A Clinical Study On The Treatment Of Chronic Tinnitus Based On The Tinnitus Removal System Using The Method Of Strengthening The Spleen, Replenishing Qi And Calming The Nerves

Purpose:To explore the clinical effect of the method of Jianpi Yiqi Anshen on chronic tinnitus based on tinnitus clearance system,and to clarify the influence of the method of Jianpi Yiqi Anshen on mood and sleep of patients with chronic tinnitus.Material and method: From October 2017 to October 2018,136 patients with chronic tinnitus who met the inclusion criteria and exclusion criteria at the Department of Otorhinolaryngology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were enrolled in the treatment group and the control group according to the random word table method.The treatment group was given three times of oral administration of 100 mg of Chinese medicine for strengthening the spleen,replenishing qi and calming the nerves,and the control group was given two pieces three times a day.The patients in each group were subjected to the classification of subjective loudness of tinnitus and tinnitus matching at the time of treatment and 3 weeks of treatment.and complete the assessment scales such as the Tinnitus Handicap Inventory(THI),the Pittsburgh Sleep Quality Index(PSQI),and the Self-Rating Anxiety Scale(SAS),and evaluate the efficacy.Results:1.Efficacy evaluation: The total effective rate after treatment for 3 weeks in the treatment group was 80.88%.The total effective rate after treatment for3 weeks in the control group was 64.71%.The total effective rate of the treatment group was significantly higher than that of the control group after three weeks of treatment,and the difference was statistically significant(p<0.05).2.Evaluation of patients' anxiety status: The THI and SAS scores of the two groups were lower than before treatment,and the difference was statistically significant(p<0.05).The SAS score of the treatment group decreased significantly compared with the control group.Academic significance(p<0.05).3.Evaluation of patients' sleep status: The THI and PSQI scores of the two groups were lower than before treatment,and the difference was statistically significant(p<0.05).The PSQI score of the treatment group decreased significantly compared with the control group.The difference was statistically significant.Significance(p<0.05).4.Tinnitus detection: The loudness of tinnitus detection before and after treatment was lower than that before treatment.The difference was statistically significant(p<0.05).The loudness of the treatment group was significantly lower than that of the control group,and the difference was statistically significant(p <0.05).Conclusion:1.Both groups can improve the THI score,and the treatment group is better than the control group.2.The Jianpi Yiqi Anshen therapy can significantly reduce the score of SAS scale in patients with chronic tinnitus,and can improve the anxiety state of patients with chronic tinnitus.3.The Jianpi Yiqi Anshen therapy can reduce the score of PSQI scale in patients with chronic tinnitus,suggesting that Jianpi Yiqi Anshen method has a significant effect on improving the sleep quality of patients with chronic tinnitus.4.Jianpi Yiqi Anshen therapy can reduce the tinnitus loudness of patients with chronic tinnitus,and the degree of ringing loudness of the treatment group is significantly higher than that of the control group.5.The overall efficacy of the treatment group was better than the overall efficacy of the control group.