目的 :观察针刺对突发性耳聋患者血液流变学和细胞流变学的影响

探讨针刺治疗突发性耳聋的作用机理。方法 :采用毫针平补平泻手法

针刺耳门、听宫、听会、翳风、中渚、三阴交、太溪

每天 1次

每次 3 0min

6天为 1疗程。 4个疗程后采用自身前后对照的方法

比较针刺前后的血液流变、细胞流变学检测数据。结果 :突发性耳聋患者血液流变各项指标、细胞流变学红细胞聚集指数均明显高于正常人群参考值

红细胞变形指数较正常值低

经针刺后全血高切粘度、全血低切粘度、纤维蛋白元含量、红细胞压积及红细胞聚集指数均较针刺前下降明显 (P <0 .0 5)

红细胞变形能力明显提高 (P <0 .0 5)。结论 :针刺可以降低突发性耳聋患者的高粘血状态

提高红细胞的变形能力。提示降低血粘度可能是针刺治疗突发性耳聋的机理之一Objective: To observe the effect of acupuncture on hemorheology and cellular rheology for exploring mechanisms of acupuncture in the treatment of sudden deafness. Methods: A total of 50 deafness inpatients and outpatients were observed in this paper. Ermen (TE 21)

Tinggong (SI 19)

Tinghui (GB 2)

Yifeng (TE 17)

Zhongzhu (KI 15)

Sanyinjiao (SP 6) and Taixi (KI 3) were punctured

one time a day

with 6 days being a course of treatment. The interval among the therapeutic courses was one day

and the acupuncture treatment was conducted continuously for 4 courses. Before and after acupuncture treatment

blood samples were collected for detecting changes of whole blood high shear visicosity (WBHSV)

whole blood low shear visicosity (WBLSV)

plasma visicosity (PV)

blood cell volume (BCV)

fibrinogen (FG)

hemagglutination index (HGI) and erythrocyte distortion index (EDI).Results: Before treatment

WBHSV

WBLSV

PV

BCV

FG and HGI values were all obviously higher than those of normal values (P<0.05)

after treatment

these values reduced considerably (P<0.05); while EDI of pre-treatment was lower than normal value

after treatment

it increased significantly (P<0.05). It suggests that in deafness patients

acupuncture can apparently improve hemorheology and cellular rheology. Conclusion: Acupuncture can correct abnormal changes of hemorheology and cellular rheology

and improve blood circulation.