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目的观察对急性主观性耳鸣中西医结合治疗组和西药对照治疗组及用药的疗效。方法将172例急性主观性耳鸣患者随机分为两大组,其中中西医结合治疗组和西医治疗对照组各86例,每个大组再分成三个组(29,29和28例)。在2012年4月-2014年6月期间,中西医结合治疗组使用的方法是用中医辨证治疗,分别用耳鸣验方,加上红枣加蜜方,或者天麻钩藤饮等,与西医治疗相结合的方法治疗,疗程最长为30天。如果中途耳鸣消失或者患者满意则中止治疗。西医治疗对照组实验的方法是扩血管,改善微循环的方法。结果临床观察结果表明治疗后在两组患者中,大多数的耳鸣症状治愈了。总有效率:中西医结合治疗组为91.95%,西医治疗对照组为70.93%;中西医结合治疗组均显著地高于西医治疗对照组(P=0.0283);治愈率分别为43.68%和25.58%,差异具有统计学意义(P=0.0178)。结论为了进一步提高急性主观性耳鸣的治疗效果,作者推荐用中西医结合治疗方法。
Objective To observe the curative effect of acute subjective tinnitus combined traditional Chinese and western medicine treatment group and western medicine control group and medication. Methods A total of 172 patients with acute subjective tinnitus were divided into two groups at random. Among them, 86 were treated by Integrative Medicine and 86 by Western Medicine. Each group was divided into three groups (29, 29 and 28). Between April 2012 and June 2014, the method used by the Integrative Medicine Group was TCM syndrome differentiation treatment with tinnitus prescription, plus jujube plus honey prescription or Tianma Gouteng decoction, respectively, in combination with western medicine treatment The method of treatment, the longest course of treatment for 30 days. If tinnitus disappears midway or the patient is satisfied, discontinue treatment. Western medicine treatment of the control group is the method of vasodilation, improve microcirculation. Results Clinical observations showed that most of the tinnitus symptoms were cured in both groups after treatment. The total effective rate was 91.95% in the combination of traditional Chinese medicine and western medicine treatment and 70.93% in the Western medicine treatment control group, significantly higher than that in the Western medicine treatment group (P = 0.0283). The cure rates were respectively 43.68% and 25.58% , The difference was statistically significant (P = 0.0178). Conclusion In order to further improve the therapeutic effect of acute subjective tinnitus, the authors recommend the use of integrated traditional Chinese and Western medicine treatment.