Abstract: Background　Cervical tinnitus is a disease that demands professional rehabilitation treatment as well as otolaryngological treatment，which is easy to be neglected or misdiagnosed as nervous tinnitus clinically.Therefore，it is of great practical significance to develop an effective treatment method for cervical tinnitus.Acupuncture-moxibustion is a treatment commonly used for cervical tinnitus，but studies about blade needle therapy for this disease are few.Objective　To explore the clinical efficacy of blade needle in the treatment of cervical tinnitus based on meridian-sinew theory.Methods　We enrolled 60 cases of cervical tinnitus treated in Shunde Hospital of Guangzhou University of Chinese Medicine from July 2017 to July 2018.They were equally divided into observation group and control group by use of a random digital table，treated with blade needle therapy，usual acupuncture therapy，respectively，for 15 consecutive days.The clinical efficacy，Northwick Park Neck Pain Questionnaire（NPQ） score，Tinnitus Handicap Inventory（THI） score and Tinnitus Severity Assessment Scale（TSIS） score in both groups were observed before and after treatment.Results　In the control group，4，7，13，6 showed complete，marked，effective and ineffective clinical response to the treatment，respectively，while in the observation group，7，12，9，2 showed complete，marked，effective and ineffective clinical response，respectively，indicating that the former group had better clinical response（Z=-2.084，P=0.037）．Before treatment，there were no significant differences in NPQ score，THI score，and TSIS score between the two groups（P>0.05），but after treatment，the scores of these three indicators were significantly lower in the observation group（P<0.05）．Conclusion　Meridian-sinew theory-based blade needle therapy can effectively relieve the neck pain and tinnitus degree of the cervical tinnitus patients，the curative effect is better than that of ordinary acupuncture therapy.

Key words: Tinnitus, Cervical tinnitus, Acupuncture therapy, Blade needle therapy, Meridian tendons theory, Treatment outcome, Neck pain, Randomized controlled trial

摘要： 背景　颈源性耳鸣处于耳鼻喉科和康复科交界区域，临床上易被忽视，或常被误诊为神经性耳鸣。制定行而有效的颈源性耳鸣治疗方法具有重要现实意义。针灸是常用的治疗方法，但临床上关于刃针治疗颈源性耳鸣的研究较少。目的　探讨经筋理论下刃针治疗颈源性耳鸣的临床疗效。方法　选取2017年7月—2018年7月广州中医药大学顺德医院收治的60例颈源性耳鸣患者为研究对象，采用随机数字表法分为对照组与观察组，各30例。对照组予普通针刺治疗，观察组给予刃针治疗，两组均治疗15 d。观察治疗前后两组患者的临床疗效、Northwick Park颈痛量表（NPQ）评分、耳鸣致残量表（THI）评分及耳鸣严重程度评估量表（TSIS）评分。结果　治疗后，对照组痊愈4例、显效7例、有效13例、无效6例，观察组痊愈7例、显效12例、有效9例、无效2例，观察组临床疗效优于对照组，差异有统计学意义（Z=-2.084，P=0.037）。治疗前，两组患者的NPQ评分、THI评分及TSIS评分比较，差异无统计学意义（P>0.05）；治疗后，观察组NPQ评分、THI评分及TSIS评分均低于对照组，差异有统计学意义（P<0.05）。结论　基于经筋理论的刃针疗法能缓解颈源性耳鸣患者的颈痛症状和耳鸣程度，疗效优于普通针刺疗法。

关键词: 耳鸣, 颈源性耳鸣, 针刺疗法, 刃针疗法, 经筋理论, 治疗结果, 颈痛, 随机对照试验