Objective: To compare the clinical efficacy of scraping needling technique combined with western medication and simple western medication for neurogenic tinnitus of kidney essence deficiency.
Methods: A total of 68 patients with neurogenic tinnitus of kidney essence deficiency were randomly divided into an observation group and a control group, 34 cases in each group. In the control group, oral methylcobalamin tablets were given, 0.5 mg each time, 3 times a day; oral flunarizine hydrochloride capsules were given before bed, 5 mg each time, once a day, 4 weeks in total. On the basis of the treatment as the control group, scraping needling technique was applied at Tinghui (GB 2), Yifeng (TE 17), Yangchi (TE 4) on the affected side and Shenshu (BL 23), Lieque (LU 7), 5 min each acupoint, once a day, 5 times a week for 4 weeks. Before treatment, 2, 4 weeks into treatment and 4 weeks after treatment (follow-up), the tinnitus severity score, tinnitus visual analogue scale (VAS) score and pure tone average (PTA) were observed, and the clinical efficacy was evaluated in the two groups.
Results: The tinnitus severity scores, VAS scores and PTA of each time point after treatment in the two groups were lower than those before treatment (P<0.05), and those in the observation group were lower than the control group (P<0.05). The total effective rates of each time point after treatment in the observation group were 50.0% (17/34), 79.4% (27/34), 79.4% (27/34), which were higher than 26.5% (9/34), 64.7% (22/34), 61.8% (21/34) in the control group (P<0.05).
Conclusion: Scraping needling technique combined with western medication could improve tinnitus severity, tinnitus volume and hearing in patients with neurogenic tinnitus of kidney essence deficiency, and its curative effect is better than simple western medication.
目的：比较浅针推刮结合西药与单纯西药治疗肾精亏损证神经性耳鸣的临床疗效。方法：将68例肾精亏损证神经性耳鸣患者随机分为观察组和对照组，各34例。对照组患者口服甲钴胺片，每次0.5 mg，每天3次；睡前口服盐酸氟桂利嗪胶囊5 mg，每天1次，共4周。观察组在对照组治疗基础上进行浅针推刮患侧听会、翳风、阳池及肾俞、列缺，每穴5 min，每日1次，每周5次，共治疗4周。比较两组患者治疗前、治疗2周后、治疗4周后和治疗结束后4周随访时耳鸣严重程度评分、耳鸣视觉模拟量表（VAS）评分和纯音听阈均值（PTA），并评定两组临床疗效。结果：治疗后各时间点两组患者耳鸣严重程度、VAS评分和PTA均低于治疗前（P<0.05），且观察组低于对照组（P<0.05）。观察组治疗后各时间点总有效率为50.0%（17/34）、79.4%（27/34）、79.4%（27/34），高于对照组的26.5%（9/34）、64.7%（22/34）、61.8%（21/34，P<0.05）。结论：浅针推刮结合西药治疗能改善肾精亏损证神经性耳鸣患者的耳鸣严重程度、耳鸣响度、听力水平，临床疗效优于单纯西药治疗。.
Keywords: acupuncture; neurogenic tinnitus, kidney essence deficiency; randomized controlled trial (RCT); scraping needling technique.