小儿突发性耳聋的发病因素分析与临床保健

发布时间：2018-06-12 17:30

本文选题：突发性耳聋 + 小儿　；参考：《中国妇幼保健》2014年17期

【摘要】：目的:调查小儿突发性耳聋的发病因素,论述中医临床保健对于预后的影响。方法:选取2011年1月~2013年12月在该院住院治疗的突发性耳聋小儿60例,根据保健方法的不同分为治疗组(30例)与对照组(30例),两组均给予常规治疗,在此基础上治疗组加用泻火治聋汤辅助治疗。结果:多因素logistic回归分析结果显示,外伤、病毒感染、合并耳部疾病与家族遗传是导致小儿突发性耳聋的主要独立危险因素。治疗组的治愈率与有效率分别为93.3%和100.0%,而对照组为76.7%和90.0%,治疗组的治愈率及有效率明显高于对照组,差异具有统计学意义(P0.05)。两组患者治疗后耳鸣、头晕症状评分在组内与组间对比差异均具有统计学意义(P0.05)。治疗后治疗组的SCL-90总分、阳性项目分与阴性项目分都明显低于对照组,差异具有统计学意义(P0.05)。结论:小儿突发性耳聋的发病因素包括外伤、病毒感染、合并耳部疾病与家族遗传,基于中医的临床保健能有效改善预后。
[Abstract]:Objective: to investigate the risk factors of sudden deafness in children and discuss the influence of TCM clinical health care on prognosis. Methods: from January 2011 to December 2013, 60 children with sudden deafness were divided into treatment group (n = 30) and control group (n = 30). On this basis, the treatment group was treated with Xiehuo decoction for Deafness treatment. Results: multivariate logistic regression analysis showed that trauma, viral infection, associated ear diseases and family inheritance were the main independent risk factors for sudden deafness in children. The cure rate and effective rate of the treatment group were 93.3% and 100.0%, respectively, while that of the control group were 76.7% and 90.0.The cure rate and effective rate of the treatment group were significantly higher than that of the control group (P 0.05). The scores of tinnitus and dizziness were significantly different between the two groups after treatment (P 0.05). After treatment, the total score of SCL-90, positive item score and negative item score in the treatment group were significantly lower than those in the control group, and the difference was statistically significant (P 0.05). Conclusion: the risk factors of sudden deafness in children include trauma, virus infection, associated ear diseases and family heredity. Clinical care based on TCM can effectively improve prognosis.
【作者单位】：四川省绵阳市游仙区魏城中心卫生院;
【分类号】：R764.437

【参考文献】