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电针治疗突发性感音神经性听力损失:一例报告

Electroacupuncture for Sudden Sensorineural Hearing Loss: A Case Report.

作者信息

Lu Yao, Qin Wei-Xun, Zhang Li-Jun, Qin Cai-Juan, Yang Gai-Qin

机构信息

Department of Acupuncture and Moxibustion, Shaanxi Traditional Chinese Medicine Hospital, Xi'an, China.

College of Acupuncture and Tuina, Shaanxi University of Chinese Medicine, Xianyang, China.

出版信息

Med Acupunct. 2025 Jun 11;37(3):260-263. doi: 10.1089/acu.2024.0004. eCollection 2025 Jun.

DOI:10.1089/acu.2024.0004
PMID:40547393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179357/
Abstract

BACKGROUND

Sudden sensorineural hearing loss (SSNHL) is commonly characterized by severe hearing loss of 30 dB or greater over at least three consecutive frequencies occurring within a 72-h period. Current treatments, depending on the cause, include decompression of tumor-related pressure, administration of anti-infection agents, cessation of ototoxic drugs, neuronutrition, administration of prednisone, and hyperbaric oxygen. Some patients may recover spontaneously, usually within 2 weeks of onset. Here, we present a case that the patient's symptoms improved significantly after treatment with electroacupuncture.

OBJECTIVE

To report a case of SSNHL treated with electroacupuncture (EA) and to discuss its potential effects on hearing recovery of SSNHL.

DESIGN

A single case report.

SETTING

Department of Acupuncture and Moxibustion, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi'an, China.

PATIENTS

A patient with SSNHL who experienced a significant decrease in left ear hearing.

INTERVENTION

EA treatment on the affected ear of an SSNHL patient; eight acupoints were divided into four groups (SJ21(Ermen)-GB10(Fubai), SJ19(Tinggong)-GB11(Touqiaoyin), GB2(Tinghui)-SJ17(Yifeng), and GV20(Baihui)- EX-HN3 (Yintang), with each group receiving 30 min of electrical stimulation (2 Hz, continuous wave, alternating current, 2 mA). This treatment was administered five times a week for 2 weeks.

MAIN OUTCOME MEASURES

Pure-Tone Audiometry.

RESULTS

After 2 weeks of EA treatment, the patient's hearing has improved from severe hearing loss to moderate hearing loss, with a significant improvement in daily communication ability.

CONCLUSIONS

Electroacupuncture may be a promising complementary treatment for SSNHL.

REGISTRATION AND FUNDING

The study was not registered, and no funding was received.

摘要

背景

突发性感音神经性听力损失(SSNHL)通常的特征是在72小时内至少连续三个频率出现30分贝或更高的严重听力损失。目前的治疗方法根据病因包括解除肿瘤相关压力、使用抗感染药物、停用耳毒性药物、神经营养、使用泼尼松以及高压氧治疗。一些患者可能会自发恢复,通常在发病后2周内。在此,我们报告一例患者经电针治疗后症状显著改善的病例。

目的

报告一例用电针(EA)治疗的SSNHL病例,并探讨其对SSNHL听力恢复的潜在影响。

设计

单病例报告。

地点

中国西安陕西省中医医院针灸科。

患者

一名SSNHL患者,左耳听力显著下降。

干预

对一名SSNHL患者的患耳进行电针治疗;八个穴位分为四组(三焦经21穴(耳门)-胆经10穴(浮白)、三焦经19穴(听宫)-胆经11穴(头窍阴)、胆经2穴(听会)-三焦经17穴(翳风)、督脉20穴(百会)-经外奇穴(印堂)),每组接受30分钟电刺激(2赫兹,连续波,交流电,2毫安)。该治疗每周进行5次,共2周。

主要观察指标

纯音听力测定。

结果

电针治疗2周后,患者听力从严重听力损失改善为中度听力损失,日常交流能力有显著提高。

结论

电针可能是一种有前景的SSNHL辅助治疗方法。

注册与资助

本研究未注册,未获得资助。

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本文引用的文献

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Natural History of Untreated Idiopathic Sudden Sensorineural Hearing Loss.未经治疗的特发性突发性感觉神经性听力损失的自然病史。
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Acupuncture Attenuates Ototoxicity Induced by Gentamicin in Mice.针刺减轻庆大霉素致小鼠耳毒性。
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