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高压氧联合耳后注射盐酸利多卡因注射液、甲泼尼龙琥珀酸钠对治疗神经性耳鸣的影响 被引量:7

Influence of HPO and Postotic Injection with Lidocaine Hydrochloride Injection,Methylprednisolone Sodium Succinate on Nervous Tinnitus
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摘要 目的探讨高压氧联合耳后注射利多卡因、甲泼尼龙琥珀酸钠在神经性耳鸣中的治疗效果。方法纳入收治的神经性耳鸣患者126例,随机分成实验组、对照组各63例。两组均给予利多卡因+甲泼尼龙琥珀酸钠耳后注射,实验组在此基础上加用高压氧治疗,比较两组治疗效果、耳鸣致残量表(THI)评分以及耳鸣分级。结果 (1)实验组有效率为98.41%,高于对照组的87.30%,两组比较有差异(P<0.05);(2)实验组治疗2周、4周后的THI评分低于对照组,0级、1级耳鸣所占比例高于对照组,2级耳鸣比例低于对照组,组间比较有统计学意义(P<0.05)。结论在常规用药基础上采用高压氧对神经性耳鸣患者进行治疗,有利于减轻,提升疗效,值得临床推广。 Objective To investigate the effect of HPO + postotic injection with lidocaine hydrochloride injection,methylprednisolone sodium succinate in treating nervous tinnitus. Methods 126 cases with nervous tinnitus in the hospital were selected and divided into observation group and control group,with 63 cases in each group. Patients were all given postotic injection with lidocaine hydrochloride injection, methylprednisolone sodium succinate, observation group was added with HPO based on control group. The treatment effect,THI score and tinnitus classification of the two groups were compared. Results(1) Effective rate of observation group(98.41%) was higher than control group(87.30%),and the difference was statisticallg significant(P<0.05);(2) 2 and 4 weeks after treatment,THI score of observation group was lower than control group,were compared the proportion of level 0 and 1 tinnitus was higher than control group. The proportion of level 2 tinnitus was lower than control group,and the difference between the groups was statisticallg significant(P<0.05). Conclusion HPO combined with conventional medicine in treating nervous tinnitus can relieve tinnitus degree,improve curative effect and is worthy of clinic application.
作者 王红海 高兵 冯晶 WANG Hong-hai;GAO Bing;FENG Jing(Zhongzhan District People’s Hospital,Jiaozuo,Henan,454191,China)
出处 《黑龙江医学》 2020年第3期342-344,共3页 Heilongjiang Medical Journal
关键词 神经性耳鸣 利多卡因 高压氧 治疗效果 Nervous tinnitus Lidocaine HPO Treatment effect
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