Clinical Observation On Treatment Of Sudden Deafness Qing Shang Zhen Xia Acupuncture Manipulation

Study Materials and methods: using randomized controlled methods, second hospital from 2012 March to 2014 screening September Dalian Medical University affiliated acupuncture clinic, Department of traditional Chinese medicine, wards and ENT ward of sudden deafness and 40 patients met the inclusion criteria, with the 1: 1 Qing Shang Zhen Xia were randomly divided into acupuncture group(treatment group), dialectical point selection in acupuncture group(the control group), 20 cases in each. The two groups in gender, age, duration of ordinary materials such as comparison, there was no statistically significant difference(P>0.05), comparable. All patients were treated with conventional drugs: the basis of dexamethasone 15 mg / D intravenous drip, QD for 3 D, then 10 m d intravenous drip, QD for 3 D, the last 5 mg / D intravenous drip, QD for 3 D; the 10% low molecular dextran 500 ml, intravenous drip; the energy mixture(5% Glucose Injection 250 ml, 40 ml, 0.4 g adenosine triphosphate and inosine, coenzyme A 100 IU), intravenous drip; the mecobalamin 0.5 mg / D intramuscular injection; the flunarizine hydrochloride 5 mg / D, 1 tablets, oral. Two groups of patients were selected Pleurotus week basic acupuncture point: Er men, Ting Gong, Ting Hui, Yi Feng. Qing Shang Zhen Xia acupuncture group were twelve meridians well point that bilateral Shang Yang, Guan Chong and other points with pricking blood, the use of disposable sterile acupuncture needle Wai Guan, Zhong Zhu, Zu San Li, San Yin Jiao, Tai Xi, the use of mild moxa strip Zhao Hai, Yong Quan; acupoint acupuncture group dialectical point selection according to syndrome differentiation:(1) the wind evil external attack: He Gu, Qu Chi, Da Zhui, Wai Guan.(2) liver and kidney deficiency: Gan Yu, Shen Yu, Tai Xi, Zhao Hai.(3) the lack of gas: Zhong Wan, Zu San Li, San Yin Jiao, baihui.(4) the hepatobiliary Huosheng: Tai Chong, Zu Li Qi, Qiu Xu, Yang Ling Quan.(5) stagnation of phlegm fire: Nei Ting, Feng Long, Zu San Li, Yin Ling Quan. 1 times a day, 10 times as a course of treatment, 2 days rest between treatments, a total of 4 courses of treatment. When seeing a doctor carefully otolaryngology koca body, all the patients before treatment by pure tone audiometry and acoustic impedance examination, some patients at the discretion of the brainstem auditory evoked potential and necessary radiological examination(including head and internal auditory canal CT, MR1 etc.), and the related blood tests(blood routine, blood sugar, blood lipid, blood coagulation function, biochemical examination etc.). After the treatment of seventh, 14, 30, 60 days after pure tone audiometry and clinical curative effect judgment, and the use of SPSS13.0 for the change in score data were analyzed before and after treatment, the between group variables, t test was used for enumeration data, calculate the constituent ratio and rate, the groups were compared using chi square test, Kruskal Wallis rank material.Results: after the treatment, two groups of thresholds were significantly decreased than before treatment, the difference was significant(P<0.05); comparative hearing threshold levels in the two groups after treatment, the difference was significant(P<0.05). Prompt treatment of hearing improvement was superior to the control group. The total effect rate was 90% in the treatment group, 65% in control group, the two groups, the difference was significant(P <0.05).Conclusion: the treatment of sudden deafness, Qing Shang Zhen Xia needle quick, patient compliance is good, simple operation, strong operability; acupoint selection ideas and forms of Qing Shang Zhen Xia is feasible.