Возможности акупунктуры в лечении пациентов с субъективным ушным шумом

Морозова С.В., Шадыев Т.Х., Синьков Э.В. и др. Возможности акупунктуры в лечении пациентов с субъективным ушным шумом. Consilium Medicum. 2020; 22 (11): 34–36. DOI: 10.26442/20751753.2020.11.200406

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Morozova S.V., Shadyev T.H., Sinkov E.V. et al. Opportunities for acupuncture in treatment tinnitus. Consilium Medicum. 2020; 22 (11): 34–36. DOI:10.26442/20751753.2020.11.200406

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Аннотация

Статья посвящена актуальной проблеме, с которой в своей практике часто сталкиваются семейные врачи, терапевты, неврологи и оториноларингологи – диагностике и лечению шума в ушах. Дано определение шума в ушах. Рассмотрено разделение ушного шума на субъективный и объективный. Описана распространенность этой патологии в разных странах Европы и Северной Америки. Отражены современные взгляды на этиологию и патофизиологические механизмы развития данной патологии. Дано определение акупунктуры с точки зрения современной нейрофизиологии. Приведены возможности различных методик акупунктуры в лечении пациентов с ушным шумом: корпоральной и аурикулярной акупунктуры, электропунктуры. Описан опыт клинического применения исследователями в разных странах данных методик у пациентов с ушным шумом, в том числе приведено сравнение эффективности трансаурикулярной стимуляции блуждающего нерва и электроаурикулопунктуры. Представлены результаты метаанализа публикаций, посвященных применению разных видов акупунктуры в лечении пациентов с ушным шумом более чем за десятилетний период; приведена сравнительная оценка эффективности разных методик акупунктуры у пациентов с шумом в ушах.

Ключевые слова: ушной шум, тиннитус, акупунктура, рефлексотерапия, электропунктура, лечение ушного шума.

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The article is devoted to an actual problem that family doctors, therapists, neurologists and otorhinolaryngologists frequent phenomenon in their practice – tinnitus. The definition of tinnitus is given. The division of ear noise into subjective and objective is considered. The prevalence of this pathology in different countries of Europe and North America is described. Reflects modern views on the etiology and pathophysiological mechanisms of the development of this pathology. The definition of acupuncture from the point of view of modern neurophysiology is given. Possibilities of various acupuncture techniques in the treatment of patients with ear noise are presented: corporal and auricular acupuncture, electropuncture. The experience of clinical application of these techniques by researchers in different countries in patients with tinnitus is described, including a comparison of the effectiveness of transauricular stimulation of the vagus nerve and electroauriculopuncture. The results of a meta-analysis of publications on the use of various types of acupuncture in the treatment of patients with tinnitus for more than ten years are presented; the comparative assessment of the effectiveness of different acupuncture techniques in patients with tinnitus is presented.

Key words: tinnitus, acupuncture, reflexotherapy, electropuncture, treatment of tinnitus.

