A Randomized Controlled Study Of Thumbtack Needle In The Treatment Of Tinnitus In Elderly Patients With Kidney Essence Deficiency

Objective:The purpose of this study was to observe the efficacy and safety of thumbtack needle in the treatment of tinnitus in elderly patients with kidney essence deficiency,and to provide clinical basis for the treatment of tinnitus in elderly patients with kidney essence deficiency.Methods:This study was a randomized controlled study.According to the inclusion and exclusion criteria of the trial,the elderly patients with tinnitus with kidney essence deficiency were randomly divided into experimental group(thumbtack needle group),control group(sham thumbtack needle group)and waiting for treatment group.The thumbtack needle group selected SI19,GB2,SJ21,SJ17,SJ3,KI3,BL23.The false thumbtack needle group selected the same acupoints as the experimental group,but the needles were fake needles.Waiting for the treatment group not to be treated during the trial,and will be given the same treatment as the thumbtack needle group after the trial.Treatment once a day,5 times a week,2 days interval,1 week as a course of treatment,a total of 3 courses of treatment.The improvement of visual analogue scale(Visual Analogue Scale,VAS)and tinnitus evaluation scale(Tinnitus Evaluation Questionnaire,TEQ)were compared before treatment,1 week,2 weeks,3weeks and 1 month after treatment.Results:A total of 90 patients were included in the study.Two cases of thumbtack needle group and two cases of sham thumbtack needle group fell off.At last,a total of 86 cases were included in the result analysis.1.The baseline analysis showed that there was no significant difference in sex,age,VAS score and TEQ score among the thumbtack needle group,the sham needle group and the waiting treatment group.2.VAS score: After 1 week,2 weeks,3 weeks and 1 month follow-up in the thumbtack needle group,the VAS score was significantly lower thanthat before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in the VAS scores between the sham thumbtack needle group and the waiting treatment group at 1 week,2weeks,3 weeks and 1 month after treatment(P>0.05).There was no significant difference in VAS scores between the sham thumbtack needle group,the waiting treatment group at 3 weeks and follow-up(P>0.05),and there was no significant difference between the sham thumbtack needle group and the waiting treatment group after 3 weeks and follow-up(P>0.05).There was a significant difference in the VAS score between the thumbtack needle group and the sham thumbtack needle group after 3 weeks and 1 month of treatment(P<0.05).3.TEQ score: The TEQ score in the thumbtack needle group was significantly lower than that before treatment at 1 week,2 weeks,3 weeks and 1 month after treatment,while there was no significant difference in TEQ scores between the sham thumbtack needle group after 1 week,2 weeks,3 weeks and follow-up(P<0.05).There was significant difference in TEQ scores between the thumbtack needle group,the waiting treatment group after 3 weeks and the follow-up(P<0.05).There was no significant difference in TEQ scores between sham thumbtack needle needle group and waiting treatment group after 3 weeks and follow-up(P>0.05),but there was significant difference in TEQ scores between sham thumbtack needle group and sham thumbtack needle group after 3 weeks and 1 month after treatment(P< 0.05).Conclusion:1.Thumbtack needle is effective in the treatment of tinnitus in elderly patients with kidney essence deficiency.2.Sham thumbtack needle is ineffective in the treatment of tinnitus in elderly patients with kidney essence deficiency.3.Thumbtack needle is safe in the treatment of tinnitus in elderly patients with kidney essence deficiency,and there are no obvious side effects.