摘要
目的:探讨苇管灸配合童趣化心理诱导对3 ~ 7岁突发性耳聋患儿负性心理及听力恢复的影响。方法:选取南阳市中心医院2017年3月至2020年9月期间收治的75例3 ~ 7岁突发性耳聋患儿,按入院先后分为对照组(37例43耳)和观察组(38例42耳)。对照组给予常规药物治疗,观察组在对照组基础上增加苇管灸及童趣化心理诱导干预,观察两组患儿干预前后Spence儿童焦虑量表(SCAS)评分、纯音听阀值及受损频率听阈值改变,以及临床疗效。结果:治疗前后对照组患儿的SCAS评分比较,差异无统计学意义(P>0.05);治疗后观察组患儿的SCAS较治疗前下降,差异具有统计学意义(P<0.05);且治疗后观察组患儿的SCAS评分低于对照组,差异具有统计学意义(P<0.05)。治疗后两组患儿的纯音听阀值及受损频率听阈值均下降,且观察组明显低于对照组,差异具有统计学意义(P<0.05)。观察组患儿治疗总有效率为100.00 %,高于对照组的86.05 %,差异具有统计学意义(P<0.05)。结论:苇管灸配合童趣化心理诱导干预可有效缓解3 ~ 7岁突发性耳聋患儿焦虑心理,提升其治疗配合度及治疗安全感,促进听力恢复。
Objective To investigate the effects of reed tube moxibustion combined with childlike psychological induction on the negative psychology and hearing recovery of children with sudden deafness aged from 3 to 7 years.Methods A total of 75 children with sudden deafness aged from 3 to 7 who were admitted to Nanyang Central Hospital from March 2017 to September 2020 were selected and divided into control group (37 cases,43 ears) and observation group (38 cases,42 ears).The control group was given conventional drug treatment,and the observation group was added reed tube moxibustion and children’s psychological induction intervention on the basis of the control group.The Spence children’s anxiety scale (SCAS) score,pure tone hearing threshold and impaired frequency hearing threshold were observed before and after the intervention,as well as the clinical efficacy.Results There was no significant difference in the SCAS score of the children in the control group before and after treatment(P > 0.05).The SCAS score of the children in the observation group was lower than that in the control group,and the difference was statistically significant (P < 0.05).After treatment,the pure-tone hearing thresholds and impaired frequency hearing thresholds of the two groups of children decreased,and the observation group was significantly lower than that in the control group,the difference was statistically significant (P < 0.05).The total effective rate of children in the observation group was 100.00 %,which was higher than 86.05 % in the control group,and the difference was statistically significant (P < 0.05).Conclusion Reed tube moxibustion combined with childlike psychological induction intervention can effectively relieve anxiety in children with sudden deafness aged from 3 to 7 years,improve their treatment cooperation and treatment security,and promote hearing recovery.
作者
吕晓瑞
张耕瑞
LYU Xiao-rui;ZHANG geng-rui(Nanyang Central Hospital,Henan Nanyang 473000)
出处
《深圳中西医结合杂志》
2022年第2期21-24,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
南阳市科技攻关项目(KJGG164)。
关键词
突发性耳聋
苇管灸
童趣化心理诱导
儿童
Sudden deafness
Reed tube moxibustion
Childlike psychological induction
Children
