《耳鸣针灸临床实践指南》问卷调查

In addition to the above question, please provide valuable clinical questions for the following aspects using the above framework. 除了前面的问题以外，请您仿照上面的格式体例，围绕以下几个方面提出宝贵的临床问题：

①Problem-related patients/populations of the target audience (P) 问题所针对的人群特征 (P)

In your opinion, which stage of tinnitus is acupuncture treatment primarily suitable for?您认为，针灸治疗主要适用于下列哪个分期的耳鸣？

【多选题】

Acute phase (disease duration less than 3 months) 急性期(病程小于3个月)

Subacute phase (3 to 6 months into the disease course) 亚急性期(病程3～6个月)

Chronic phase (disease duration exceeding 6 months) 慢性期(病程大于6个月)

In your opinion, for which frequency characteristics (pitch) of subjective tinnitus might acupuncture treatment be more effective?您认为，针灸治疗对于何种频率特征（音调）的主观性耳鸣可能更有效？

【请选择1-3项】

Low-frequency tinnitus(Typically manifested as a low hum or rumble, with frequencies generally below 500 hertz.) 低频耳鸣(通常表现为低沉的嗡嗡声或轰鸣声，频率多在500赫兹以下。)

Mid-frequency tinnitus (typically presenting as wind-like or hissing sounds, with frequencies commonly ranging from 500 to 4000 hertz)中频耳鸣（通常表现为风声或嘶嘶声，频率多在500赫兹到4000赫兹之间）

High-frequency tinnitus(Typically manifested as a sharp metallic or electrical hum, with frequencies often exceeding 4000 hertz) 高频耳鸣（通常表现为尖锐的金属音或电流声，频率多在4000赫兹以上）

Others 其他

Please describe 请输入文字（选填）

10.

In your opinion, for subjective tinnitus accompanied by which of the following clinical symptoms does acupuncture treatment demonstrate more significant efficacy?您认为，针灸治疗对于合并下列哪些临床症状的主观性耳鸣，疗效更为显著？

【最多选择4项】

Hearing impairment 听力障碍

Negative emotions 负性情绪

Auditory sensitivity 听觉敏感

Sleep Disorders 睡眠障碍

Others 其他

Please describe 请输入文字（选填）

11.

Which age group of patients do you believe requires the most focus and clarification regarding the applicability of acupuncture treatment for tinnitus?您认为在耳鸣的针灸治疗中最需要聚焦并明确其适用性的是下列哪一类年龄段患者？
【请选择1-4项】

Under 18 years of age 十八岁以下

18 to 44 years of age 十八岁到四十四岁

45 to 59 years of age 四十五岁到五十九岁

over 60 years of age 六十岁以上

②Problem-related acupuncture interventions of the target audience (multiple interventions may be present) (I) 问题相关的针灸干预措施（可有多项针灸干预）（I）

12.

When differentiating or classifying subjective tinnitus, which of the following methods do you primarily rely on?您对主观性耳鸣进行辨证或分类时，首要依据下列哪种方法？

Classification of Zang-Fu Syndrome Differentiation 脏腑辨证分类

Classification of Eight Principles Differentiation 八纲辨证分类

Classification of Meridian Differentiation Classification 经络辨证分类

Classification of Disease Course 病程分类

Classification of Lesion Sites 症状分类

Classification of Differential Diagnosis of Pathogenic Factors病因辨证分类

Others 其他

Please describe 请输入文字（选填）

13.

Which of the following acupuncture methods do you believe have the most reliable efficacy for treating subjective tinnitus?您认为下列哪些针灸方法对于治疗主观性耳鸣的疗效较为确切？（最多5项）

Please rate the treatment method (1-5 points)请根据治疗方法打分（1-5分）

	1	2	3	4	5
moxibustion 艾灸
moxibustion 艾灸
filiform needing 毫针刺
filiform needing 毫针刺
Warm Acupuncture 温针灸
Warm Acupuncture 温针灸
electroacupuncture 电针
electroacupuncture 电针
Auricular Acupuncture 耳穴压丸
Auricular Acupuncture 耳穴压丸
Acupuncture 头针
Acupuncture 头针
auricular acupuncture 耳针
auricular acupuncture 耳针
Acupuncture point implantation 穴位埋针
Acupuncture point implantation 穴位埋针
acupoint catgut embedding method 穴位埋线
acupoint catgut embedding method 穴位埋线
acupoint injection 穴位注射
acupoint injection 穴位注射
fire needling 火针
fire needling 火针
abdominal acupuncture 腹针
abdominal acupuncture 腹针
acupoint application therapy 穴位贴敷
acupoint application therapy 穴位贴敷
intradermal acupuncture 皮内针
intradermal acupuncture 皮内针
Others 其他
Others 其他

14.

