突发性聋84例综合治疗临床观察

发布时间：2018-03-19 18:27

本文选题：突发性聋　切入点：中西治疗　出处：《时珍国医国药》2014年05期 　论文类型：期刊论文

【摘要】：目的探讨突发性聋的中西医结合等综合治疗的临床疗效。方法选取江汉大学附属医院耳鼻咽喉科2008年6月至2013年6月突发性聋患者63例及武汉市东湖生态旅游风景区第一社区卫生服务中心磨山社区卫生服务站突发性聋患者21例,共计84例。随机分为两组,其中对照组采取银杏达莫注射液及甲钴胺及激素进行全身治疗,治疗组采用银杏达莫注射液及甲钴胺及激素全身治疗,疗程14 d,同时局部采取耳周等穴位针灸治疗,疗程10 d,随访1个月,观察两组的临床疗效,并进行统计学分析。结果 84例患者治疗后痊愈23例(27.38%),显效21例(25.00%),有效16例(19.05%),无效24例(28.57)。总有效60例(71.43%)。治疗组显效率为34.88%,对照组显效率为14.63%,两组有效率之间差异有统计学意义。治愈率和有效率和总有效率虽无统计学意义,但临床疗效观察治疗组仍优于对照组。结论突发性聋采取综合治疗(中西结合,全身和局部治疗)疗效较只用药物治疗的临床疗效好。采取综合治疗方案治疗突发性聋的方法值得在临床上推广使用。
[Abstract]:Objective to investigate the clinical effect of combined treatment of sudden deafness combined with traditional Chinese medicine and Western medicine. Methods 63 cases of Affiliated Hospital of Jianghan University Department of Otolaryngology from June 2008 to June 2013 in patients with sudden deafness and Wuhan city of East Lake ecological tourism scenic area of the first community health service center Moshan community health service stations in 21 cases of sudden deafness patients, a total of 84 cases. Were randomly divided into two groups, the control group take the Ginkgo Leaf Extract and Dipyridamole Injection and mecobalamin and hormone of systemic therapy, treatment group with Ginkgo Leaf Extract and Dipyridamole Injection and mecobalamin and hormone therapy, treatment for 14 d, while the local take around ear acupoints acupuncture treatment, treatment for 10 d, after 1 months of follow-up, the clinical curative effect of two groups, and statistical analysis results 84 patients after treatment. 23 cases were cured (27.38%), 21 cases (25%), effective in 16 cases (19.05%), invalid in 24 cases (28.57). The total effective 60 cases (71.43%) treatment group. The effective rate was 34.88%, the control group was 14.63%, two groups had statistical significance. There are differences between the efficiency of the cure rate and effective rate and total effective rate had no significant difference, but the clinical efficacy of treatment group is better than the control group. Conclusion combined treatment of sudden deafness (combined Chinese traditional and western, systemic and local treatment) clinical the efficacy of drug treatment is only good. Take a comprehensive treatment regimen in the treatment of sudden deafness is worth popularizing in clinical use.

【作者单位】：江汉大学附属医院;武汉市东湖生态旅游风景区第一社区卫生服务中心磨山社区卫生服务站;
【分类号】：R764.437

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