医师疗法治疗耳鸣的远期疗效观察

The Long-Term Therapeutic Effect of Yishi Therapy on Tinnitus

摘要: 目的：探讨医师疗法治疗耳鸣患者的疗效。方法：对符合耳鸣诊断标准并经医师疗法进行干预的239例耳鸣患者进行随访，采用耳鸣评价量表(Tinnitus Evaluation Questionnaire, TEQ)作为疗效评估工具，随访方式为门诊随访或电话随访。结果：经平均6.7 ± 6.2月干预后，239例耳鸣患者痊愈率为11.3%，总有效率为77.0%；其中病程超过6月的158例(66.1%)痊愈率为7.6%，总有效率为75.3%。是否遵医嘱调整生活方式是影响疗效的决定因素，其中严格遵嘱组90例，痊愈率27.8%，有效率95.6%；遵嘱较好组108例，痊愈率与有效率分别为1.9%、80.6%；遵嘱不良组41例，痊愈率为0，有效率仅26.8%。三组痊愈率与有效率均有显著性差异(P < 0.05)。结论：医师疗法治疗耳鸣具有较好的远期疗效，临床常规治疗的同时，应重视中医理念指导下的饮食起居等日常不良生活方式调整。

Abstract: Objective: The study aims at investigating treatment efficacy of Yi Shi Therapy (YST) in tinnitus patients. Methods: We followed 239 patients with tinnitus who were met the diagnostic criteria of tinnitus and intervened by YST at the outpatient or telephone. Use the Tinnitus Evaluation Questionnaire (TEQ) as a tool for evaluating efficacy. Results: After an average of 6.7 ± 6.2 months of intervention, 239 cases of tinnitus patients had a cure rate of 11.3%, and the total effective rate was 77.0%; 158 cases (66.1%) with long-duration (≥6 month) had a cure rate of 7.6%, and the total effective rate was 75.3%. Whether or not to follow the doctor’s advice to adjust the lifestyle is a determinant factor influencing the curative effect. Among them, 90 patients in the strict compliance group achieved a cure rate of 27.8% and the effective rate was 95.6%; 108 patients in the better group followed the cure and the effective rate was 1.9%, 80.6%; the cure rate of the 41 cases in the poor group was 0 and the effective rate was only 26.8%. There was a significant difference in the cure rate and effective rate between the three groups (P < 0.05). Conclusion: This study showed that YST has a better long-term efficacy on tinnitus treatment. We should to pay more attention to daily lifestyle adjustments such as diet and daily life under the guidance of the concept of Chinese medicine when we begin the clinical routine treatment.