電針治療耳鳴文獻探討

Literature Review on Electroacupuncture for Tinnitus

康博雄1蔡金川1,2林新杰1,2陳冠佐1,2林原禾1,2,*

1義大癌治療醫院中醫科，高雄，台灣

2義守大學學士後中醫學系，高雄，台灣

背景：耳鳴是一種常見且復雜的症狀，對患者的生活品質有顯著影響。傳統治

療方法多不盡理想，因此有必要探索替代療法。

目的：評估電針治療耳鳴的有效性，另討論文獻中經皮電神經刺激、經顱電刺

激治療耳鳴參數，以期作為電針參數設定參考依據。本文旨在總結電針治療耳

鳴的效果與具體使用方法，試圖尋找治療效果的共識及電針參數的最佳化指南。

方法：自PubMed資料庫，檢索時間2010/01~2021/02，利用MeSH搜尋

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

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

stimulation and tinnitus」等，電刺激與耳鳴相關治療則閱讀全文，並納入討論。

結果：將篩選過後的22篇文獻加以分析整理。

結論：電針為治療耳鳴的一種潛力替代療法，參數選擇上或許能借助其它電刺

激型式使用之參數作為未來電針使用上的參考。期望往後有更多高品質的研究

，以進一步探討其最佳使用方式和治療機制，為臨床提供依據。

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