多靶点重复经颅磁刺激联合针刺在中老年主观性耳鸣中的应用效果

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Abstract Objective To explore the clinical efficacy of multi-target repetitive transcranial magnetic stimulation(rTMS) combined with acupuncture in the treatment of subjective tinnitus in the elderly.Methods A total of 60 middle-aged and elderly patients with severe subjective tinnitus admitted to the Department of Otolaryngology of Dalian Third People′s Hospital from June 2020 to May 2021 were selected as the research objects.They were divided into multi-target magnetic stimulation group,single-target magnetic stimulation group and acupuncture group by random number table method,with 20 patients in each group.Patients in the multi-target magnetic stimulation treatment group were treated with multi-target magnetic stimulation plus acupuncture in bilateral temporal parietal cortex and the right dorsolateral prefrontal cortex,patients in the single-target magnetic stimulation treatment group were treated with magnetic stimulation plus acupuncture in bilateral temporal parietal cortex,patients in the acupuncture group were treated with single acupuncture.Tinnitus disability scale (THI),visual analogue scale (VAS) scores and adverse reactions were compared before and after treatment among the three groups.Results THI and VAS scores in the three groups after treatment were lower than before,the differences were statistically significant (P<0.05).Compared with before treatment,the THI and VAS scores in the three groups were decreased after treatment,the differences were statistically significant(P<0.05).After treatment,the THI and VAS scores of multi-target rTMS combined group were lower than those of rTMS group and acupuncture group ,the differences were statistically significant (P<0.05).There was no significant difference in the total incidence of adverse reactions between the three groups after treatment (P>0.05).Conclusion Multi-target repetitive transcranial magnetic stimulation combined with acupuncture has obvious therapeutic effect on middle-aged and elderly patients with moderate subjective tinnitus,which can more effectively reduce the severity of tinnitus and significantly improve the discomfort of patients.

Key words： Repetitive transcranial magnetic stimulation Pure nerve tinnitus Acupuncture Adverse reaction

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	SUN Guihu
	LIU Xiaoyang
	YANG Xingyu
	ZHAO Zhanliang

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SUN Guihu,LIU Xiaoyang,YANG Xingyu, et al. Effect of multi-target repetitive transcranial magnetic stimulation combined with acupuncture on subjective tinnitus in middle-aged and elderly patients[J]. 中国当代医药, 2022, 29(14): 127-130.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I14/127

[1]	吴冬，陈陆泉，刘博，等.耳甲电针联合口服甲钴胺片治疗特发性耳鸣的疗效观察[J].中国中西医结合耳鼻咽喉科杂志，2020，28（5）：345-349.
[2]	代丽丽，汤维，耿爽，等.连续性θ 爆发刺激联合低频重复经颅磁刺激治疗主观性耳鸣的临床分析[J].全科医学临床与教育，2021，19（5）：432-435.
[3]	杨思宇，王慧，吴红敏.重复经颅磁刺激治疗耳鸣的新进展[J].听力学及言语疾病杂志，2021，29（1）：93-97.
[4]	张英，廖维靖，郝赤子.低频重复经颅磁刺激联合作业治疗对脑卒中患者上肢运动功能恢复的临床研究[J].中国康复，2019，（3）：142-145.
[5]	卢兢哲，钟萍，郑芸.欧洲多学科耳鸣指南：诊断、评估和治疗[J].听力学及言语疾病杂志，2020，28（1）：110-114.
[6]	何丹，寿铸，韩朝.基于网络个性化的音乐对耳鸣临床疗效的初步分析[J].中华耳科学杂志，2020，18（4）：703-707.
[7]	Dode A，Mehdi M，Pryss R，et al.Using a visual analog scale（VAS）to measure tinnitus-related distress and loudness：Investigating correlations using the Mini-TQ results of participants from the TrackYourTinnitus platform[J].Prog Brain Res，2021，263：171-190.
[8]	王瑞彤，赵春霞，秦雪颖，等.低频重复经颅磁刺激联合帕罗西汀治疗卒中后抑郁临床疗效及机制初探[J].神经损伤与功能重建，2020，15（6）：349-351，354.
[9]	沈秀梅，王志广.低频重复经颅磁刺激对原发性失眠症的疗效研究[J].西南军医，2018，20（1）：28-32.
[10]	母晓松，蒲晓兵，刘一瑾，等.耳鸣治疗的国内外研究进展[J].四川医学，2020，41（1）：16-19.
[11]	Parazzini M，Del Bo L，Jastreboff M，et al.Open ear hearing aids in tinnitus therapy：An efficacy comparison with sound generators[J].Int J Audiol，2011，50（8）：548-553.
[12]	荣培晶，张悦，李少源，等.经皮耳穴迷走神经刺激治疗脑及相关疾病的现状与展望[J].世界科学技术-中医药现代化，2019，21（9）：1799-1804.
[13]	荣培晶.古术新知—从耳迷走神经刺激术谈中医发展的新思路[J].科技导报，2019，37（15）：49-54.
[14]	唐莫玲.刺血疗法治疗神经性耳鸣浅析[J].中国民间疗法，2020，28（10）：93-94.
[15]	吴赛，毛红蓉，张蔚.针刺治疗耳鸣的特殊方法研究概况[J].湖南中医杂志，2021，37（6）：195-197.
[16]	邹密沂，邱静雅，田雪琴.苇管灸配合针刺治疗原发性耳鸣的临床观察[J].中国民间疗法，2021，29（7）：49-51.
[17]	Luo J，Zheng H，Zhang L，et al.High-Frequency Repetitive Transcranial Magnetic Stimulation（rTMS）Improves Functional Recovery by Enhancing Neurogenesis and Activating BDNF/TrkB Signaling in Ischemic Rats[J].MDPI Journal，2017，18（2）：455.
[18]	Luo H，Pace E，Zhang J.Blast-induced tinnitus and hyperactivity in the auditory cortex of rats[J].Neuroscience，2017，340：515-520.
[19]	Wu C，Martel DT，Shore SE.Increased Synchrony and Bursting of Dorsal Cochlear Nucleus Fusiform Cells Correlate with Tinnitus[J].J Neurosci，2016，36（6）：2068-2073.
[20]	Luo H，Zhang X，Nation J，et al.Tinnitus suppression by electrical stimulation of the rat dorsal cochlear nucleus[J].Neurosci Lett，2012，522（1）：16-20.