针刺联合疗法治疗突发性耳聋的研究进展

Research Progress of Acupuncture Combined Therapy in the Treatment of Sudden Sensorineural Hearing Loss

摘要: 突发性耳聋(SSNHL)是一种起病急骤的感音神经性听力损失，常伴耳鸣、耳闷等症状，西医以糖皮质激素治疗为主，但疗效有限且不良反应较多。中医将其归为“暴聋”，认为与外感六淫、情志内伤、脏腑失养相关。本文综述近年来针刺联合疗法(联合电针、中药、灸法、高压氧等)治疗SSNHL的研究进展，结果显示其总有效率显著高于单纯西药治疗，可有效改善患者听力及伴随症状，安全性高。目前研究存在样本量小、疗效评价标准不统一等问题，未来需进一步规范研究以推动其广泛应用。

Abstract: Sudden sensorineural hearing loss (SSNHL) is an acute sensorineural hearing loss, often accompanied by tinnitus and aural fullness. Western medicine mainly uses glucocorticoids for treatment, but their efficacy is limited with many adverse reactions. In TCM, it is classified as “Baolong” (sudden deafness), which is related to exogenous six evils, emotional internal injury and visceral malnutrition. This article reviews the research progress of acupuncture combined therapy (combined with electroacupuncture, TCM herbs, moxibustion, hyperbaric oxygen, etc.) in the treatment of SSNHL in recent years. The results show that its total effective rate is significantly higher than that of simple Western medicine, which can effectively improve hearing and accompanying symptoms with high safety. At present, there are problems such as a small sample size and inconsistent efficacy evaluation standards. In the future, further standardized research is needed to promote its wide application.