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.

参考文献

[1] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会. 突发性聋诊断和治疗指南(2015)[J]. 中华耳鼻咽喉头颈外科杂志, 2015, 50(6): 443-447. doi: 10.3760/cma.j.issn.1673-0860.2015.06.002
[2] 钟丽萍, 官希龙, 王晶晶, 等. 鼓室与全身应用激素治疗突发性耳聋的系统评价与Meta分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 1-10. doi:10.6040/j.issn.1673-3770.0.2021.010 ZHONG Liping, GUAN Xilong, WANG Jingjing, et al. Intratympanic injections and systemic glucocorticoid treatment for sudden hearing loss: a systematic review and Meta-analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 1-10. doi:10.6040/j.issn.1673-3770.0.2021.010
[3] 黄晶晶, 周慧群, 陈正侬, 等. 全聋型突发性聋的疗效及预后相关因素分析[J]. 中国中西医结合耳鼻咽喉科杂志, 2016, 24(3): 168-170. doi:10.16542/j.cnki.issn.1007-4856.2016.03.003 HUANG Jingjing, ZHOU Huiqun, CHEN Zhengnong, et al. Analysis of related prognostic factors and therapeutic effect of sudden sensorineural hearing loss with total hearing loss[J]. Chinese Journal of Otorhinolaryngology in Integrative Medicine, 2016, 24(3): 168-170. doi:10.16542/j.cnki.issn.1007-4856.2016.03.003
[4] 许明, 江青山, 李明, 等. 全聋型突发性聋患者的预后及相关因素分析[J]. 听力学及言语疾病杂志, 2018, 26(4): 354-357. doi:10.3969/j.issn.1006-7299.2018.04.005 XU Ming, JIANG Qingshan, LI Ming, et al. Prognostic factors for total deafness type of sudden idiopathic sensorineural hearing loss[J]. Journal of Audiology and Speech Pathology, 2018, 26(4): 354-357. doi:10.3969/j.issn.1006-7299.2018.04.005
[5] 谌国会, 王洪阳, 高云, 等. 全聋型突发性聋患者的临床特征及转归分析[J]. 中华耳科学杂志, 2022, 20(2): 211-216. doi:10.3969/j.issn.1672-2922.2022.02.009 CHEN Guohui, WANG Hongyang, GAO Yun, et al. Analysis of clinical characteristics and outcomes in total sudden deafness[J]. Chinese Journal of Otology, 2022, 20(2): 211-216. doi:10.3969/j.issn.1672-2922.2022.02.009
[6] 吴悔, 梁敏, 陈建勇, 等. 全聋型突发性耳聋患者的预后与前庭症状及前庭功能关系的回顾性分析[J]. 山东大学耳鼻喉眼学报, 2020, 34(5): 33-38. doi:10.6040/j.issn.1673-3770.1.2020.075 WU Hui, LIANG Min, CHEN Jianyong, et al. Relationship between prognosis and vestibular symptoms/function in patients with unilateral profound sud-den sensorineural hearing loss: a retrospective analysis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 33-38. doi:10.6040/j.issn.1673-3770.1.2020.075
[7] 刘义森, 查大慧, 黄学勤, 等. 针刺联合药物治疗突发性聋的临床随机对照试验Meta分析[J]. 中国中西医结合耳鼻咽喉科杂志, 2020, 28(5): 360-365. doi:10.16542/j.cnki.issn.1007-4856.2020.05.013 LIU Yisen, ZHA Dahui, HUANG Xueqin, et al. Meta-Analysis of Clinical Randomized Control Study of Acupuncture Combined with drugs in treatment of Sudden Deafness[J]. Chinese Journal of Otorhinolaryngology in Integrative Medicine, 2020, 28(5): 360-365. doi:10.16542/j.cnki.issn.1007-4856.2020.05.013
[8] 铁玲, 亚生江·托乎提, 邹广华, 等. 针药结合治疗气滞血瘀型突发性耳聋的疗效及对血液流变学和免疫相关因子的影响[J]. 针灸临床杂志, 2018, 34(1): 19-23
[9] 陈晶, 胡新颖, 刘勇, 等. 电针风池、供血穴治疗椎-基底动脉供血不足性眩晕的临床研究[J]. 世界中西医结合杂志, 2018, 13(3): 387-389. doi:10.13935/j.cnki.sjzx.180323 CHEN Jing, HU Xinying, LIU Yong, et al. Clinical research on vertigo caused by vertebral-basilar insufficiency treated with electroacupuncture at Fengchi(GB20)and Gongxue point(Extra)[J]. World Journal of Integrated Traditional and Western Medicine, 2018, 13(3): 387-389. doi:10.13935/j.cnki.sjzx.180323
[10] 祁晓晗, 王新茹, 马莉, 等. 颈部七线法治疗突发性聋思路探析[J]. 北京中医药, 2022, 41(4): 399-402. doi:10.16025/j.1674-1307.2022.04.013 QI Xiaohan, WANG Xinru, MA Li, et al. Analysis of neck seven-line method in the treatment of sudden deafness[J]. Beijing Journal of Traditional Chinese Medicine, 2022, 41(4): 399-402. doi:10.16025/j.1674-1307.2022.04.013
[11] 石安妮, 张佳佳, 白鹏, 等. 浅析 “颈部七线法” 针刺治疗突发性耳聋的内涵[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 103-107. doi:10.6040/j.issn.1673-3770.0.2021.412 SHI Anni, ZHANG Jiajia, BAI Peng, et al. Analysis of a therapeutic modality for sudden deafness utilizing neck acupuncture comprising seven lines of treatment[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 103-107. doi:10.6040/j.issn.1673-3770.0.2021.412
[12] 赵京生, 姜姗. 颈项穴: “腧穴-经脉”关系认识的思辨与重识[J]. 中国针灸, 2020, 40(10): 1085-1091. doi:10.13703/j.0255-2930.20200428-k0003 ZHAO Jingsheng, JIANG Shan. Acupoints around the neck: a philological analysis and re-recognition on “acupoint-meridian” relationship[J]. Chinese Acupuncture & Moxibustion, 2020, 40(10): 1085-1091. doi:10.13703/j.0255-2930.20200428-k0003
[13] Minosse S, Garaci F, Martino F, et al. Global and local brain connectivity changes associated with sudden unilateral sensorineural hearing loss[J]. NMR Biomed, 2021, 34(8): e4544. doi:10.1002/nbm.4544
[14] Chen JW, Hu B, Qin P, et al. Altered brain activity and functional connectivity in unilateral sudden sensorineural hearing loss[J]. Neural Plast, 2020: 9460364. doi:10.1155/2020/9460364
[15] 侯学思, 赵吉平, 白鹏, 等. 浅析 “形气相合” 对针灸临床诊治的指导作用[J]. 针灸临床杂志, 2018, 34(3): 1-4. doi:10.3969/j.issn.1005-0779.2018.03.001 HOU Xuesi, ZHAO Jiping, BAI Peng, et al. Application of “coordination of physics and qi” in acupuncture and moxibustion[J]. Journal of Clinical Acupuncture and Moxibustion, 2018, 34(3): 1-4. doi:10.3969/j.issn.1005-0779.2018.03.001
[16] Chandrasekhar SS, Do BST, Schwartz SR, et al. Clinical practice guideline: sudden hearing loss(update)[J]. Otolaryngol Head Neck Surg, 2019, 161(1_suppl): S1-S45. doi:10.1177/0194599819859885

