特發性SSNHL（突發性耳聾）之中醫治療思路

突發感音神經性聽力損失（SSNHL）即一般人熟知的突發性耳聾，是常見的耳鼻喉科急症，聽力恢復的預後取決於聽力受損之嚴重程度，即便是少數患者可自發性恢復一定程度的聽力，但因延誤治療、錯失初發的黃金治療機會而導致永久性聽障者亦大有人在，因此建議所有出現SSNHL症狀者應儘早評估和治療，特別是沒有上呼吸道感染的症狀或外來因素（坐飛機、耳垢嵌塞、游泳進水等），卻在某一天醒來突然發現耳悶耳脹等聽力異常者。SSNHL的整體預後通常良好，大約2／3患者可自發性或經治療後恢復一定程度或完全的聽力。中醫治療特發性SSNHL可謂效如桴鼓，可以在短時間抑制發炎反應、清除干擾神經的代謝廢物或促進聽神經血管的血液循環，爭取聽力恢復的最大可能。

關鍵字

突發性感音神經聽力損傷；突發性耳聾；暴聾；卒聾；耳脹

並列摘要

Sudden sensorineural hearing loss (SSNHL) is commonly known as sudden deafness. It is a common ENT emergency. The prognosis of hearing recovery depends on the severity of hearing loss. Even a small number of patients can recover spontaneously. There are many people with permanent hearing impairment due to delayed treatment and missed golden treatment opportunities. Therefore, it is recommended that all patients with SSNHL symptoms should be evaluated and treated as soon as possible, especially if they have no symptoms or symptoms of upper respiratory tract infection. People with external factors (airplane, earwax impaction, swimming in water, etc.), but wake up one day and suddenly find ears stuffy and ear swelling and other hearing abnormalities.The overall prognosis of SSNHL is usually good, about 2/3 patients can recover to a certain degree or complete hearing spontaneously or after treatment. Traditional Chinese medicine is effective in treating idiopathic SSNHL. It can inhibit inflammation, remove metabolic waste that interferes with nerves, or promote blood circulation in the auditory nerve and blood vessels in a short time, so as to maximize the possibility of hearing recovery.