针刺联合西药治疗全聋型突发性聋1例与文献复习

doi:10.6040/j.issn.1673-3770.0.2022.347

摘要/Abstract

摘要： 全聋型突发性聋患者听力损失最为严重且临床预后较其他类型差,目前临床上缺乏针对全聋型突聋的有效治疗方案,针灸治疗突聋具有一定的优势。本案介绍针刺联合西药治疗全聋型突发性聋1例,西药治疗为静脉输注地塞米松磷酸钠注射液及前列地尔注射液,针刺治疗采用白鹏教授“颈部七线法”以活血通络,宣通耳窍。针刺联合西药治疗1周后,患者听力明显改善,继予针刺治疗1周后患者听力完全恢复,耳鸣、耳闷等伴随症状消失,随访1年无复发。

关键词: 突发性聋, 全聋型, 针刺, 颈部七线法, 临床特征, 预后分析

Abstract: Incidents of total deafness in sudden sensorineural hearing loss carry a very poor prognosis, and such patients are not rare in clinical practice. At present, there is no acknowledged targeted treatment plan for this condition, although acupuncture is helpful. This case illustrates an attack of total deafness, treated by a combination of acupuncture and western medicine. It involved an intravenous infusion by means of a dexamethasone sodium phosphate injection and an alprodil injection. Professor Bai Peng's “Seven lines in the neck method” of acupuncture was used to promote blood circulation and relieve collaterals in the ear orifices. After one week of acupuncture combined with Western medicine, the patient's hearing had significantly improved. The patient was treated with acupuncture for one more week to improve the curative effect. After the treatment, the patient's hearing had completely recovered and accompanying symptoms such as tinnitus and ear tightness had disappeared. There was no recurrence after one year of follow-up.

Key words: Sudden sensorineural hearing loss, Total deafness, Acupuncture, Seven lines in the neck method, Clinical features, Prognostic analysis

中图分类号:

R764.43

张佳佳,石安妮,邢御,洪玉颖,白鹏. 针刺联合西药治疗全聋型突发性聋1例与文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 88-92.

ZHANG Jiajia, SHI Anni, XING Yu, HONG Yuying, BAI Peng. Acupuncture combined with western medicine for the treatment of total deafness in sudden sensorineural hearing loss: a case report and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 88-92.

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