score scale: Compared between the two groups,there were statistically significant differences in tinnitus,waist and knee tenderness,dizziness,deficiency,irritability and insomnia,frequent nocturnal urination and total score(P<0.05);Compared between the two groups,the treatment group was better than the control group in the aspects of tinnitus,dizziness,deficiency and insomnia and total score(P<0.05).3.Tinnitus Evaluation Scale(TEQ): After treatment,TEQ scores and total scores of the two groups were decreased compared with before treatment,with statistical difference(P<0.05);After treatment,The treatment group was better than the control group in reducing the duration of tinnitus,the influence of tinnitus on sleep and mood,the individual score of the overall feeling of tinnitus and the total curative effect,with statistical difference(P<0.05).4.Tinnitus Disability Assessment Scale(THI): After treatment,THI scores and total scores of the two groups were decreased compared with those before treatment,with statistical differences(P<0.05).The treatment group was better than the control group in reducing THI score,with statistical difference(P<0.05).5.Average audibility threshold of air conductance: After treatment,the average audibility threshold of air conductance in both groups decreased compared with that before treatment,with statistical difference(P<0.05).After treatment,the treatment group was better than the control group in reducing the mean threshold of air permeability,with statistical difference(P<0.05).6.Clinical efficacy: The total effective rate was 76.67% in the treatment group and 62.07% in the control group,the difference was statistically significant(P<0.05),and the treatment group was better than the control group.Conclusions:1.Acupuncture combined with ear transport and oral flunarizine hydrochloride capsule combined with mecobalamine tablet can improve TEQ,THI scale scores,TCM syndro me scores and average hearing threshold of qi conduction in patients with primary tin nitus with kidney essence deficiency,but acupuncture combined with ear transport ther apy can improve the above indicators better than Flunarizine hydrochloride capsule an d mecobalamine tablet.2.Acupuncture combined with ear operation showed significant advantages compared with oral therapy of flunarizine hydrochloride capsule combined with mecobalamine ta blet in reducing the onset time of tinnitus,weakening the influence on sleep and moo d,and improving the hearing and overall feeling of patients. |
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