鼓室灌注利多卡因、甲泼尼龙配合习服疗法治疗老年慢性主观性耳鸣的疗效

发布时间：2018-03-04 18:25

本文选题：耳鸣　切入点：利多卡因　出处：《中国老年学杂志》2014年02期 　论文类型：期刊论文

【摘要】：目的探讨鼓室内灌注利多卡因、甲泼尼龙混合液配合习服疗法(TRT)治疗老年慢性主观性耳鸣的疗效。方法将年龄60岁,病史12个月的主观性耳鸣患者56例(62耳)分为两组,观察组34例(38耳)鼓室灌注利多卡因、甲泼尼龙混合液配合TRT治疗。对照组22例(24耳)口服卡马西平配合TRT治疗。两组均同时口服银杏叶片和甲钴胺片。所有患者在治疗前、治疗后1、6、12个月判断疗效。结果 56例(62耳)均完成全部的治疗及随访。观察组、对照组在治疗后1、6、12个月的有效率分别为63.16%、25.00%;76.32%、45.83%;78.94%、54.17%,经χ2检验后,差异显著。结论鼓室灌注利多卡因、甲泼尼龙混合液配合TRT治疗安全有效,在老年慢性主观性耳鸣患者中效果优于单纯TRT治疗。
[Abstract]:Objective to investigate the efficacy of intratympanic infusion of lidocaine, methylprednisolone and TRTT in the treatment of chronic subjective tinnitus in the elderly. Methods 56 patients with subjective tinnitus, aged 60 years and 12 months with a history of 12 months, were divided into two groups. In the observation group, lidocaine and methylprednisolone were injected into the tympanic chamber with lidocaine and methylprednisolone combined with TRT. In the control group, 22 patients were treated with carbamazepine plus TRT. Both groups were treated with both ginkgo biloba leaves and mecobalamin tablets. Results all the 56 cases (62 ears) were treated and followed up. In the observation group, the effective rates of the control group were 63.16%, 25.00%, 25.00% and 78.94%, respectively. The difference was significant after 蠂 2 test. Conclusion there is a significant difference in the tympanic perfusion of lidocaine. Methylprednisolone in combination with TRT is safe and effective in the elderly patients with chronic subjective tinnitus. The efficacy of methylprednisolone is better than that of TRT alone.
【作者单位】：柳州市人民医院耳鼻喉科;柳州市人民医院神经内科;
【分类号】：R764

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