摘要
目的：比较药物、高压氧、体外反博治疗突发性耳聋的疗效。方法：将１３６例（１５０耳）突发性耳聋分为３组：（Ⅰ）药物组４６例（５１耳）；（Ⅱ）高压氧加药物组４２例（４６耳）；（Ⅲ）体外反搏加药物组４８例（５３耳）。结果：（１）３组的治疗有效率分别为４１１８％、６９５７％和６７９２％。Ⅰ组与Ⅱ组或Ⅰ组与Ⅲ组比较，疗效差异有显著性（Ｐ＜００１），而Ⅱ组与Ⅲ组比较，疗效无显著性差异（Ｐ＞００５）；（２）治疗效果与治疗是否及时呈正相关，其中７ｄ内治疗有效率为９１６７％；（３）不伴眩晕者疗效好；（４）听力曲线类型为谷型、峰型、上升型者，疗效好；下降型或全聋者，疗效差；平坦型者居中。结论：（１）用高压氧或体外反博加药物来治疗突发性耳聋，其疗效均优于单纯使用药物；而比较高压氧与体外反博两方法，未能看出其疗效的差别。（２）治疗效果与治疗是否及时。
Aim: Sudden Deanfness can be cured with drug, Hyperbaric Oxygen, and External Counterpulsation, these treatments and their effective rates are compared.Methods:One hundred and thirty-six Patients were divided into three groups: (Ⅰ) treated with drug, (Ⅱ) drug plus Hyperbaric oxygen, (Ⅲ) drug plus External counterpulsation. Results: The average effect of three groups are 41.18% , 69 57%, and 67 92%, respectively. Results indicate that effect increases significantly if the patients are treated with Hyperbaric Oxygen or External Counterpulsation in addition to drug, however, there is no statistical difference between Group Ⅱ and Group Ⅲ, Other factors also affect the effect. First, time of treatment is critical to effect: treated soon the better. Treatments within 7 days of deafness resulted in hign effect as 91 67%. Second, vertigo syndrome is a bad sign: patients with vertigo syndrome have lower effect. Thirdly, audiometric curve is important: concave, convex, or ascending curve usually predicts higher effect than does flat curve; descending curve and total deafness are the worse cases.Conclusions: (1)The effect treated with Hyperbaric oxygen or External Counterpulsation in addition to drug is better than that treated with drug only. However, there is no statistical difference between Hyperbaric Oxygen and External Counterpulsation. (2) Three factors affect the effect: time of treatment, vertigo syndrome and audiometric curve.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
1999年第2期99-102,共4页
Journal of Jinan University(Natural Science & Medicine Edition)
关键词
突发性耳聋
药物
高压氧
体外反搏
治疗
耳聋
sudden deafness
drug
hyperbaric oxygen
external counterpulsation
