中醫針灸治療突發性耳聾之會診病例報告

Acupuncture Treatment for Sudden Hearing Loss: A Case Report

吳文泓(Wen-Hong Wu) ； 林萱(Hsuan Lin)

《中華針灸醫學會雜誌》 25卷1-2期 (2022/06) Pp. 33-40

摘要

突發性耳聾主要是指突發性的感音神經性聽力喪失，發病後多至耳鼻喉科門診求助，現常規多使用類固醇治療，當療效不如預期時，亦會求診於中醫。本文個案為57歲男性，於基層診所治療效果不如預期，故轉至醫學中心住院治療；在發病後約一周開始合併針灸治療及高壓氧治療。經診斷個案之證型屬腎氣不足、肝鬱氣滯，治療上以疏肝理氣、補益腎氣為主，並局部取穴，住院期間共治療三次，於發病後約2週，聽力已回復至健側水準，回復狀況良好。藉此案例並整理相關文獻資料，提供讀者在針灸早期介入治療突發性耳聾上參考。

關鍵字

突發性耳聾 ； 暴聾 ； 針灸 ； 中醫

並列摘要

Sudden deafness means sudden onset of sensorineural hearing loss. Most victims of sudden deafness tend to go to ENT clinic for help. While steroids is currently recognized as the main conventional treatment for sudden deafness, Chinese medicine treatment is also an option for whom were not satisfied with the treatment effect. This case is a 57-year-old male, a victim of sudden deafness, who was first treated in the primary clinic, and then transferred to the medical center for hospitalization, since the treatment effect was not as expected. A combination of acupuncture and hyperbaric oxygen therapy was applied one week later after the disease onset. The Chinese medicine pattern of the case is diagnosed as kidney qi insufficiency and liver qi stagnation. The method of acupuncture treatment focused on soothing the liver, regulating qi and tonifying kidney qi. During the hospitalization, three acupuncture treatments were given. The hearing of affected side returned to the healthy side level two weeks later after the onset. Details of this case as mentioned below are accompanied by relevant discussion, which provide readers a perspective about the early intervention for treating sudden deafness with acupuncture.

並列關鍵字

sudden deafness ； sudden sensorineural hearing loss ； acupuncture ； Chinese Medicine

參考文獻

Stachler RJ, Chandrasekhar SS, Archer SM, et al. American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg. 2012 Mar;146(3 Suppl):S1-35.

Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. Clinical Practice Guideline: Sudden Hearing Loss (Update). Otolaryngol Head Neck Surg. 2019 Aug;161(1_suppl):S1-S45.

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