| Purpose:Based on the holistic concept of traditional Chinese medicine and dialectical theory of governance, by using the method of cultivating blood,promoting qi and tranquilizing the mind,combined with the music of Five Elements to treat the type of tinnitus which belongs to upsetting in sprit, and the severity of primary tinnitus, anxiety, sleep status and clinical efficacy were evaluated, and its mechanism was explained.Material and method:Primary tinnitus patients were selected from the Department of ENT in The Affiliated Hospital of Liaoning University of TCM from March 2015 to December 2015.The 96 cases of patients were discriminated to upsetting in sprit type. According to the order of treatment, the random number table method was randomly divided into 3 groups: A,B,C.The patients of group A were treated by priscription with the method of cultivating blood,promoting qi and tranquilizing the mind,combined with the music of Five Elements;The patients of group B were treated by priscription with the method of cultivating blood,promoting qi and tranquilizing the mind,combined with Masking therapy;The patients of group B were treated by only the priscription with the method of cultivating blood,promoting qi and tranquilizing the mind.Investigated the patents before and after the treatment of 1 month, 3 respectively, using THI scale to evaluate the severity of the tinnitus, the anxiety of patients was evaluated using the self rating Anxiety Scale(SAS), the sleep status of patients were evaluated by Self-Rating Scale of Sleep(SRSS), According to the classification and evaluation of tinnitus loudness to evaluated the clinical curative effect before and after treatment.Results:1.On the view of curative effect judgment,The total effective rate of the patients in group A was 62.50% and 3 months after treatment, respectively, 1 and 90.63%.The total effective rate of the patients in group B was 56.25% and 3 months after treatment, respectively, 1 and 68.75%.The total effective rate of the patients in group C was 37.50% and 3 months after treatment, respectively, 1 and 43.75%.There was no significant difference in total effective rate between A group and B group after 1 months(P > 0.05), but it was significantly better than that of C group, and the difference was statistically significant(P < 0.05).The total effective rate of A group after 3 months treatment was significantly higher than that of B group and C group, the difference was statistically significant(P < 0.05).The effective rate of A group after 3 months treatment was significantly improved, the difference was statistically significant(P < 0.05).There was no significant difference in total effective rate between B group and C group after treatment for 1 months and 0.05 months(P > 3). 2. After 1 months of treatment, A, B, C group of patients with emotional and functional scores were significantly lower than before treatment, the difference was statistically significant(P < 0.05),and the A group and the B group’s emotional score and functional score were lower than the C group, the difference between the groups was statistically significant(P < 0.05).After 3 months of treatment, a group of patients with emotional score and functional score compared with the treatment after 1 month was significantly lower, the difference is statistically significant(P < 0.05) and lower than the same period in group B and group C, the difference between the two groups had significant difference(P < 0.05).There was no significant difference between the three groups before and after treatment(P > 0.05). 3. The evaluation of anxiety and sleep status in patients with tinnitus: Three groups of patients with treatment of 1 month and 3 months after two groups of patients with SAS and SRSS score treatment have improved significantly and the difference is statistically significant(P < 0.05), and group A is better than B group and C group(P < 0.05), the difference between the two groups had significant difference(P < 0.05).Conclusion: 1. The method of cultivating blood,promoting qi and tranquilizing the mind,combined with the music of Five Elements can reduce the severity of tinnitus patients, and improve the patients with anxiety and depression mood and sleep state, the clinical efficacy is superior to priscription with the method of cultivating blood,promoting qi and tranquilizing the mind,combined with Masking therapy and simple priscription with the method of cultivating blood,promoting qi and tranquilizing the mind. 2. Effect of the method of cultivating blood,promoting qi and tranquilizing the mind,combined with the music of Five Elements for the treatment of tinnitus from January to March showed a rising trend, the long-term curative effect is good. 3. The music of Five Elements as a traditional treatment for tinnitus treatment of innovative ideas, and is tackling the problem, a wider role, and no adverse reactions, it is worth of clinical application and promotion. |
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