For subjective tinnitus, which of the following acupoints do you consider most suitable as primary points?对于主观性耳鸣，您认为以下哪些穴位最适宜作为主穴？（最多5项）

请根据该穴位推荐程度打分（1-5分）Please rate this acupoint on a scale of 1 to 5 based on its recommended level.

	1	2	3	4	5
Yifeng Acupoint 翳风
Yifeng Acupoint 翳风
TingHui Acupoint 听会
TingHui Acupoint 听会
TingGong Acupoint 听宫
TingGong Acupoint 听宫
ErMen Acupoint 耳门
ErMen Acupoint 耳门
WanGu Acupoint 完骨
WanGu Acupoint 完骨
SiZhuKong Acupoint 丝竹空
SiZhuKong Acupoint 丝竹空
JiaoSun Acupoint 角孙
JiaoSun Acupoint 角孙
XiLu Acupoint 息颅
XiLu Acupoint 息颅
Others 其他
Others 其他

15.

For subjective tinnitus, which of the following acupuncture treatment frequency regimens do you most frequently employ?对于主观性耳鸣，您最常采用下列哪种针灸治疗频次方案？

Once per week 每周一次

Three times per week 每周三次

five times per week 每周五次

Others 其他

Please describe 请输入文字（选填）

16.

In your opinion, what is the appropriate duration for each acupuncture treatment session for subjective tinnitus?您认为，针灸治疗主观性耳鸣，每次治疗多长时间较为合适？

Leave the needle in for 10 minutes 留针10min

Leave the needle in for 20 minutes 留针20min

Leave the needle in for 30 minutes 留针30min

Others 其他

Please describe 请输入文字（选填）

17.

When treating subjective tinnitus with acupuncture, what criteria do you believe should be met for the most appropriate stimulation intensity?在针刺治疗主观性耳鸣时，您认为最合适的刺激强度应达到什么标准？

Mild Stimulation: Requires only the sensation of qi, with the patient experiencing a slight tingling, numbness, or distension.轻度刺激：仅要求得气，患者有轻微酸麻胀感即可

Moderate Stimulation: Requires a stronger sensation of qi, which can radiate to the ear area or a certain range.中度刺激：要求较强的得气感，并能传导至耳周或一定范围

Strong Stimulation: Beyond the sensation of qi, techniques such as twisting, lifting, and thrusting are applied, limited only by the patient's tolerance.较强刺激：在得气基础上，施加捻转提插等手法，以患者能耐受为限

Adjustments vary based on the individual and the condition, requiring flexibility according to pattern differentiation (e.g., deficiency or excess) and the stage of the disease.因人因病而异，需根据辨证（如虚实）和病情分期灵活调整

18.

在治疗主观性耳鸣时，您认为电针治疗通常输出下列哪个的波形治疗效果最好？

Continuous wave 连续波

Dense-sparse wave 疏密波

Sawtooth wave 断续波

Others 其他

Please describe 请输入文字（选填）

19.

在治疗主观性耳鸣时，您认为电针治疗输出的适宜电流强度（以患者耐受为度）通常在下列哪个范围？

0.5–1.0 mA (mild stimulation) 0.5 - 1.0 mA（轻度刺激）

1.0 - 2.0 mA (Moderate stimulation) 1.0 - 2.0 mA（中度刺激）

2.0–3.0 mA (stronger stimulation) 2.0 - 3.0 mA（较强刺激）

To the extent that it produces a slight visible contraction of the muscles 以产生可见肌肉轻微收缩为度

Others 其他

Please describe 请输入文字（选填）

20.

Considering both patient compliance and the convenience of efficacy assessment, do you believe the optimal basis for defining a treatment course is the number of treatment sessions?综合考虑患者依从性与疗效评估的便利性，您认为界定疗程的最佳依据是治疗次数吗？

21.

