中医药研究论丛

291-10 中西结合治疗突发性感音神经听力损失病例报告

TJ TCM.29(1) : 129-142, 2026

DOI : 10.6516/TJTCM.202603_29(1).001

中西结合治疗突发性感音神经听力损失病例报告

Diagnosis and Treatment of Sudden Sensorineural Hearing Loss Using an Integrated Traditional Chinese and Western Medicine Approach:A Case Report

夏正昀1李昌狄1谢伯骏1沈邑颖1徐培珊1,*

1台北慈济医院中医部,新北,台湾

【摘要】
「突发性感音神经听力丧失」常常是耳鼻喉科、家医科以及中医科门诊中相对常见的耳科疾患。定义上为3天内、至少连续3个相邻音频有超过30分贝的感音神经性阈值受影响。主要症状从初期的轻微耳闷塞感、耳鸣,到明显的听力丧失等临床表现皆有可能。但其成因复杂,病因难寻,因此目前临床治疗大多为类固醇、高压氧以及循环改善等方向,但疗效仍存在个体差异性。本病例探讨为一位62岁女性,17年前曾有突发性听觉丧失病史,此次门诊诊断为右耳突发性耳聋,在接受门诊与西医住院治疗後,症状加重下病患寻求中医会诊,采用传统针灸辨证论治,补肾去湿、疏风散寒、疏郁通窍搭配中西医治疗後,听力显着且快速恢复,并改善相关次证。本报告希望追踪整理西医常规治疗下辅以针灸治疗突发性耳聋之临床思路供临床叁考。
【关键词】突发性耳聋;中医;针灸
【Summary】
"Sudden Sensorineural Hearing Loss" (SSNHL) is a relatively common otological condition enered in otolaryngology, family medicine, and traditional Chinese medicine (TCM) outpatient clinics. It is defined as a sensorineural hearing threshold shift of more than 30 decibels affecting at least three consecutive frequencies within three days. Clinical manifestations can range from mild initial symptoms such as aural fullness and tinnitus to significant hearing loss. However, the etiology remains complex and elusive, making treatment challenging. Current clinical therapies primarily include corticosteroids, hyperbaric oxygen therapy, and circulation-improving agents; however, therapeutic outcomes vary among individuals. This case study presents a 62-year-old female patient with a history of sudden hearing loss 17 years ago. This time, she was diagnosed with right-sided sudden deafness in outpatient care. After receiving conventional outpatient and inpatient Western medical treatments, her symptoms worsened, prompting her to seek a TCM consultation. She underwent traditional acupuncture therapy based on syndrome differentiation, focusing on tonifying the kidney, eliminating dampness, dispelling wind and cold, and relieving stagnation to unblock orifices. Combined with integrative Western and TCM treatments, the patient experienced significant and rapid recovery of hearing and improvement in associated secondary symptoms. This report aims to summarize and analyze the clinical reasoning behind combining acupuncture therapy with standard Western treatments for sudden deafness, providing a reference for clinical practice.
【Keywords】
Sudden sensorineural hearing loss ; Traditional Chinese Medicine ; Acupuncture