本文選題：突發(fā)性聾 + 高壓氧　； 參考：《南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版)》2014年06期

【摘要】：目的:探討高壓氧聯(lián)合藥物治療突發(fā)性聾的效果,并與單用藥物治療進(jìn)行療效比較。方法:回顧分析2012~2013年就診的112例采用高壓氧聯(lián)合藥物(高壓氧組)治療突發(fā)性聾患者的臨床資料,并將同期單純藥物治療的96例患者作為對照(對照組),分析高壓氧對療效的影響。結(jié)果:與對照組相比,高壓氧組聽力顯著改善,有效率達(dá)83.0%,對照組有效率為47.9%(P0.01);高壓氧組耳鳴顯著減輕,有效率為76.4%,對照組為51.4%(P0.01);在有眩暈的患者中,高壓氧組88.2%有效,而對照組僅63.3%有效(P0.05)。結(jié)論:高壓氧聯(lián)合藥物治療突發(fā)性聾的療效明顯優(yōu)于單純藥物治療。病程長于14 d、伴有眩暈、既往有聽力下降病史及重度聾患者的聽力恢復(fù)相對較差,及早啟用高壓氧聯(lián)合藥物治療是提高突發(fā)性聾治愈率的有效方法。
[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.
【作者單位】： 復(fù)旦大學(xué)附屬中山醫(yī)院耳鼻喉科;
【分類號】：R764.43

【參考文獻(xiàn)】

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