Considering both patient compliance and the convenience of efficacy assessment, do you believe the treatment cycle is the optimal basis for defining the course of therapy?综合考虑患者依从性与疗效评估的便利性，您认为界定疗程的最佳依据是治疗周期吗？

③Problem-related Intervention for Comparison/Control of the target audience (C)问题所针对的对照措施（C）

22.

In your opinion, compared to which treatment modality does acupuncture demonstrate superior efficacy?您认为针灸与哪种治疗方式相比，在疗效上具有优势？【最少选择1项】

Cognitive-Behavioral Therapy 认知行为疗法

Sound Therapy 声治疗

Traditional Chinese Medicine Treatment 中药治疗

Transcranial Magnetic Stimulation 经颅磁刺激

Others 其他

Please describe 请输入文字（选填）

23.

Which treatment plan for subjective tinnitus do you consider to be the most cost-effective while maintaining therapeutic efficacy? 你认为针灸对于主观性耳鸣在具有疗效的前提下，哪种治疗方案跟有性价比？【多选题】

Acupuncture treatment 针灸治疗

Western Medicine Treatment 西药治疗

Traditional Chinese Medicine (TCM)Patent Drugs 中成药治疗

Others 其他

Please describe 请输入文字（选填）

24.

In the treatment of subjective tinnitus, which of the following therapies do you believe offers greater advantages in terms of safety and adverse reactions? 您认为在治疗主观性耳鸣的过程中，在安全性和不良反应方面，下面哪项疗法更具有优势?【多选题】

Acupuncture therapy 针灸治疗

Traditional Chinese medicine treatment 中成药治疗

Western medicine treatment 西药治疗

Others 其他

Please describe 请输入文字（选填）

④Problem-related Intervention for Outcomes of the target audience(O) 问题所针对的结局指标 (O)

27.

WhichFactorisMostCriticalWhenEvaluatingthe"EconomicEffectofAcupunctureTreatment?如果一位患者考虑尝试针灸治疗，在评估其“经济效应”时，您认为以下哪个因素最为关键？

Health Insurance Reimbursement Policy: Whether It Is CoveredbyInsuranceandWhats上xpenses医保报销政策：是否在医保范围内，能报销多少比例，这直接决定个人实际支付金额。

Sustainability of Efficacy: How Long the Treatment Effects Last, and Whether It Truly Reduces Future Recurrences and Medical Expenses 疗效的可持续性：治疗效果能持续多是否真的能减少未来的复发和医药开销。

Time and Convenience Costs: Whether the Time, Transportation, and Leave Required for Frequent Clinic Visits Can Be Managed 治疗的时间与便料成本，频繁的挂诊所所高的时间交通和请假成本是否能够承受Direct Price Comparison with Drug Therapy

Comparison the Cost of an Acupuncture Course Directly to the Cost of Medications over an Equivalent Time Period.与药物治疗的直观价格对比：直接将个疗程的针灸费与同等时间段内的药费进行对比

28.

Based on your clinical experience, briefly describe the specific needling techniques, insertion depths, and desired sensations for 1-2 acupoints you most frequently use to treat tinnitus (e.g., Tinggong, Taixi).请结合您的临床经验，简要描述1-2个您最常用于治疗耳鸣的穴位（如听宫、太溪等）的具体进针手法、深度及期望获得的针感。(选填）

Your input is greatly appreciated. We thank you for your valuable suggestions, which will be reflected in the Clinical Practice Guideline for Acupuncture and Moxibustion for tinnitus . Please click the button ‘’提交‘’ on the right side of the bottom. Thank you!

非常感谢您的意见。感谢您的宝贵建议，这些建议将反映在《针灸治疗耳鸣临床实践指南》中。请完成填写后点击提交按钮。谢谢您！

The First Affiliated Hospital of Anhui University of Chinese Medicine (Anhui Provincial Hospital of Traditional Chinese Medicine)

Research group of Clinical Practice Guideline for Acupuncture and Moxibustion for tinnitus

安徽中医药大学第一附属医院（安徽省中医院）

《耳鸣针灸临床实践指南》研制课题组

问卷星提供技术支持