电针治疗耳鸣文献探讨

Literature Review on Electroacupuncture for Tinnitus

康博雄1蔡金川1,2林新杰1,2陈冠佐1,2林原禾1,2,*

1义大癌治疗医院中医科，高雄，台湾

2义守大学学士後中医学系，高雄，台湾

背景：耳鸣是一种常见且复杂的症状，对患者的生活品质有显着影响。传统治

疗方法多不尽理想，因此有必要探索替代疗法。

目的：评估电针治疗耳鸣的有效性，另讨论文献中经皮电神经刺激、经颅电刺

激治疗耳鸣叁数，以期作为电针叁数设定叁考依据。本文旨在总结电针治疗耳

鸣的效果与具体使用方法，试图寻找治疗效果的共识及电针叁数的最佳化指南。

方法：自PubMed资料库，检索时间2010/01~2021/02，利用MeSH搜寻

(Electroacupuncture and tinnitus)、(Transcutaneous electric nerve stimulation and

tinnitus)、(Vagus nerve stimulation and tinnitus)、(transcranial direct current

stimulation and tinnitus」等，电刺激与耳鸣相关治疗则阅读全文，并纳入讨论。

结果：将筛选过後的22篇文献加以分析整理。

结论：电针为治疗耳鸣的一种潜力替代疗法，叁数选择上或许能借助其它电刺

激型式使用之叁数作为未来电针使用上的叁考。期望往後有更多高品质的研究

，以进一步探讨其最佳使用方式和治疗机制，为临床提供依据。

Background: Tinnitus is a common and complex symptom that significantly impacts the quality of life for patients. Traditional treatment methods often fall short, necessitating the exploration of alternative therapies. Objective: To evaluate the effectiveness of electroacupuncture in treating tinnitus and to discuss the parameters of transcutaneous electrical nerve stimulation (TENS) and transcranial direct current stimulation (tDCS) for tinnitus treatment as referenced in the literature. The aim of this paper is to summarize the effects and specific methods of electroacupuncture in treating tinnitus, seeking a consensus on treatment efficacy and optimizing guidelines for electroacupuncture parameters. Methods: A literature search was conducted in the PubMed database covering the period from January 2010 to February 2021, using MeSH terms such as "Electroacupuncture and tinnitus," "Transcutaneous electric nerve stimulation and tinnitus," "Vagus nerve stimulation and tinnitus," and "transcranial direct current stimulation and tinnitus." Full texts related to electrical stimulation and tinnitus treatment were reviewed and included in the discussion. Results: Twenty-two selected articles were analyzed and compiled. Conclusion: Electroacupuncture appears to be a potential alternative therapy for tinnitus treatment. The selection of parameters may benefit from reference to those used in other forms of electrical stimulation. It is hoped that more high-quality studies will be conducted in the future to further explore the optimal usage and therapeutic mechanisms, providing a basis for clinical application.

【Keywords】Tinnitus； Electrical stimulation； Electroacupuncture； Transcutaneous electric nerve stimulation； Transcranial direct current stimulation