【目的】 观察朱氏头皮针联合丹栀逍遥散治疗肝郁化火型耳鸣的临床疗效。【方法】 将70例肝郁化火型耳鸣患者随机分 为治疗组和对照组，每组各35例。治疗组给予朱氏头皮针联合丹栀逍遥散治疗，对照组给予银杏叶片与甲钴胺片治疗，疗 程为3周。治疗3周后，评价2组临床疗效，并于治疗结束后3、6个月进行电话随访，评价临床疗效。观察2组患者治疗前 后耳鸣评价量表（TEQ）评分的变化情况，以及焦虑自评量表（SAS）评分的情况。比较 2 组患者治疗前后耳鸣残疾评估量表 （THI）评分的变化情况。并评价 2组的安全性及不良反应的发生情况。【结果】（1）治疗后，治疗组总有效率 88.57%（31/35）， 对照组为62.86%（22/35），治疗组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者TEQ、SAS、THI评分 均明显改善（P＜0.01），且治疗组在改善 TEQ、SAS、THI评分方面明显优于对照组，差异均有统计学意义（P＜0.05）。（3）治 疗结束后3个月随访，治疗组的总有效率为85.71%（30/35），对照组为60.00%（21/35）。治疗结束后6个月随访，治疗组的总 有效率为82.86%（29/35），对照组为54.29%（19/35）。治疗结束后3、6个月随访，治疗组疗效均优于对照组，差异均有统计 学意义（P＜0.05）。（4）2组患者均未见明显不良反应。2组患者的不良反应发生率比较，差异无统计学意义（P＞0.05）。【结论】 朱氏头皮针联合丹栀逍遥散治疗肝郁化火型耳鸣，可明显改善患者的耳鸣症状，安全性高，无不良反应，疗效显著。

Objective To observe the clinical efficacy of ZHU’s scalp acupuncture combined with Danzhi Xiaoyao San in the treatment of tinnitus of liver constraint transforming into fire type. Methods A total of 70 patients with tinnitus of liver constraint transforming into fire type were randomly divided into treatment group and control group， 35 cases in each group. The treatment group was treated with ZHU’s scalp acupuncture combined with Danzhi Xiaoyao San，and the control group was treated with Yinxingye Tablets and Mecobalamin Tablets. The course of treatment was three weeks. After three weeks of treatment，the clinical efficacy of the two groups was evaluated， and telephone follow-up was conducted at three and six months after the end of treatment to evaluate the clinical efficacy. The changes of Tinnitus Evaluation Scale（TEQ）Score and Self-Rating Anxiety Scale（SAS）score were observed before and after treatment in the two groups. The changes of Tinnitus Handicap Inventory（THI）scores were compared before and after treatment between the two groups. The safety and adverse reactions of the two groups were evaluated. Results（1）After treatment，the total effective rate of the treatment group was 88.57% （31/35），and that of the control group was 62.86%（22/35），and the therapeutic efficacy of the treatment group was superior to that of the control group，and the difference was statistically significant （P＜0.05）.（2）After treatment， the TEQ，SAS，and THI scores of the two groups were significantly improved（P＜0.01），and the treatment group was significantly superior to the control group in improving TEQ，SAS，and THI scores，and the differences were statistically significant（P＜0.05）.（3）At the 3-month follow-up after the end of treatment，the overall effective rate was 85.71%（30/35）in the treatment group and 60.00%（21/35）in the control group. At the 6-month follow-up after the end of treatment， the overall effective rate was 82.86%（29/35）in the treatment group and 54.29% （19/35）in the control group. At the 3- and 6-month follow-up after the end of treatment， the efficacy of the treatment group was superior to that of the control group，and the differences were statistically significant（P＜ 0.05）.（4）No obvious adverse reactions were seen in the two groups of patients，and the difference in the incidence of adverse reactions between the two groups was not statistically significant（P＞0.05）. Conclusion ZHU’s scalp needling combined with Danzhi Xiaoyao San for the treatment of tinnitus of liver constraint transforming into fire type can significantly improve the tinnitus symptoms of patients， with high safety， no adverse reactions， and remarkable efficacy.

R246.9

山东省潍坊市中医药科研计划资助项目（编号：2021-4-118）