头耳灸联合耳穴贴压治疗气虚血瘀型梅尼埃病患者的临床疗效<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.10.013

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摘要【目的】探讨头耳灸联合耳穴贴压治疗气虚血瘀型梅尼埃病患者的临床疗效。【方法】选取2023年3月至2024年10月本院收治的60例气虚血瘀型梅尼埃病患者,按照随机数字表法分为观察组和对照组,每组30例。对照组给予盐酸倍他司汀治疗,观察组在对照组基础上给予头耳灸联合耳穴贴压治疗,两组均治疗4周。比较两组治疗前后的中医证候积分及眩晕、耳鸣、生活质量评分。【结果】治疗后,观察组中医证候的主证及次证评分、眩晕残障程度评定量表(DHI)评分、耳鸣致残量表(THI)评分均低于对照组,梅尼埃疾病结果问卷(MDOQ)评分高于对照组,差异均有统计学意义(P<0.05)。【结论】头耳灸联合耳穴贴压治疗气虚血瘀型梅尼埃病患者,能显著改善患者的眩晕、耳鸣症状,提高患者生活质量,且具有较好的中医症状改善作用,提示该治疗方法可作为梅尼埃病患者的有效辅助治疗方法。

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	亓媛媛
	解兰琴
	王妍文

关键词 ：梅尼埃病, 针灸疗法, 耳穴贴压疗法, 治疗结果

Abstract：【Objective】To explore the clinical efficacy of scalp-ear moxibustion combined with auricular point sticking in the treatment of patients with Meniere's disease of qixu xueyu type. 【Methods】A total of 60 patients with Meniere's disease of qixu xueyu type admitted to our hospital from March 2023 to October 2024 were selected and divided into an observation group and a control group according to the random number table method, with 30 cases in each group. The control group was treated with betahistine hydrochloride, while the observation group was given scalp-ear moxibustion combined with auricular point sticking on the basis of the control group. Both groups were treated for 4 weeks. The TCM syndrome scores, as well as scores of vertigo, tinnitus and quality of life, were compared between the two groups before and after treatment.【Results】After treatment, the scores of primary and secondary TCM syndromes, Dizziness Handicap Inventory (DHI) score and Tinnitus Handicap Inventory (THI) score in the observation group were lower than those in the control group, while the Meniere's Disease Outcome Questionnaire (MDOQ) score was higher than that in the control group, with statistically significant differences (P<0.05). 【Conclusion】Scalp-ear moxibustion combined with auricular point sticking in the treatment of patients with Meniere's disease of qixu xueyu type can significantly improve patients' vertigo and tinnitus symptoms, enhance their quality of life, and exert a good effect on improving TCM symptoms. It suggests that this treatment method can be used as an effective adjuvant therapy for patients with Meniere's disease.

Key words： Meniere Disease Acupuncture Moxibustion Therapy Auricular Plastertherapy Treatment Outcome

收稿日期: 2025-03-03

中图分类号:

R764.3

基金资助:* 洛阳市社会发展公益专项项目(编号:2302050Y)

引用本文:

亓媛媛, 解兰琴, 王妍文. 头耳灸联合耳穴贴压治疗气虚血瘀型梅尼埃病患者的临床疗效^*[J]. 医学临床研究, 2025, 42(10): 1725-1727.
QI Yuanyuan, XIE Lanqin, WANG Yanwen. Clinical Efficacy of Scalp-Ear Moxibustion Combined with Auricular Point Sticking in the Treatment of Patients with Meniere's Disease of Qixu Xueyu Type. JOURNAL OF CLINICAL RESEARCH, 2025, 42(10): 1725-1727.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.10.013 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I10/1725

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