[1]卢昌鹏,熊宇,周雪飞,等.电针耳周少阳经腧穴联合鼓室注射治疗平坦下降型突发性聋疗效观察[J].陕西中医,2026,(6):839-844.[doi:DOI:10.3969/j.issn.1000-7369.2026.06.022]
　LU Changpeng,XIONG Yu,ZHOU Xuefei,et al.Observation of the therapeutic effect of electroacupuncture on auricular Shaoyang meridian acupoints combined with tympanic cavity injection in the treatment of flat-type sudden hearing loss[J].,2026,(6):839-844.[doi:DOI:10.3969/j.issn.1000-7369.2026.06.022]
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电针耳周少阳经腧穴联合鼓室注射治疗平坦下降型突发性聋疗效观察

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年6期
页码:
839-844
栏目:
针灸经络
出版日期:
2026-06-05

文章信息/Info

Title:
Observation of the therapeutic effect of electroacupuncture on auricular Shaoyang meridian acupoints combined with tympanic cavity injection in the treatment of flat-type sudden hearing loss
作者:
卢昌鹏; 熊宇; 周雪飞; 梁友情; 姚期; 赵芳芳; 王启幸; 杨荣刚
（贵州中医药大学第二附属医院耳鼻咽喉头颈外科，贵州 贵阳 550001）
Author(s):
LU Changpeng; XIONG Yu; ZHOU Xuefei; LIANG Youqing; YAO Qi; ZHAO Fangfang; WANG Qixing; YANG Ronggang
(Department of Otolaryngology Head and Neck Surgery，Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine，Guiyang 550001，China)
关键词:
突发性聋; 平坦下降型; 电针：少阳经; 腧穴; 鼓室注射
Keywords:
Sudden sensorineural hearing loss; Flat descending; Electro-acupuncture; Shaoyang meridian; Acupoints; Intratympanic injection
分类号:
R 764.43
DOI:
DOI:10.3969/j.issn.1000-7369.2026.06.022
文献标志码:
A
摘要:
目的：基于中医少阳经“循行耳周、主司枢机”的理论，探讨在常规鼓室内注射地塞米松的基础上，联合耳周少阳经腧穴电针治疗，对平坦下降型突发性聋患者听力恢复及伴随症状（耳鸣、眩晕）的综合疗效，旨在为优化该亚型突聋的中西医结合治疗方案提供循证依据。方法：采用前瞻性随机对照研究设计，纳入82例平坦下降型突聋患者，按随机数字表法分为对照组与观察组，各41例。两组均接受基础营养神经、改善循环等常规治疗。对照组予鼓室内注射地塞米松磷酸钠注射液（每日注射1次，连续治疗7 d）。观察组在对照组治疗基础上，联合耳周少阳经腧穴电针治疗，取患侧耳门、听宫、听会、翳风、颅息、完骨为主穴，连接电子脉冲针灸治疗仪，采用疏密波（2 Hz/50 Hz交替），以患者耐受为度，留针30 min，每日1次，10 d为1疗程。于治疗前、治疗结束后（1疗程）、病程第3个月随访时，分别评估两组患者的纯音测听平均听阈（PTA）、耳鸣残疾评估量表（THI）评分、眩晕残障程度评定量表（DHI）评分及中医证候积分，并比较总体临床疗效。结果：治疗后，两组患者的PTA、THI评分、DHI评分及中医证候积分均较治疗前显著降低（P<0.001）。在治疗结束及第3个月随访时，观察组上述指标的改善程度均显著优于对照组（P<0.001）。观察组总有效率为65.9%（27/41），高于对照组的51.2%（21/41），差异具有统计学意义（P<0.05）。治疗后，观察组PTA平均听阈、THI、DHI、中医证候积分主症评分和次症评分增益值均高于对照组，且差异均有统计学意义(P＜0.05)。结论：电针刺激耳周少阳经腧穴联合鼓室内注射糖皮质激素，能显著提升平坦下降型突发性聋患者的听力恢复水平，并有效缓解其耳鸣、眩晕等伴随症状，疗效优于单纯鼓室内注射激素。该联合方案体现了“局部靶向治疗”与“经络整体调节”相结合的优势，是治疗该病型的一种有效中西医结合方法。
Abstract:
Objective:Based on the theory of the Shaoyang meridian in Traditional Chinese Medicine (TCM)，which “courses around the ear and governs the pivot mechanism” this study aimed to investigate the comprehensive efficacy of electroacupuncture at periauricular Shaoyang meridian acupoints combined with intratympanic dexamethasone injection on hearing recovery and concomitant symptoms (tinnitus，vertigo) in patients with the flat descending type of sudden sensorineural hearing loss (SSNHL).The goal was to provide evidence-based data for optimizing an integrated TCM and western medicine treatment strategy for this SSNHL subtype.Methods:A prospective randomized controlled trial was conducted.Eighty-two patients with flat descending type SSNHL were enrolled and randomly divided into a control group and an observation group，with 41 patients in each group.Both groups received conventional foundational therapy (e.g.，neurotrophic agents，circulation improvement).The control group received intratympanic injections of dexamethasone sodium phosphate (Inject once daily for 7 consecutive days).The observation group received the same treatment as the control group plus electroacupuncture at periauricular Shaoyang meridian acupoints.The main acupoints on the affected side were Ermen (TE21)，Tinggong (SI19)，Tinghui (GB2)，Yifeng (TE17)，Luxi (TE19)，and Wangu (GB12).An electronic pulse acupuncture device was connected，using a dense-disperse wave (alternating 2 Hz/50 Hz) at an intensity tolerable to the patient.Needles were retained for 30 minutes once daily for one treatment course of 10 days.Evaluations were performed before treatment，immediately after the treatment course，and at the 3-month follow-up.Assessment measures included the pure-tone average (PTA) threshold，Tinnitus Handicap Inventory (THI) score，Dizziness Handicap Inventory (DHI) score，TCM syndrome score，and overall clinical efficacy.Results:After treatment，PTA，THI scores，DHI scores，and TCM syndrome scores in both groups were significantly reduced compared to before treatment (P<0.001).At the end of treatment and the 3-month follow-up，the improvement in all the aforementioned indicators in the observation group was significantly superior to that in the control group (P<0.001).The total effective rate was 65.9% (27/41) in the observation group，which was significantly higher than the 51.2% (21/41) in the control group (P<0.05).Conclusion:Electroacupuncture at periauricular Shaoyang meridian acupoints combined with intratympanic corticosteroid injection can significantly enhance hearing recovery and effectively alleviate concomitant tinnitus and vertigo in patients with the flat descending type of SSNHL，demonstrating superior efficacy compared to intratympanic steroid injection alone.This combined regimen embodies the advantage of integrating “local targeted therapy” with “holistic meridian regulation”，representing an effective integrated TCM and western medicine strategy for treating this SSNHL subtype.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82260955）
更新日期/Last Update: 2026-06-11