摘要
目的比较不同治疗时窗高压氧综合治疗和常规药物治疗对突发性耳聋疗效的影响。方法196例突发性耳聋患者,随机分为高压氧综合治疗组(HBO组)和常规药物治疗组(对照组),HBO组在常规药物治疗基础上同时进行高压氧治疗,分别在不同时窗对比治疗前后听力的变化。结果在发病后24 h内开始治疗,两组都可收到较好疗效;在发病24 h后1周内开始治疗,HBO组比对照组疗效果好,差异有统计学意义(P<0.05);发病2周后开始治疗,两组治疗效果均较差。结论高压氧综合治疗疗效显著,高压氧治疗可较好地改善突发性耳聋患者的听力水平,应于发病早期(小于1周)进行高压氧治疗。
Objective To compare the therapeutic effects of hyperbaric oxygen （HBO） therapy and medical treATAent （MT）, and to investigate the influence of HBO therapeutic window on clinical outcome. Methods 196 sudden deafness （SD） were divided into two groups,and each contained 98 patients. One group was treated by combined therapy （included HBO therapy and medical treATAent） ,and this group difined as HBO group. The other group was only treated by medical treATAent,and this group difined as MT group. All patients were evaluated with an audiometric test before and after treATAent. Results HBO therapy and MT had excellent effects on the patient of SD when the treATAent was initiated within the first 24 hours. HBO therapy had better curative effect than MT within the first week. There was statistical difference between two groups. Both HBO therapy and medical treATAent were hard of improving the outcome of SD after 2w. Conclusion HBO is highly effietive in improving audile outcome in SD. It is important to start the therapy in one week.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第8期937-938,940,共3页
Chongqing medicine
关键词
突发性耳聋
高压氧
疗效
sudden deafness
hyperbaric oxygen
curative effect
