高压氧联合药物治疗突发性聋的疗效观察

发布时间：2018-06-15 21:48

本文选题：突发性聋 + 高压氧　；参考：《南京医科大学学报(自然科学版)》2014年06期

【摘要】：目的:探讨高压氧联合药物治疗突发性聋的效果,并与单用药物治疗进行疗效比较。方法:回顾分析2012~2013年就诊的112例采用高压氧联合药物(高压氧组)治疗突发性聋患者的临床资料,并将同期单纯药物治疗的96例患者作为对照(对照组),分析高压氧对疗效的影响。结果:与对照组相比,高压氧组听力显著改善,有效率达83.0%,对照组有效率为47.9%(P0.01);高压氧组耳鸣显著减轻,有效率为76.4%,对照组为51.4%(P0.01);在有眩晕的患者中,高压氧组88.2%有效,而对照组仅63.3%有效(P0.05)。结论:高压氧联合药物治疗突发性聋的疗效明显优于单纯药物治疗。病程长于14 d、伴有眩晕、既往有听力下降病史及重度聋患者的听力恢复相对较差,及早启用高压氧联合药物治疗是提高突发性聋治愈率的有效方法。
[Abstract]:Objective: to investigate the effect of hyperbaric oxygen combined with drugs in treating sudden deafness. Methods: the clinical data of 112 patients with sudden deafness treated with hyperbaric oxygen combined with drugs (HBO group) from 2012 to 2013 were analyzed retrospectively. The effect of hyperbaric oxygen (HBO) on the curative effect was analyzed in 96 patients treated with drugs alone as control group. Results: compared with the control group, the hearing rate in the hyperbaric oxygen group was significantly improved, the effective rate was 83.0, the effective rate in the control group was 47.9 and 47.9and that in the hyperbaric oxygen group was 76.4.The effective rate was 76.4in the hyperbaric oxygen group, and 51.4 in the control group, 88.2% in the hyperbaric oxygen group. In the control group, the effective rate was 63.3% (P 0.05). Conclusion: the therapeutic effect of hyperbaric oxygen combined with drugs on sudden deafness is better than that of drug alone. The course of disease was longer than 14 days, accompanied by vertigo, previous history of hearing loss and relatively poor hearing recovery of patients with severe deafness. Early use of hyperbaric oxygen combined with drug therapy is an effective method to improve the cure rate of sudden deafness.
【作者单位】：复旦大学附属中山医院耳鼻喉科;
【分类号】：R764.43

【参考文献】