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Список литературы

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[Tinnitus. Clinical recommendation 2016. Ministry of Health of the Russian Federation. http://glav-otolar.ru/assets/images/docs/clinical-recomendations/KR23%20Shum%20v%20ushah.pdf (in Russian).])
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[Kunel'skaia N.L., Levina Iu.V. Sub"ektivnyi ushnoi shum: sovremennye tendentsii i perspektivy. Vestn. otorinolaringologii. 2019; 84 (6): 54–60. DOI: 10.17116/otorino20198406154 (in Russian).]
8. Edmondson-Jones M, Mccormack A, Somerset S, Hall D. A systematic review of the reporting of tinnitus prevalence and severity. Hear Res 2016; 337: 70–9. DOI: 10.1016/j.heares.2016.05.009
9. Bhatt JM, Lin HW, Bhattacharyya N. Tinnitus Epidemiology: Prevalence, Severity, Exposures And Treatment Patterns In The United States. JAMA Otolaryngol Head Neck Surg 2016; 142 (10): 959–65. DOI: 10.1001/jamaoto.2016.1700
10. Cima RF, Vlaeyen JW, Maes IH et al. Tinnitus interferes with daily life activities: A psychometric examination of the Tinnitus Disability Index. Ear Hear 2011; 32 (5): 623–33. DOI: 10.1097/AUD.0b013e31820dd411
11. Krog NH, Engdahl B, Tambs K. The association between tinnitus and mental health in a general population sample: Results from the HUNT Study. J Psychosom Res 2010; 69 (3): 289–98. DOI: 10.1016/j.jpsychores.2010.03.008
12. Cima RFF, Kikidis D, Mazurek B Tinnitus healthcare: a survey revealing extensive variation in opinion and practices across Europe. BMJ Open 2020; 10 (1): e029346. DOI: 10.1136/bmjopen-2019-029346
13. Шум в ушах. Клинические рекомендации 2014. Министерство здравоохранения Российской Федерации. http://нмаору.рф/files/%D0%A8%D1%83%D0%BC%20%D0%B2%20%D1%83%
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[(Tinnitus. Clinical recommendation 2014. Ministry of Health of the Russian Federation. http://нмаору.рф/files/%D0%A8%D1%83%D0%BC%20%D0%B2%20%D1%83%D1%88%D0%B0%D1%85.pdf (in Russian).])
14. Engineer ND, Moller AR, Kilgard MP. Directing neural plasticity to understand and treat tinnitus. Hear Res 2013; 295: 58–66. DOI: 10.1016/j.heares.2012.10.001
15. House L, Bishop CE, Spankovich C. Tinnitus and its risk factors in African Americans: The Jackson Heart Study. Laryngoscope 2018; 128 (7): 1668–75. DOI: 10.1002/lary.26964
16. Salazar JW, Meisel K, Smith ER. Depression in Patients with Tinnitus: A Systematic Review. Otolaryngol Head Neck Surg 2019; 161 (1): 28–35. DOI: 10.1177/0194599819835178
17. AWMF guideline. https://www.awmf.org/fileadmin/user_upload/Leitlinien/017_D_G_f_Hals-Nasen-Ohrenheilkunde__Kopf-_und...
18. Wakabayashi S, Saito H, Oishi N. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol 2018; 57 (2): 110–4. DOI: 10.1080/14992027.2017.1374565
19. Stohler NA, Reinau D, Jick SS et al. A study on the epidemiology of tinnitus in the United Kingdom. Clin Epidemiol 2019; 11: 855–71. DOI: 10.2147/CLEP.S213136
20. Beebe Palumbo D, Joos K, De Ridder D. The Management and Outcomes of Pharmacological Treatments for Tinnitus. Curr Neuropharmacol 2015; 13 (5): 692–700. DOI: 10.2174/1570159x13666150415002743
