针刺疗法在神经性耳鸣治疗中的临床疗效与 作用机制研究进展

Research Progress on the Clinical Efficacy and Mechanism of Action of Acupuncture in the Treatment of Neurogenic Tinnitus

摘要: 神经性耳鸣(neurogenic tinnitus, NT)是临床常见的耳科疾病，患者在无外界声源刺激时主观感知耳内或颅内有鸣响，该疾病发病率较高，且对患者的生活质量产生显著负面影响。本病好发于中老年人群，然而近年来在中青年群体中的患病率也呈现上升趋势。因其发病机制尚未完全阐明，现有西医治疗手段存在一定局限，且复发率较高。基于这一现状，针刺疗法凭借其良好疗效与较高安全性，日益成为NT治疗中重要的替代与补充方案。在中医理论指导下，针灸治疗策略不断丰富，有助于减轻耳鸣严重程度，改善整体治疗效果，并对患者身心健康的恢复具有积极意义。本文综述针刺在该疾病领域的临床应用现状及近年研究进展，归纳其疗效与独特优势，同时指出当前研究的局限之处，并对未来研究方向作出展望。

Abstract: Neurogenic tinnitus (NT) is a common clinical otologic disorder characterized by the subjective perception of ringing in the ears or head in the absence of external sound stimuli. This condition exhibits a high prevalence and significantly impacts patients’ quality of life. This condition predominantly affects middle-aged and elderly individuals, though its prevalence among younger adults has shown an upward trend in recent years. Due to its incomplete understanding of pathogenesis, existing Western medical treatments exhibit certain limitations and high recurrence rates. Against this backdrop, acupuncture therapy, with its favorable efficacy and high safety profile, has increasingly become an important alternative and complementary approach in treating neurogenic tinnitus. Guided by traditional Chinese medicine theory, acupuncture treatment strategies continue to evolve, helping to reduce tinnitus severity, improve overall therapeutic outcomes, and positively contribute to patients’ physical and mental recovery. This review summarizes the current clinical application of acupuncture in this field and recent research advances, outlines its efficacy and unique advantages, identifies limitations in current studies, and provides insights into future research directions.