鼓室注射地塞米松治疗主观性耳鸣的近期临床疗效观察

发布时间：2018-06-25 11:08

本文选题：耳鸣 + 主观性　；参考：《汕头大学》2011年硕士论文

【摘要】：【目的】观察经耳内镜下鼓室注射地塞米松治疗主观性耳鸣的近期疗效。【方法】随机选择主观性耳鸣患者45例(50耳) ,所有患者给予鼓室灌注地塞米松注射液,所有患者在整个治疗过程中短期口服少量弥可保及抗生素预防感染外均无加用其他药物及治疗手段。所有患者在治疗前、治疗结束时均进行纯音测听和耳鸣主观测定,随访6个月。随访六个月后再次行纯音测听和耳鸣主观测定。【结果】 45例患者(50耳)只有43例患者(48耳)完成全部的治疗及随访。疗程结束时耳鸣治疗有效率为65.12 %, 6个月后耳鸣控制率是51.16 %。【结论】 (1)对重度、及慢性主观性耳鸣不推荐鼓室注射地塞米松作为首选方法,但可以作为一种辅助疗法或者其他方法无效是的一种替代疗法。 (2)鼓室注射地塞米松治疗轻度、中度的非慢性主观性耳鸣是有效的。
[Abstract]:[objective] to observe the short-term curative effect of injection of dexamethasone through ear endoscope on subjective tinnitus. [methods] 45 cases (50 ears) of subjective tinnitus were randomly selected. All patients were given tympanic cavity infusion of dexamethasone injection. All patients underwent pure tone audiometry and subjective tinnitus test before and at the end of treatment and were followed up for 6 months. Results only 43 cases (48 ears) of 45 patients (50 ears) completed the complete treatment and follow-up. The effective rate of tinnitus treatment was 65.12 at the end of treatment, and the control rate of tinnitus was 51.16 after 6 months. [conclusion] (1) Dexamethasone injection into tympanic chamber is not recommended as the first choice for severe and chronic subjective tinnitus. But it can be used as an adjuvant therapy or an alternative therapy. (2) Dexamethasone injection in tympanic chamber is effective in the treatment of mild, moderate non-chronic subjective tinnitus.
【学位授予单位】：汕头大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R764

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