21. Morozova SV, Shibina LM, Shempeleva LE, Pavliushina EM. The principles of differential diagnostics and combined treatment of tinnitus. Vestn Otorinolaringol 2013; 6: 95–8. Article in Russian.
22. Jastreboff PJ 25 years of tinnitus retraining therapy. HNO 2015; 63 (4): 307–11. DOI: 10.1007/s00106-014-2979-1
23. Landry EC, Sandoval XCR, Simeone CN. Systematic Review and Network Meta-analysis of Cognitive and/or Behavioral Therapies (CBT) for Tinnitus. Otol Neurotol 2020; 41 (2): 153–66. DOI: 10.1097/MAO.0000000000002472
24. Вогралик В.Г., Вогралик М.В. Акупунктура. Основы традиционной восточной рефлексодиагностики и пунктурной адаптационно-энергезирующей терапии: цигун. М.: ГОУ ВУНМЦ МЗ РФ, 2001.
[Vogralik V.G., Vogralik M.V. Acupuncture. Fundamentals of traditional Eastern reflexodiagnostics and punctuated adaptation-energizing therapy: qigong. Moscow: GOU VUNMC MH RF, 2001 (in Russian).]
25. Tu JF, Kim M, Yang JW. Influence of Acupuncture on Autonomic Balance in Adult Tinnitus Patients. An Exploratory Study Curr Med Sci 2019; 39 (6): 947–53. DOI: 10.1007/s11596-019-2127-y
26. Laureano MR, Onishi ET, Bressan RA. The effectiveness of acupuncture as a treatment for tinnitus: a randomized controlled trial using (99m)Tc-ECD SPECT. Eur Radiol 2016; 26 (9): 3234–42. DOI: 10.1007/s00330-015-4164-7
27. Manz EJ, Sertel S, Szecsenyi J. Acupuncture as Complementary Treatment for Acute Tinnitus:
A Randomized Controlled Pilot Study Complement. Med Res 2020; p. 1–8. DOI: 10.1159/000508630
28. Liu F, Han X, Li Y. Eur Acupuncture in the treatment of tinnitus: a systematic review and meta-analysis. Arch Otorhinolaryngol 2016; 273 (2): 285–94. DOI: 10.1007/s00405-014-3341-7
29. Park J, White AR, Ernst E. Efficacy of Acupuncture as a Treatment for Tinnitus A Systematic Review. Arch Otolaryngol Head Neck Surg 2000; 126 (4): 489–92. DOI: 10.1001/archotol.126.4.489
30. Peng L, Mu K, Liu A et al. Transauricular vagus nerve stimulation at auricular acupoints Kindey (CO10), Yidan (CO11), Liver (CO12) and Shenmen (TF4) can induce auditory and limbic cortices activation measured by fMRI. Hear Res 2018; 359: 1–12. DOI: 10.1016/j.heares.2017.12.003
31. He M, Li X, Liu Y. Electroacupuncture for Tinnitus: A Systematic Review. PLOS ONE 2016; 11 (3): e0150600. DOI: 10.1371/journal.pone.0150600
32. Kim BH, Moon YK, Kim MH et al. Comparing the effects of manual acupuncture, electroacupuncture, and transcutaneous electrical nerve stimulation on chronic tinnitus: a randomized controlled trial. Integr Med Res 2020; 9 (2): 100409. DOI: 10.1016/j.imr.2020.100409
33. Doi MY, Tano SS, Schultz AR. Effectiveness of acupuncture therapy as treatment for tinnitus: a randomized controlled trial. Braz J Otorhinolaryngol 2016; 82 (4): 458–65. DOI: 10.1016/j.bjorl.2016.04.002
34. Wang K, Bugge J, Bugge S. A randomised, placebo-controlled trial of manual and electrical acupuncture for the treatment of tinnitus. Complement Ther Med 2010; 18 (6): 249–55. DOI: 10.1016/j.ctim.2010.09.005
35. Kahn CI et al. Evaluation of Acupuncture’s Efficacy Within Otolaryngology. Ann Otol Rhinol Laryngol 2020. DOI: 10.1177/0003489420908289

