| PurposeTinnitus is a common disease which is hard to cure in the clinical. In recent years, with the changes in living conditions, an increasing number of patients go to see a doctor because of tinnitus which is regarded as the first complaint. Some patients with severe tinnitus even have a suicidal tendency. Therefore, tinnitus seriously affects the work and life of the patients, which attracted many domestic and foreign Scholars' and experts' attention. Epidemiological investigations revealed that tinnitus in China and around the world shares a wide range of patient groups, and that a majority of tinnitus patients are in untold pain, and that some of them are even not able to live and work normally. Thus, tinnitus research has great clinical significance.Chinese medicine treatment of tinnitus has certain advantages, but it also has a problem of non-standard efficacy and ambiguous judgment. Differential Treatment is the essence of Chinese medicine treatment and accurate dialectical therapy is the key to good effect of Chinese medicine. In the clinical, many patients with tinnitus are judged in accordance with two standards. They are "the traditional method of dialectical exists difficulty" and "no disease can be identified" , which has an impact on the advantage of Chinese medicine treatment of tinnitus. Tinnitus in clinical has various forms, and it has a large number of subjective survey information available for reflection and study. Then, are there a lot of close casual linking between these subjective tinnitus surveys of existing information and the TCM-whether? This is a question worth exploring. This study analyzes based on the relationship between the TCM type tinnitus and tinnitus survey of information, to the clinic for the first complained of tinnitus and clear syndrome patients with tinnitus subjective survey information in an attempt to information from these surveys in the initial search may be related to TCM - The relevant information for clinical provides "having difficulties to judge the disease" or "no disease can be identified" tinnitus patients with more information about the syndrome so. as to enhance clinical efficacy.Methods1. The objects of studyTo tinnitus as the first chief complaint with the wind and heat invasion, Ganhuo on interference, Tanhuo blues, Qizhixueyu, Shenjing losses, deficiency of qi and blood, one of the typical standard Syndrome patients.2. Tinnitus subjective information surveyBy Guangzhou University of Traditional Chinese Medicine College of the first clinical ENT specialist out-patient medical records existing tinnitus tinnitus subjective information in the survey, combining with clinical experience, selecting from the initial 24 with tinnitus information related to the subjective survey and a detailed investigation. Survey information is divided into two categories:Count: patients with gender, tinnitus site, tinnitus species, tinnitus pitch, loudness changes of tinnitus, patients with hearing loss, deafness fear of change, fear of patients with serious diseases, patients living or working environment of noise, their families suffering from tinnitus, patients with personality types, treatment of patients with mental attitude, and so on.Measurement: patients with age, degree of tinnitus problems, tinnitus course, the time characteristics of tinnitus, tinnitus environment, tinnitus loudness, tinnitus affect the degree of sleep, the degree of emotional impact of tinnitus, tinnitus affect the degree of language, tinnitus affect the degree of attention, tinnitus affect the level of learning, treatment of patients with the expected effects. In order to facilitate the processing statistics, in addition to age and tinnitus course, the other information Points methods are used, the higher the score the more serious the extent of that illness.3. Data processing and statistical analysisAll data was entered into the computer, applying spass11.5 statistical software for data processing, information used x~2 count test, and measure data used t-test or analysis of variance, to find the card-a significant difference between the survey information. Result1. General informationIn this study all cases from the Guangzhou University of Traditional Chinese Medicine First Affiliated Hospital ENT out-patient clinics and inpatient department, a total of 188 cases, there are 104 male and female, 84 cases, age range 15 to 80 years old, the average age of 42. 49±13. 52 years old, tinnitus course from 1 month to 48 years. Card distribution: Hot winds hit card-three cases (1.6%), Ganhuo on 26 cases of interference Syndrome (13.8%), Tanhuo Depression Syndrome 50 cases (26.6%), Qizhixueyu card-nine cases (4.8 percent), Shenjing loss of 43 cases of card (22.9%), Qi and blood deficiency syndromes of 57 cases (30.3 percent).As hot wind hit Syndrome and Qizhixueyu Syndrome separate cases of too little, has seriously affected the credibility of statistical analysis, therefore, this study did not permit this type of two separate statistical analyses.2. Ganhuo permits interference on the type of information characteristicsIn this set of data, Ganhuo disturbance on the card-a total of 26 cases,non-interference Ganhuo on the card-a total of 162 cases, the survey of 24 information statistical analyses, found no meaningful information.3. Shenjing loss of the characteristics of informationIn this set of data, Shenjing loss of a total of 43 cases, non-Shenjing loss of a total of 145 cases. Statistical analysis showed that the two groups in age, consciously tinnitus loudness, duration of tinnitus and exposure to environmental noise has significant difference (P <0. 05), rest of the information in between the two groups has no significant difference (P> 0. 05).4. Qi and blood deficiency syndromes of the characteristics of informationIn this set of data, a total of 57 cases of qi and blood deficiency,non-deficiency total of 131 cases of qi and blood. Statistical analysis showed that the two groups in age, tinnitus loudness, the impact of attention and influence the work, sleep and the impact of hearing loss have consciously significant difference (P <0. 05), the rest of the information in between the two groups has no significant difference (P > 0.05).5. Tanhuo Depression Syndrome characteristics of the informationIn this set of data, Tanhuo Depression-50 cases, non-blues-Tanhuo 138 cases, statistical analysis showed that the two groups in sex and consciously hearing loss have significant difference (P <0. 05), the rest of the information in between the two groups has no significant difference (P> 0.05).6. Comparison between the evidence and DeficiencyPositive group includes the hot wind hit, Ganhuo on interference, Tanhuo blues and Qizhixueyu. Deficiency Syndrome Group contains a deficiency of qi and blood loss and Shenjing Syndrome. Statistical analysis showed that affect attention, learning and gender affect have significant differences (P <0. 05), the rest of the information has no significant difference (P> 0.05). Conclusion1. Tinnitus patients of Shenjing loss type have relatively large age, longer duration of tinnitus, and consciously larger tinnitus loudness, working or living environment of relatively low noise exposure.2. Tinnitus patients of Qi and blood deficiency Syndrome aged relatively small, consciously tinnitus loudness is smaller, the impact of sleeping,working,studying and the impact of attention are smaller, people seldom feels consciously hearing loss.3. In Tanhuo Depression Syndrome, the number of male patients is significantly more than female patients' s, the ratio of male hearing loss is relatively high.4. In positive group, male patients with tinnitus are more than women. In deficiency Syndrome group, women are more than men. Tinnitus patients in positive group are more easily influenced on the attention of working or studying. |
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