利多卡因联合激素治疗中高频下降型突发性耳聋的临床研究

发布时间：2018-06-07 11:40

本文选题：利多卡因 + 激素　；参考：《世界最新医学信息文摘》2016年A4期

【摘要】：目的针对中高频下降型突发性耳聋,讨论实施利多卡因联合激素的治疗效果,为日后的临床治疗提供参考与指导。方法选择我院于2013年2月至2015年3月收治的中高频下降型突发性耳聋患者160例为研究对象,应用随机数表法,将160例中高频下降型突发性耳聋患者划分为观察组与对照组。针对对照组患者实施利多卡因治疗;针对观察组患者,实施利多卡因联合激素治疗,对比两组患者的临床疗效。结果经过临床统计,观察组患者显效52例,有效26例,无效2例,治疗总有效率为97.5%;对照组患者显效46例,有效19例,无效15例,治疗总有效率为81.25%,两组患者比较差异显著,临床有统计学意义,P0.05,观察组高于对照组明显。结论中高频下降型突发性耳聋的治疗过程中,选择应用利多卡因联合激素治疗,可快速稳定患者的病情,减少患者的不适感。坚持按照疗程治疗,能够帮助中高频下降型突发性耳聋患者取得预期效果,恢复一定的听力,部分患者甚至可以完全治愈。建议在今后的临床治疗中,将利多卡因联合激素治疗推广应用。
[Abstract]:Objective to discuss the therapeutic effect of lidocaine combined with hormone for middle and high frequency descending sudden deafness in order to provide reference and guidance for clinical treatment in the future. Methods from February 2013 to March 2015, 160 patients with middle and high frequency descending sudden deafness were selected as study objects. 160 patients with middle high frequency descending sudden deafness were divided into observation group and control group by random number method. The patients in the control group were treated with lidocaine and the patients in the observation group were treated with lidocaine combined with hormone. Results according to the clinical statistics, there were 52 cases of marked effect, 26 cases of effective and 2 cases of ineffectiveness in the observation group, the total effective rate was 97.55.In the control group, there were 46 cases with remarkable effect, 19 cases with effective effect, 15 cases with no effect, and the total effective rate was 81.25%. The difference between the two groups was significant. The clinical significance was P 0.05, which was significantly higher in the observation group than in the control group. Conclusion Lidocaine combined with hormone therapy can rapidly stabilize the condition of patients and reduce their discomfort in the course of treatment of sudden deafness of middle and high frequency. Persisting in the treatment according to the course of treatment can help the patients with intermediate and high frequency descending sudden deafness to obtain the expected effect and recover certain hearing. Some patients can even be completely cured. It is suggested that lidocaine combined with hormone therapy should be popularized in future clinical treatment.
【作者单位】：陕西省延安市人民医院耳鼻喉科;
【分类号】：R764.437

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