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耳穴贴压治疗突发性感音神经性听力损失患者：一项倾向评分匹配分析

Auricular Point Sticking for Patients with Sudden Sensorineural Hearing Loss: A Propensity Score Matching Analysis.

作者信息

Ma Danli, Qian Qiyong, Fan Yulin, Zuo Youqin, Ye Linlu, Chen Yalian

机构信息

Department of Otolaryngology, Shengzhou People's Hospital (Shengzhou Branch of the First Affiliated Hospital of Zhejiang University School of Medicine, the Shengzhou Hospital of Shaoxing University), Shengzhou, Zhejiang, People's Republic of China.

出版信息

Int J Gen Med. 2025 Jul 25;18:4079-4089. doi: 10.2147/IJGM.S527833. eCollection 2025.

DOI:10.2147/IJGM.S527833
PMID:40735636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12306543/
Abstract

PURPOSE

Sudden sensorineural hearing loss (SSNHL) is an acute otolaryngologic emergency. Although evidence suggests that auricular point sticking (APS) may be beneficial for hearing recovery, the role of APS in sudden hearing loss is unclear. The aim of this study is to investigate the clinical application of APS in SSHL patients.

PATIENTS AND METHODS

This prospective cohort study analyzed 624 patients with SSHL between January 2019 and December 2023. Patients were divided into an APS group (n=165) and a non-APS group (n=459) based on APS use. Propensity score matching (PSM) was applied to balance the two groups. Hearing recovery and cure rates were evaluated between the two groups.

RESULTS

After PSM, hearing recovery (P=0.020) and cure rate (P=0.009) were significantly higher in the APS group than in the non-APS group. Ordered logistic regression analysis indicated that APS (odds ratio [OR] = 2.182, 95% confidence interval [CI]: 1.335-3.565, P=0.002) was significantly associated with hearing recovery. A significant improvement in cure rate (OR = 2.320, 95% CI: 1.378-3.904, P=0.002) was observed in APS patients compared to the non-APS group. Sensitivity analysis further confirmed that patients who received APS exhibited better hearing recovery.

CONCLUSION

APS enhances hearing recovery and cure rates in SSHL patients.

摘要

目的

突发性感音神经性听力损失（SSNHL）是一种急性耳鼻喉科急症。尽管有证据表明耳穴贴压（APS）可能有助于听力恢复，但APS在突发性听力损失中的作用尚不清楚。本研究的目的是探讨APS在SSHL患者中的临床应用。

患者与方法

这项前瞻性队列研究分析了2019年1月至2023年12月期间的624例SSHL患者。根据是否使用APS，将患者分为APS组（n = 165）和非APS组（n = 459）。采用倾向评分匹配（PSM）来平衡两组。评估两组之间的听力恢复情况和治愈率。

结果

PSM后，APS组的听力恢复情况（P = 0.020）和治愈率（P = 0.009）显著高于非APS组。有序逻辑回归分析表明，APS（优势比[OR] = 2.182，95%置信区间[CI]：1.335 - 3.565，P = 0.002）与听力恢复显著相关。与非APS组相比，APS患者的治愈率有显著提高（OR = 2.320，95% CI：1.378 - 3.904，P = 0.002）。敏感性分析进一步证实，接受APS治疗的患者听力恢复情况更好。

结论

APS可提高SSHL患者的听力恢复率和治愈率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/95648edf5204/IJGM-18-4079-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/88164b3429eb/IJGM-18-4079-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/d4033ddc5ed8/IJGM-18-4079-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/4b3208433d28/IJGM-18-4079-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/ef82bd57f7cb/IJGM-18-4079-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/95648edf5204/IJGM-18-4079-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/88164b3429eb/IJGM-18-4079-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/d4033ddc5ed8/IJGM-18-4079-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/4b3208433d28/IJGM-18-4079-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/ef82bd57f7cb/IJGM-18-4079-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9532/12306543/95648edf5204/IJGM-18-4079-g0005.jpg

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