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中医药研究论丛
 222.18 中医治疗突发性耳聋之病例报告
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TJ TCM.22(2) : 181-192, 2019 181
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中医治疗突发性耳聋之病例报告
A Case Report of Sudden Onset Hearing Loss Treated with Traditional Chinese Medicine
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陈亭霓1 林恭仪2 戴承杰1*
1 台北医学大学附设医院传统医学科，台北，台湾
2 颂赞中医诊所，台北，台湾
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【摘要】
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突发性耳聋为耳鼻喉科门诊常见之疾病，是指在3 天内听力在连续3 个音频的测试下均丧失30dB 以上，常伴随耳鸣及眩晕等症状表现，西医常规治疗为口服或注射类固醇，本病症的预後与听力丧失的严重度及眩晕症状的表现有关，经过统计仅有三分之二病患的听力可完全恢复，有不少患者听力受到永久性影响，因而寻求中医药治疗。
本病例报告为一位14 岁国中学生，突发单侧性听力丧失，伴随耳鸣及眩晕，经过西医投予抗生素及类固醇治疗後，症状均未见改善，故开始接受中医治疗。本案例之特色在於根据临床症状，经辨证论治後，以针刺疏通肝胆气滞、补益脾气，经过两个月治疗後听力及耳鸣状况恢复良好。追踪整理中医治疗用药纪录，提供中医临床治疗突发性耳聋之叁考。
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【关键词】突发性耳聋、中医药、针灸
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Ting-Ni Chen1 Lin Kung-Yi2 Chen-Jei Tai1*
1Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan
2Singing Praises Traditional Clinic, Taipei, Taiwan
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【Summary】
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Idiopathic sudden sensorineural hearing loss (ISSNHL) is a common disease in otolaryngology clinics. It is defined as rapidly developing hearing loss within less than three days, and the level of the hearing loss is more than 30 dB in at least three consecutive frequencies, which usually accompanied with tinnitus and vertigo. Orally or intratympanic glucocorticoids are considered first-line therapy for SSNHL. However, the benefit of these drugs is unclear. And the prognosis for sudden sensorineural hearing loss (SSNHL) is related to the severity of hearing loss and vertigo symptoms. Approximately, only two-thirds of patients with SSNHL can be fully recovered, while the others are suffering from the condition permanently. Therefore Traditional Chinese Medicine may be a complement option to these patients.
This case repot describes a 14-year-old student who suffered from unilateral hearing loss, accompanied by tinnitus and dizziness. After treatment with antibiotics and steroids, the situation did not improve. So he turned to receive traditional chinese medicine treatment. The characteristic of this case is that based on clinical symptoms, combined with Chinese medicine theory, the patient’s SSHL was treated with acupuncture to soothe the liver, dispel the stagnation, and regulating qi-flowing for strengthening spleen. After two months treatment, his hearing loss and tinnitus has marked improvement. This paper would present the procedure of TCM treatment in a detailed introduction and discussion.
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【Keywords】
SSNHL, Hearing loss, Acupuncture
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