Combined Acupuncture, Steroid and Hyperbaric Oxygen Therapy in Sudden Deafness-A Clinical Experience of 35 Cases

以針灸類固醇及高壓氧合併治療突發性耳聾35例經驗報告

李長光(Chang-Kuang Lee) ； 李惠傑(Hui-Chieh Lee) ； 張陸澎(Lu-Peng Chang) ； 盧思田(Si-Ten Lu) ； 黃玉龍(Yu-Long Huang)

《中西整合醫學雜誌》 11卷1期 (2009/06) Pp. 17-25

https://doi.org/10.29613/JICWM.200906.0003

摘要

Current treatments for sudden deafness (SD) include steroid, vasodilator, hemodilution, stellate ganglion block, and hyperbaric oxygen (HBO2) therapy. Two reports showed the acupuncture treatment was also effective for SD. In order to strengthen the therapeutic efficiency of SD, we used a combined treatment of acupuncture, steroid, and HBO2 in 35 eases and compared the extent of hearing loss before and after the combined treatment. Between June 1998 and December 2006, 35 cases of SD were collected in this retrospective study and all received a combined treatment of acupuncture, steroid and HBO2. The acupuncture treatment was carried out at the traditional acupuncture points over head and hand. The steroid therapy was given with oral prednisolone at a dosage of 1mg/kg/day for 7 days. The HBO2 therapy was conducted at 2.5 ATA of 100% oxygen, 120 minutes for an average of 8 sessions in our multi-place hyperbaric chamber. Before & after the combined treatment, the pure tone audiogram was taken to evaluate the extent of hearing loss.
After the combined treatment, 30 of 35 cases (85.7%) showed an improvement in hearing loss from 75.9±24.9 dB (before) to 53.9±32.2 dB (after), p＜0.01. Nineteen of 35 cases (54.3%) had marked improvement in hearing loss (≧20 dB). In five cases with the period from onset to treatment for those ≧3 weeks, there were only an improvement for an average of 2.36 dB in hearing loss as compared to 25.1 dB for those ≧1 week and ＜3 weeks (n=8), and 25.3 dB for those ＜1 week (n=22). From these results, we suggest that this combined treatment of acupuncture, steroid and HBO2 may be a useful management for SD. The early treatment for those periods ＜3 weeks from onset of SD seems to have a better clinical outcome.

關鍵字

突發性耳聾 ； 針灸 ； 高壓氧

並列摘要

Current treatments for sudden deafness (SD) include steroid, vasodilator, hemodilution, stellate ganglion block, and hyperbaric oxygen (HBO2) therapy. Two reports showed the acupuncture treatment was also effective for SD. In order to strengthen the therapeutic efficiency of SD, we used a combined treatment of acupuncture, steroid, and HBO2 in 35 eases and compared the extent of hearing loss before and after the combined treatment. Between June 1998 and December 2006, 35 cases of SD were collected in this retrospective study and all received a combined treatment of acupuncture, steroid and HBO2. The acupuncture treatment was carried out at the traditional acupuncture points over head and hand. The steroid therapy was given with oral prednisolone at a dosage of 1mg/kg/day for 7 days. The HBO2 therapy was conducted at 2.5 ATA of 100% oxygen, 120 minutes for an average of 8 sessions in our multi-place hyperbaric chamber. Before & after the combined treatment, the pure tone audiogram was taken to evaluate the extent of hearing loss.
After the combined treatment, 30 of 35 cases (85.7%) showed an improvement in hearing loss from 75.9±24.9 dB (before) to 53.9±32.2 dB (after), p＜0.01. Nineteen of 35 cases (54.3%) had marked improvement in hearing loss (≧20 dB). In five cases with the period from onset to treatment for those ≧3 weeks, there were only an improvement for an average of 2.36 dB in hearing loss as compared to 25.1 dB for those ≧1 week and ＜3 weeks (n=8), and 25.3 dB for those ＜1 week (n=22). From these results, we suggest that this combined treatment of acupuncture, steroid and HBO2 may be a useful management for SD. The early treatment for those periods ＜3 weeks from onset of SD seems to have a better clinical outcome.

並列關鍵字

Sudden deafness ； Acupuncture ； Hyperbaric oxygen