________________________________________________

1. Tinnitus. Clinical recommendation 2016. Ministry of Health of the Russian Federation. http://glav-otolar.ru/assets/images/docs/clinical-recomendations/KR23%20Shum%20v%20ushah.pdf (in Russian).
2. Soldatov I.B. Tinnitus as a symptom of a hearing pathology. Moscow: Medicine, 1984 (in Russian)
3. Gulya E.J., Lloyd B. Minor Glasscock-Shambaugh Ear surgery. V. 1. Moscow: Panfilov Publishing house, 2015; p. 305–18 (in Russian).
4. Morozova S.V., Shibina L.M., Polyakova E.P. Vestn. otorinolaringologii. 2015; 80 (5): 67–70. DOI: 10.17116/otorino201580567-70 (in Russian).
5. Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg 2014; 151 (Suppl. 2): S1–S40. DOI: 10.1177/0194599814545325
6. Blagoveshchenskaya N.S. Otoneurological symptoms and syndromes. Moscow: Medicine, 1990 (in Russian).
7. Kunel'skaia N.L., Levina Iu.V. Sub"ektivnyi ushnoi shum: sovremennye tendentsii i perspektivy. Vestnik otorinolaringologii. 2019; 84 (6): 54–60. DOI: 10.17116/otorino20198406154 (in Russian).
8. Edmondson-Jones M, Mccormack A, Somerset S, Hall D. A systematic review of the reporting of tinnitus prevalence and severity. Hear Res 2016; 337: 70–9. DOI: 10.1016/j.heares.2016.05.009
9. Bhatt JM, Lin HW, Bhattacharyya N. Tinnitus Epidemiology: Prevalence, Severity, Exposures And Treatment Patterns In The United States. JAMA Otolaryngol Head Neck Surg 2016; 142 (10): 959–65. DOI: 10.1001/jamaoto.2016.1700
10. Cima RF, Vlaeyen JW, Maes IH et al. Tinnitus interferes with daily life activities: A psychometric examination of the Tinnitus Disability Index. Ear Hear 2011; 32 (5): 623–33. DOI: 10.1097/AUD.0b013e31820dd411
11. Krog NH, Engdahl B, Tambs K. The association between tinnitus and mental health in a general population sample: Results from the HUNT Study. J Psychosom Res 2010; 69 (3): 289–98. DOI: 10.1016/j.jpsychores.2010.03.008
12. Cima RFF, Kikidis D, Mazurek B Tinnitus healthcare: a survey revealing extensive variation in opinion and practices across Europe. BMJ Open 2020; 10 (1): e029346. DOI: 10.1136/bmjopen-2019-029346
13. Tinnitus. Clinical recommendation 2014. Ministry of Health of the Russian Federation.
http://нмаору.рф/files/%D0%A8%D1%83%D0%BC%20%D0%B2%20%D1%83%D1%88%D0%B0%D1%85.pdf (in Russian).]
14. Engineer ND, Moller AR, Kilgard MP. Directing neural plasticity to understand and treat tinnitus. Hear Res 2013; 295: 58–66. DOI: 10.1016/j.heares.2012.10.001
15. House L, Bishop CE, Spankovich C. Tinnitus and its risk factors in African Americans: The Jackson Heart Study. Laryngoscope 2018; 128 (7): 1668–75. DOI: 10.1002/lary.26964
16. Salazar JW, Meisel K, Smith ER. Depression in Patients with Tinnitus: A Systematic Review. Otolaryngol Head Neck Surg 2019; 161 (1): 28–35. DOI: 10.1177/0194599819835178
17. AWMF guideline. https://www.awmf.org/fileadmin/user_upload/Leitlinien/017_D_G_f_Hals-Nasen-Ohrenheilkunde__Kopf-_und...
18. Wakabayashi S, Saito H, Oishi N. Effects of tinnitus treatments on sleep disorders in patients with tinnitus. Int J Audiol 2018; 57 (2): 110–4. DOI: 10.1080/14992027.2017.1374565
19. Stohler NA, Reinau D, Jick SS et al. A study on the epidemiology of tinnitus in the United Kingdom. Clin Epidemiol 2019; 11: 855–71. DOI: 10.2147/CLEP.S213136
20. Beebe Palumbo D, Joos K, De Ridder D. The Management and Outcomes of Pharmacological Treatments for Tinnitus. Curr Neuropharmacol 2015; 13 (5): 692–700. DOI: 10.2174/1570159x13666150415002743
