本文選題：突發(fā)性耳聾 + 小兒　； 參考：《中國(guó)婦幼保健》2014年17期

【摘要】：目的:調(diào)查小兒突發(fā)性耳聾的發(fā)病因素,論述中醫(yī)臨床保健對(duì)于預(yù)后的影響。方法:選取2011年1月~2013年12月在該院住院治療的突發(fā)性耳聾小兒60例,根據(jù)保健方法的不同分為治療組(30例)與對(duì)照組(30例),兩組均給予常規(guī)治療,在此基礎(chǔ)上治療組加用瀉火治聾湯輔助治療。結(jié)果:多因素logistic回歸分析結(jié)果顯示,外傷、病毒感染、合并耳部疾病與家族遺傳是導(dǎo)致小兒突發(fā)性耳聾的主要獨(dú)立危險(xiǎn)因素。治療組的治愈率與有效率分別為93.3%和100.0%,而對(duì)照組為76.7%和90.0%,治療組的治愈率及有效率明顯高于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者治療后耳鳴、頭暈癥狀評(píng)分在組內(nèi)與組間對(duì)比差異均具有統(tǒng)計(jì)學(xué)意義(P0.05)。治療后治療組的SCL-90總分、陽(yáng)性項(xiàng)目分與陰性項(xiàng)目分都明顯低于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:小兒突發(fā)性耳聾的發(fā)病因素包括外傷、病毒感染、合并耳部疾病與家族遺傳,基于中醫(yī)的臨床保健能有效改善預(yù)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.
【作者單位】： 四川省綿陽(yáng)市游仙區(qū)魏城中心衛(wèi)生院;
【分類號(hào)】：R764.437

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本文編號(hào)：2010475