Abstract： Objective： To systematically evaluate the clinical effect of electroacupuncture in treating sudden deafness through evidence-based medicine methods. Methods： A systematic search was conducted on randomized controlled trials of electroacupuncture treatment for sudden deafness in databases such as CNKI， Wanfang， VIP， Pubmed，Embase，Web of Science，and Cochrane Library from the time of database establishment until October 7， 2024. Two researchers referred to the bias risk assessment tool provided by the Cochrane Collaboration and conducted a Meta-analysis using RevMan 5.3 software. Results： A total of eight articles were included， with a sample size of 638 cases， including 321 cases in the trial group and 317 cases in the control group. The Meta-analysis results showed that the total effective rate（RR=1.23，95%CI [1.07，1.41]，P=0.003），cure rate（RR=1.73，95%CI [1.28， 2.34]，P=0.000 4），and total effective rate （RR=1.25，95%CI [0.99，1.57]，P=0.06） of electroacupuncture treatment for sudden deafness in the trial group were higher than those in the control group；the average hearing threshold in the trial group was lower than that in the control group （MD=-6.29， 95%CI [-9.01， -3.56]， P＜0.000 01）， and differences were significant （P ＜0.05）. Conclusion： Electroacupuncture treatment for sudden deafness can improve the overall effective rate，cure rate，dizziness overall effective rate，and improve the average hearing threshold.