Clinical observation of different combined treatment regimens on patients with high-frequency sudden sen-sorineural hearing loss
10.3969/j.issn.1006-5725.2018.06.021
- VernacularTitle:不同联合治疗方案治疗高频下降型突发性聋患者的疗效比较
- Author:
Guili XU
1
;
Defeng HU
;
Zuwei CAO
;
Daoguan LIN
Author Information
1. 三亚市人民医院耳鼻喉科 海南三亚572000
- Keywords:
sudden sensorineural hearing loss;
drug therapy;
glucocorticoid;
tympanic injection;
hyperbaric oxygen
- From:
The Journal of Practical Medicine
2018;34(6):958-961
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of different combination regimens on patients with high-frequency sudden sensorineural hearing loss(SSNHL). Methods 82 patients with high-frequency SSNHL from December 2013 to May 2017 were enrolled. The control group was treated with hormone,lidocaine, and genetein combination therapy,while the observation group received systemic hormones,and local hormones combined with hyperbaric oxygen therapy,the average frequency of pure tone valve improvement,complications and adverse reactions in two groups were compared.Results After the treatment,the average pure tone of the two groups was significantly improved than pretherapy(tcontrol group = 10.28,P = 0.00;tobservation group = 11.06, P=0.00),but there was no significant difference in hearing improvement between the two groups(t=0.680,P=0.698),the total effective rate in the control group was 63.41%,in which the observation group was 68.29%,the difference was not statistically significant(χ2=0.230,P=0.816),but the cure rate was 26.83% in the observa-tion group which was higher than that in the control group(7.32%)(χ2=2.05,P=0.040).There was no signifi-cant difference in improvement of complication(tinnitus and ear nausea)between the two groups(χ2Tinnitus =0.000,P=1.000;χ2Aurussion=0.000,P=1.000),and there was no obvious adverse reaction in both groups. Conclusions Treatment of high-frequency SSNHL,hormone and hyperbaric oxygen therapy is good and safe, which can effectively improve the patient′s complication(tinnitus and ear nausea).