鼓室内注射利多卡因联合掩蔽及心理辅导治疗耳鸣疗效分析

发布时间：2018-04-16 16:34

本文选题：耳鸣 + 利多卡因　；参考：《中华耳科学杂志》2016年04期

【摘要】：目的探讨鼓室内注射利多卡因联合掩蔽及心理辅导综合治疗特发性耳鸣的临床疗效。方法选择符合纳入标准的耳鸣患者177例,随机分为鼓室内注射利多卡因联合掩蔽组(利多卡因组)59例、心理辅导联合掩蔽组(心理辅导组)59例、鼓室内注射利多卡因联合心理辅导及掩蔽组(三联组)59例,分别在治疗前、治疗后1月、治疗后3月,通过耳鸣严重程度评估指标及评分标准,及SCL-90评分,评估三种治疗方式的疗效及稳定性。结果 1治疗后1月三组间疗效比较,Hc=7.94,P=0.019,治疗后3月三组间疗效比较Hc=7.01,P=0.03,差异均显著,两两比较结果显示,三联组与其他两组间差异显著。2三组患者治疗后SCL-90评分在躯体化、人际敏感、抑郁、焦虑、敌对、偏执因子方面差异显著(P0.05),心理辅导组治疗前后SCL-90评分在躯体化、人际敏感、抑郁、焦虑、偏执因子方面差异显著(P0.05),三联组治疗前后SCL-90评分在躯体化、人际敏感、抑郁、焦虑、敌对、偏执因子方面差异显著(P0.05),利多卡因组在治疗前后各因子间无显著差异。结论三联组治疗耳鸣疗效优于其他两组,三种治疗方法均有一定的稳定性,采用心理干预措施能对耳鸣患者具有较好的疗效。
[Abstract]:Objective to investigate the clinical effect of intratympanic injection of lidocaine combined with masking and psychological counseling in the treatment of idiopathic tinnitus.Methods 177 patients with tinnitus who met the inclusion criteria were randomly divided into two groups: intratympanic injection of lidocaine and masking group (59 cases in lidocaine group and 59 cases in psychological counseling group).Intratympanic injection of lidocaine in combination with psychological counseling and shelter group (59 cases in the three groups) were evaluated by the assessment index and scoring standard of tinnitus severity and SCL-90 score before treatment, 1 month after treatment and 3 months after treatment, respectively.To evaluate the efficacy and stability of the three treatments.Results (1) the comparison of the three groups' curative effect at 1 month after treatment was compared with that of the three groups after treatment. The results showed that the SCL-90 score of the three groups was somatization after treatment, and the difference between the three groups was significant (P < 0.01), and the difference between the three groups and the other two groups was significant (P < 0.01), and the difference between the three groups was significant. 2. After treatment, the SCL-90 score of the three groups was somatization.The factors of interpersonal sensitivity, depression, anxiety, hostility and paranoid ideation were significantly different (P 0.05). The SCL-90 scores of psychological counseling group were somatization, interpersonal sensitivity, depression, anxiety before and after treatment.There was significant difference in paranoid ideation factor (P0.05), SCL-90 score before and after treatment in the triple group (P 0.05). There was no significant difference in the scores of somatization, interpersonal sensitivity, depression, anxiety, hostility and paranoid ideation (P 0.05), but there was no significant difference between the factors before and after treatment in lidocaine group.Conclusion the treatment of tinnitus in the triple group is better than that in the other two groups, and the three treatment methods have certain stability. Psychological intervention can be used to treat tinnitus patients with better curative effect.
【作者单位】：四川省宜宾市第一人民医院耳鼻咽喉头颈外科;
【基金】：四川省宜宾市科技局科研项目(项目编号:2013YZY004)~~
【分类号】：R764.45

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