Psychological Behavior Intervention On The Clinical Effect Of The Spleen And Stomach Weak Type Of Tinnitus Patients

Objective:Tinnitus etiology is unknown, there are several hypotheses, Treatment is only adapt to tinnitus, coexist with tinnitus, tinnitus still exists。TCM holds that the onset of tinnitus and patients’fatigue, stay up late, mental pressure big, eating and mood disorders, Pathogenesis is closely related to human viscera function disorder. Clinically, tinnitus patients often accompanied by irritability, sleep difficulties, focusing on tinnitus, the accompanying symptoms aggravate tinnitus. And the clinical investigation found that the spleen and stomach weak tinnitus in all types of syndrome accounted for about half of the. Therefore, establishes the psychological behavior intervention of clinical research in the spleen and stomach weak type of patients with tinnitus, By observing the treatment group and control group, evaluation of its curative effect before and after treatment,To explore the clinical curative effect of application of traditional Chinese medicine treatment of tinnitus, provide new ideas and new method for physicians in the treatment of tinnitus.Method:Collect in April 2015, in January 2016 by shenzhen hospital otolaryngology outpatient clinic of spleen and stomach weak type, a total of 100 patients with idiopathic tinnitus, Randomly divided into treatment group and control group,50 cases in each group,Control group oral Yiqi Conger Decoction and massage day drum, in the control group on the basis of. The treatment group increase to fill in a form about their sleep, diet, emotions, According to the actual circumstances of the patients, psychological behavior intervention in patients with tinnitus, Helping patients to adjust a good sleep, mentality and eating habits, and solutions of tinnitus patients, To improve the aggravating tinnitus bad life factors, breaking the tinnitus caused by vicious circle, so as to achieve coordination of viscera function to treat tinnitus. A month of treatment, and through the telephone pays a return visit, record each symptoms improved, tinnitus, use of tinnitus evaluation scale changes before and after treatment.Achievements:(1) General information:Treatment and observation of 100 cases of patients with spleen deficiency type tinnitus after one month from our department, A return visit to 97 patients, statistical analysis, the two groups in gender, age, tinnitus, site, duration, certificate type, tinnitus, tinnitus most affected the most worry about a thing, if there was no statistically significant difference compared with hearing loss, comparable. The male patients accounted for 63.9%; Patients with 30-40 JiuZhenLv by 47.4%; Duration is less than three months the patient (49.4%);Two groups of patients with tinnitus, tinnitus,46% left right ear,25%,27% ears,2% intracranial ring; Tinnitus in patients with the biggest impact is be agitated and sleep, the most concern is deaf.(2) In the two groups after treatment curative effect evaluation:After treatment, The difference of TEQ score between the two groups of patients with spleen and stomach deficiency type tinnitus was statistically significant (p＜0.01), Two groups of patients with spleen and stomach deficiency type of tinnitus patients with a statistically significant difference (p<0.05), Two groups of spleen and stomach weakness type tinnitus curative effect comparison has statistics difference (P＜0.05), treatment group effective rate was 66.7%, the control group effective rate was 42.9%.Conelusion:(1) The incidence of male patients with spleen deficiency type of tinnitus is higher than that of female, This may be related to the male face greater social pressure;The incidence rate of young patients with weak spleen and stomach is higher;The incidence of left ear is the highest in the spleen and stomach, and the pathogenesis is still need to be further studied;The greatest impact of the spleen and stomach deficiency type of tinnitus should be treated as the breakthrough point, and to guide;The psychological behavior intervention should be used as a routine treatment for tinnitus, cut off the vicious cycle of tinnitus and its accompanying symptoms.(2) This study shows that the psychological intervention of the patients with spleen and stomach deficiency type of tinnitus is conducive to improving the symptoms of the patients with tinnitus, Reduce tinnitus severity, is safe and effective therapy, and the method is simple and easy, also apply to the specialist to assist in the treatment of tinnitus, it is worthy of clinical promotion.