中西医结合诊治耳鸣的初步探讨

本组原因不明的严重耳鸣患者59例,分为中西组32例和对组照27例。中西组除给常规西药外,尚配用中药组成的耳鸣煎剂内服;对照组仅用西药控制。结果:中西组耳鸣消失者儿例(34.4%),好转者16例(50.0%),无效者5例(15.6%)。总有效率84.4%;对照组耳鸣消失者5例(18.6%),好转者10例(37.0%),无效者12例(44.4%),总有效率55.6%。中西组疗效优于对照组(P<0.05)。

英文摘要:

Cases of annoying-tinnitus were selected for this observation.They were examined by general physical examination,otoscopy and some of them by audiometry and tinnitus masking patterns test, and/or Ecoch G and BSER.Two groups,TCM-WM and controls,were designed with patient’s sexes, ages,severity of tinnitus almost evenly distributed.Different kinds of medicines were given to the patients of 2 groups with single blind trial.For the controls,only western medicines such as valium, nicotinic acid,mixture bromides,Vitamin B Co,ATP and carbamazcpine(if 100 mg of lidocaine added to 50% glucose solution intravenously was effective)were taken orally.For TCM-WM group patients,besides the drugs used above,herbal decoctions were given twice a day,and observed for 5 days per therapeutic course.The medicinal herbs consist of:Rhizoma Gastrodiae,Ramulus Uncariae cum Uncis,Poria cocos,Flos Chrysanthemi,Akebia quinata,Radix Polygoni Multiflori, Fructus Liquidambris,Radix Rehmanniae,Rhizoma Alismatis,Radix Scropaulariae,Fructus Lycii, Radix Glycyrrhizae,Semen Plantaginis and Semen Vaccariae.Of the therapeutic results in 32 cases of TCM-WM group,11 cases(34.4%)showed absence of tinnitus,16(50%)improved,and 5(15.6%) failed.The total effective rate was 84.4%.In 27 cases of the controls,5 cases(18.6%)showed absence of tinnitus,10(37%)improved,and 12(44.4%)failed.The total effective rate was 55.6%.It showed that the therapeutic results of TCM-WM group was better than those of the controls(P<0.05).

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