耳穴贴压联合耳尖放血治疗肝火上扰型耳鸣的临床疗效观察*

作者：张 玲，刘 艳，杨丽红，阳 意，彭 慧，周毅波，黄 琼

单位：湖南中医药大学附属长沙市中医医院，湖南 长沙 410100

引用：引用：张玲，刘艳，杨丽红，阳意，彭慧，周毅波，黄琼.耳穴贴压联合耳尖放血治疗肝火上扰型耳鸣的临床疗效观察[J].中医药导报,2025,31(10):64-68.

DOI：10.13862/j.cn43-1446/r.2025.10.011

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摘要：

目的：探讨耳穴贴压联合耳尖放血治疗肝火上扰型耳鸣的效果。方法：选取128例肝火上扰型耳鸣患者为研究对象，按随机数字表法分为对照组、治疗组，每组64例。对照组予以口服银杏叶提取物片（金纳多片）和甲钴胺片，治疗组在对照组的基础上进行耳穴贴压与耳尖放血的联合治疗，两组均连续治疗4周。比较两组患者治疗前后耳鸣评价量表评分、中医证候积分及纯音听阈测定（PTA）的变化，并评价两组耳鸣疗效。结果：对照组及治疗组均脱落4例，治疗后，治疗组耳鸣疗效优于对照组，差异有统计学意义（P＜0.05）。两组患者治疗后耳鸣评价量表评分、中医证候积分及纯音听阈值均较治疗前降低，且治疗组患者各项指标均低于对照组，差异均有统计学意义（P＜0.05）。两组患者在研究期间均无晕针、血肿等不良反应发生。结论：耳穴贴压联合耳尖放血应用于肝火上扰型耳鸣患者，疗效显著。

关键词：耳鸣；肝火上扰；耳穴贴压；耳尖放血；银杏叶提取物；甲钴胺；纯音听阈测定

Abstract：

Objective: To investigate the effect of auricular point sticking combined with auricular tip bloodletting in the treatment of tinnitus of liver fire disturbance syndrome. Methods: A total of 128 cases of tinnitus patients with liver fire disturbance were selected as the study objects, and the were divided into control group and treatment group according to random number table method, 64 cases in each group. The control group was given oral kinadol tablets and mecobalamine tablets. On the basis of the control group, the treatment group received the combined treatment of auricular point sticking and auricular tip bloodletting for 4 weeks. Tinnitus scale score, tinnitus efficacy evaluation, traditional Chinese medicine (TCM) syndrome score and pure-tone audiometry (PTA) measurement were compared between the two groups before and after treatment. The efficacy on tinnitus was evaluated. Results: Totally four cases were lost to follow-up in both the control group and treatment group. After treatment, the treatment group showed better efficacy than control group, and the difference was statistically significant (P<0.05). The tinnitus rating scale score, TCM syndrome score and PTA decreased significantly in two groups, and the treatment group showed lower indicators than control group, with statistical significance (P<0.05). No adverse reactions such as needle fainting and hematoma occurred in patients in both groups during the study period. Conclusion: The application of auricular point sticking combined with ear tip bloodletting in patients with tinnitus of liver fire disturbance syndrome is effective.

Key words：tinnitus; liver fire disturbance; auricular point sticking; bleed the tip of the ear; ginkgo biloba leaf extract; mecobalamine; pure-tone audiometry

发布时间：2026-01-08

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