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目的:通过对中西医结合组与单纯西医常规治疗组治疗耳鸣的临床观察,验证其近期与远期临床疗效,为其临床推广提供依据。方法:将60例患者随机分为两组,对照组30例,予西医扩血管、营养神经、改善微循环等治疗;观察组30例,在对照组治疗基础上加针刺与中药治疗。共治疗4周,随访1个月。评价患者治疗前、治疗4周、治疗后1个月随访的耳鸣严重程度,并比较两组疗效。结果:治疗后及随访两组耳鸣严重程度均改善(均P<0.05),且观察组优于对照组(P<0.05);观察组总有效率93.3%,优于对照组总有效率73.3%(P<0.05)。两组均无严重不良反应。结论:中西医结合综合治疗肝火上扰型耳鸣可以改善耳鸣严重程度,近期与远期疗效均优于单纯西医常规治疗,适合临床推广。
Objective: To verify the clinical curative effect of short-term and long-term treatment of tinnitus by combining traditional Chinese and western medicine with conventional western medicine treatment group, and provide the basis for its clinical promotion. Methods: 60 patients were randomly divided into two groups, the control group of 30 cases, to Western medicine vasodilator, nutrient nerves, improve microcirculation and other treatment; observation group of 30 patients on the basis of the control group plus acupuncture and traditional Chinese medicine treatment. A total of 4 weeks of treatment, followed up for 1 month. The severity of tinnitus was evaluated before treatment, 4 weeks after treatment, and 1 month after treatment. The curative effect was compared between the two groups. Results: The severity of tinnitus was improved in both groups (all P <0.05), and the observation group was better than the control group (P <0.05). The total effective rate was 93.3% in the observation group and 73.3% (P <0.05). No serious adverse reactions in both groups. Conclusion: Integrative Chinese and Western medicine on the treatment of hepatic fire disturbance tinnitus can improve the severity of tinnitus, short-term and long-term efficacy are better than conventional Western medicine treatment for clinical promotion.