Kahn Chase I, Huestis Mikayla J, Cohen Michael B, Levi Jessica R
Boston University School of Medicine, Boston, MA, USA.
Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA, USA.
Ann Otol Rhinol Laryngol. 2020 Jul;129(7):727-736. doi: 10.1177/0003489420908289. Epub 2020 Feb 22.
Acupuncture is a form of Traditional Chinese Medicine that has minimal side effects, is cost-effective, can be easily administered, and may serve as a useful non-pharmaceutical therapy for certain conditions. However, studies and clinical practice guidelines are inconsistent in conclusions and recommendations about acupuncture. This qualitative review addresses the evidence available for acupuncture use in otolaryngology.
A literature review was completed using EMBASE, PubMed, and The Cochrane Collection for conditions within otolaryngology that have used and studied the comparative effects of acupuncture. Thirty studies ultimately fit the inclusion criteria and were used for this qualitative review.
Studies included in this review contained a variety of conditions within otolaryngology, including allergic rhinitis, chronic rhinitis, tinnitus, sudden sensorineural hearing loss, post-viral olfactory dysfunction, dysphonia, and tonsillectomies.
Given its safety profile, cost, and perceived benefit, recommendations and guidelines supporting acupuncture as an alternative or adjunctive therapy are surfacing for certain conditions such as allergic rhinitis. However, stronger conclusions with specific recommendations are limited by varied methodology between majority of the studies. Additional high-quality randomized control studies with low risk of bias are required to continue to assess the effects of acupuncture in the field of otolaryngology before stronger recommendations can be made on other conditions.
针灸是中医的一种形式,副作用极小,具有成本效益,易于实施,对于某些病症可能是一种有用的非药物疗法。然而,关于针灸的研究和临床实践指南在结论和建议方面并不一致。本定性综述探讨了针灸在耳鼻喉科应用的现有证据。
利用EMBASE、PubMed和考克兰系统评价数据库对耳鼻喉科已使用并研究针灸比较效果的病症进行文献综述。最终有30项研究符合纳入标准并用于本定性综述。
本综述纳入的研究涵盖了耳鼻喉科的多种病症,包括过敏性鼻炎、慢性鼻炎、耳鸣、突发性感音神经性听力损失、病毒感染后嗅觉功能障碍、发音障碍和扁桃体切除术。
鉴于其安全性、成本和预期益处,支持将针灸作为某些病症(如过敏性鼻炎)的替代或辅助疗法的建议和指南正在出现。然而,大多数研究之间方法各异,限制了得出带有具体建议的更强有力结论。在能够针对其他病症给出更强有力的建议之前,还需要更多高质量、低偏倚风险的随机对照研究来继续评估针灸在耳鼻喉科领域的效果。