21. Morozova SV, Shibina LM, Shempeleva LE, Pavliushina EM. The principles of differential diagnostics and combined treatment of tinnitus. Vestn Otorinolaringol 2013; 6: 95–8. Article in Russian.
22. Jastreboff PJ 25 years of tinnitus retraining therapy. HNO 2015; 63 (4): 307–11. DOI: 10.1007/s00106-014-2979-1
23. Landry EC, Sandoval XCR, Simeone CN. Systematic Review and Network Meta-analysis of Cognitive and/or Behavioral Therapies (CBT) for Tinnitus. Otol Neurotol 2020; 41 (2): 153–66. DOI: 10.1097/MAO.0000000000002472
24. Vogralik V.G., Vogralik M.V. Acupuncture. Fundamentals of traditional Eastern reflexodiagnostics and punctuated adaptation-energizing therapy: qigong. Moscow: GOU VUNMC MH RF, 2001 (in Russian).
25. Tu JF, Kim M, Yang JW. Influence of Acupuncture on Autonomic Balance in Adult Tinnitus Patients. An Exploratory Study Curr Med Sci 2019; 39 (6): 947–53. DOI: 10.1007/s11596-019-2127-y
26. Laureano MR, Onishi ET, Bressan RA. The effectiveness of acupuncture as a treatment for tinnitus: a randomized controlled trial using (99m)Tc-ECD SPECT. Eur Radiol 2016; 26 (9): 3234–42. DOI: 10.1007/s00330-015-4164-7
27. Manz EJ, Sertel S, Szecsenyi J. Acupuncture as Complementary Treatment for Acute Tinnitus: A Randomized Controlled Pilot Study Complement. Med Res 2020; p. 1–8. DOI: 10.1159/000508630
28. Liu F, Han X, Li Y. Eur Acupuncture in the treatment of tinnitus: a systematic review and meta-analysis. Arch Otorhinolaryngol 2016; 273 (2): 285–94. DOI: 10.1007/s00405-014-3341-7
29. Park J, White AR, Ernst E. Efficacy of Acupuncture as a Treatment for Tinnitus A Systematic Review. Arch Otolaryngol Head Neck Surg 2000; 126 (4): 489–92. DOI: 10.1001/archotol.126.4.489
30. Peng L, Mu K, Liu A et al. Transauricular vagus nerve stimulation at auricular acupoints Kindey (CO10), Yidan (CO11), Liver (CO12) and Shenmen (TF4) can induce auditory and limbic cortices activation measured by fMRI. Hear Res 2018; 359: 1–12. DOI: 10.1016/j.heares.2017.12.003
31. He M, Li X, Liu Y. Electroacupuncture for Tinnitus: A Systematic Review. PLOS ONE 2016; 11 (3): e0150600. DOI: 10.1371/journal.pone.0150600
32. Kim BH, Moon YK, Kim MH et al. Comparing the effects of manual acupuncture, electroacupuncture, and transcutaneous electrical nerve stimulation on chronic tinnitus: a randomized controlled trial. Integr Med Res 2020; 9 (2): 100409. DOI: 10.1016/j.imr.2020.100409
33. Doi MY, Tano SS, Schultz AR. Effectiveness of acupuncture therapy as treatment for tinnitus: a randomized controlled trial. Braz J Otorhinolaryngol 2016; 82 (4): 458–65. DOI: 10.1016/j.bjorl.2016.04.002
34. Wang K, Bugge J, Bugge S. A randomised, placebo-controlled trial of manual and electrical acupuncture for the treatment of tinnitus. Complement Ther Med 2010; 18 (6): 249–55. DOI: 10.1016/j.ctim.2010.09.005
35. Kahn CI et al. Evaluation of Acupuncture’s Efficacy Within Otolaryngology. Ann Otol Rhinol Laryngol 2020. DOI: 10.1177/0003489420908289

Авторы

С.В. Морозова, Т.Х. Шадыев*, Э.В. Синьков, Е.В. Малова, Л.М. Шибина

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*tshadyev@yandex.ru

________________________________________________

Svetlana V. Morozova, Timur H. Shadyev*, Eduard V. Sinkov, Ekaterina V. Malova, Ludmila M. Shibina

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*tshadyev@yandex.ru

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