相关文章 15

[1]	郑泽皓,魏佳俐,刘嘉涛,周玉麒,孙文婷,李雨轩,白鹏. 特定部位针刺法治疗突发性聋的疗效及安全性评价:一项系统综述和网状Meta分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 114-127.
[2]	王鑫,原晶晶,郝鹏鹏,闫占峰,刘建华,钟利群,刘思溟,吴薇,赵晓阳,张莹. 中药复方治疗突发性聋的疗效和可能机制:一项结合网络药理学研究的回顾性临床分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 6-17.
[3]	郭翔,马永强,伊海金. 突发性聋磁共振检查的现状与进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 140-144.
[4]	李培培,卢彦青,侯楠. 机器学习预测模型在突发性聋中的临床应用研究[J]. 山东大学耳鼻喉眼学报, 2025, 39(2): 145-151.
[5]	陈丹萍,何子键,虞幼军,周晓娓. 儿童突发性聋10年住院病例的疗效及预后相关因素分析[J]. 山东大学耳鼻喉眼学报, 2025, 39(1): 16-22.
[6]	刘畅,方宏艳,刘敩,富东娜,王贺,王晶,杨景朴. 长春地区秋季变应性鼻炎蒿属花粉致敏特征分析[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 13-19.
[7]	王东芳,张清雨,宋继科,毕宏生. 基于CONSORT声明和STRICTA清单评价针刺防控儿童青少年近视随机对照试验的报告质量[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 66-79.
[8]	梁俊杰,张佳佳,张琳婧,孟言,李阳,白鹏. 中西医结合治疗突发性聋合并手足口病1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(4): 91-95.
[9]	王钰彧,朱梅. 体位性睡眠呼吸暂停患者的临床特点及其与低觉醒阈值的相关性研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(6): 101-105.
[10]	刘广宇,谭君颖,霍岩,张剑宁,李明. “治鸣六穴”治疗脾胃虚弱型耳鸣患者的临床疗效观察及脑效应机制研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(4): 53-61.
[11]	任伟,李嘉,张雄,张晟杰. 电针疗法联合手法灸治疗Meige综合征1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(2): 63-66.
[12]	张可人, 雷春燕, 张美霞. 眼睑松弛综合征伴阻塞性睡眠呼吸暂停1例[J]. 山东大学耳鼻喉眼学报, 2022, 36(5): 125-128.
[13]	谭玉芳,易天华. 鼻咽癌放疗后突发性聋18例[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 35-39.
[14]	宗小芳,胡国华,钟时勋,雷艳,江黎珠,康厚墉. 影响低频下降型突发性聋不伴眩晕预后的相关因素分析[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 33-37.
[15]	叶毅良,卢标清. 704例突发性耳聋疗效分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 44-47.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed