金纳多联合高压氧治疗突发性聋的疗效分析

发布时间：2018-01-21 04:42

本文关键词： 耳聋突发性疗效因素　出处：《中华耳科学杂志》2014年01期 　论文类型：期刊论文

【摘要】：目的分析金纳多联合高压氧治疗突发性聋的疗效,并探讨突发性聋的相关发病因素与疗效的关系。方法回顾性总结分析2010年1月至2011年12月在我院诊断并治疗的150例突发性聋患者的一般临床资料并进行疗效评估。结果 1、150例患者发病构成比调查中:女性、中年人、脑力劳动者、很少运动者、一般紧张者、单耳发病者构成比最大。2、治疗疗效为治愈49例,显效30例,有效27例,无效53例,总有效率为62.72%。3、在各因素与突发性聋疗效分析中,纯音听阈图(治疗前听力损失程度和听力曲线类型)、伴随眩晕、发病至就诊时间与突发性聋的疗效有统计学意义(P0.05),认为上述因素影响突发性聋的疗效。而发病耳侧、伴发高血压、伴发糖尿病、白细胞数值、发病时情况、伴随耳鸣、年龄段与突发性聋的疗效无统计学意义(P0.05)。结论 1.构成比调查:突发性聋患者中多为中年人以及年轻人多发,并脑力工作者为主。诱发因素中,精神压力大、劳累、睡眠质量差的更易患突发性聋。2.在疗效分析中,①金纳多联合高压氧治疗低频陡降型听力曲线类型的突发性聋患者疗效较好,对于高频下降型、全聋型听力曲线类型的患者疗效较差。②听力分型曲线图、发病至就诊时间是影响突发性聋疗效的因素。
[Abstract]:Objective to analyze the curative effect of Ginaton combined with hyperbaric oxygen in the treatment of sudden deafness. To explore the relationship between the related factors of sudden deafness and the curative effect. Methods the clinical data of 150 patients with sudden deafness diagnosed and treated in our hospital from January 2010 to December 2011 were analyzed retrospectively. Data and evaluation of curative effect. Results. 1. In the investigation of 150 cases of disease constitution ratio: female, middle-aged, mental labors, rarely exercise, general nervous, monaural disease constitution ratio is the largest, the curative effect is 49 cases, remarkable effect 30 cases. 27 cases were effective, 53 cases were ineffective, the total effective rate was 62.72%. In the analysis of factors and curative effect of sudden deafness, pure tone audiogram (degree of hearing loss and type of hearing curve before treatment, accompanied by vertigo). The time from onset to consultation and the curative effect of sudden deafness were statistically significant (P 0.05). It was considered that the above factors affected the curative effect of sudden deafness. At the time of onset, accompanied by tinnitus, the curative effect of age and sudden deafness had no statistical significance. Conclusion 1.Constructional ratio investigation: the majority of patients with sudden deafness are middle-aged and young people. 2. And mental workers mainly. Induced factors, stress, fatigue, poor sleep quality is more likely to suffer from sudden deafness. 2. In the analysis of curative effect. 1the therapeutic effect of Ginado combined with hyperbaric oxygen on sudden deafness patients with low frequency and steep deafness curve type was better than that with high frequency deafness type and total deafness type curve type. The time from onset to visit is the factor that affects the curative effect of sudden deafness.
【作者单位】：内蒙古医科大学附属医院耳鼻喉科;
【基金】：前庭中枢代偿机制及眩晕疾病规范化诊断与康复治疗方案研究(课题编号:2007BAI18B13)
【分类号】：R764.43
【正文快照】： 前言突发性聋(sudden deafness,SD or sudden hear-ing loss,SHL)简称突聋,是指突然发生的感音神经性听力损失。近年来,随着生活节奏的加快,突发性聋的发病率呈现上升趋势,发病年龄呈年轻化趋势发展[1],这一现象更引起世界各国专家的广泛关注。从世界范围来看,发病率在5~20/

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