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目的：突發性耳聾（SSHL）是耳鼻喉科急症，其症狀為急速聽力減退，而嚴重影響病患的生活。山元式新頭針療法（YNSA）於西元1973 年由日本山元敏勝所研發，其治療方法是採用身體上的刺激點（somatotope），而非傳統針灸穴位治療。然而，運用YNSA 來治療突發性耳聾的研究文章僅限於個案報告。
方法：本病例系列報告為運用YNSA 來治療突發性耳聾之統計分析。本研究收集了自2017 年8 月到2020 年6月間的突發性耳聾病患共89 位，採用A 點、耳鳴點、大腦點、第八對腦神經點、腎點治療病患。療效分成無效、進步<15 分貝、進步≥15分貝三組。本研究分成僅接受YNSA 治療、同時接受YNSA 與西醫治療、並針對性別，年齡，治療頻率，距離發病時間，西醫同時介入與否與進步速度與療效之間，採取線性迴歸與羅吉斯迴歸分析。結果：結果方面，完全治癒病患共有9 位（10.1%）；僅接受YNSA 治療病患方面，所有變項均無顯著差異；同時接受YNSA 西醫治療之病患方面，聽力進步≥15 分貝的病患其年齡為無效病人之1.118 倍，距離發病時間為無效病人之0.926 倍。
結論：我們可以推論YNSA 對突發性耳聾之療效優於傳統中醫針灸，且YNSA 合併西醫治療將有效改善病患聽力。此外，YNSA 早期介入突發性耳聾效果佳，若能與西醫治療並行，有相當大的機率改善甚至治癒。
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1YiXinTang Chinese Medicine Clinic, Taipei, Taiwan
2Taipei Medical University School of Health Care Administration,Taipei Medical University-
Shuang Ho Hospital,Taipei, Taiwan
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Objectives: Sudden sensorineural hearing loss (SSHL), also known as sudden deafness, it is an acute ear, nose, and throat disease with a symptom of rapid hearing loss. This acute disease may cause serious negative effects on the life of the patient. In 1973, Japanese physician Yamamoto Toshikatsu invented Yamamoto new scalp acupuncture (YNSA), a new acupuncture system that uses somatotopes instead of acupuncture points used in traditional Chinese acupuncture. As of today, there is only one case report of YNSA treatment of SSHL. As a result, this study is dedicated to introducing the case series and data analysis of YNSA treatment of SSHL. Methods: In this study, we collected 89 SSHL patients from June 2017 to August 2020. YNSA is used in the following acupuncture somatotopes: A points, tinnitus points, brain points, vestibulocochlear nerve points and kidney points. In terms of efficacy, we divide patients into three groups: ineffective, progress <15dB, progress ≥15dB. In the process of analysis, we divided the patients into two groups: patients who received only YNSA treatment and patients who received both YNSA and western medicine treatment. Then, this study analyzed gender, age, frequency of treatment, time of onset, the rate of progress and curative effect of western medicine treatment by linear and logistic regression. Results: Patients who were completely cured: 9 (10.1%). Patients who only received YNSA treatment: there was no significant difference in all variables. Patients receiving YNSA and western medicine treatment at the same time: a. Age: Patients with hearing progression ≥15dB are 1.118 times the progression of ineffective patients. b. Onset time: Patients with hearing progression ≥15dB are 0.926 times the progression of ineffective patients. Conclusions: It can be deduced from the data that the efficacy of YNSA is obviously better than that of traditional Chinese acupuncture. On top of that, the combined treatment of YNSA and western medicine will improve hearing more effectively. Moreover, in the early treatment of SSHL, YNSA is effective. If the medicine treats SSHL patients with YNSA and western medicine, there is a great chance that the patients can be improved or even cured.
【Keywords】sudden sensorineural hearing loss; sudden deafness; Yamamoto new
scalp acupuncture; somatotopes
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261.1 運用山元式新頭針療法治療突發性耳聾之回溯性研究
