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甲强龙全身及耳后注射对全聋型突聋临床疗效分析
引用本文:刘涛,窦艳玲.甲强龙全身及耳后注射对全聋型突聋临床疗效分析[J].川北医学院学报,2018(1):56-58.
作者姓名:刘涛  窦艳玲
作者单位:解放军452 医院耳鼻咽喉头颈外科,四川成都,610021
基金项目:四川省医学科研青年创新课题项目
摘    要:目的:探讨甲强龙全身应用及全身加耳后注射局部应用对全聋型突发性耳聋的疗效影响分析。方法:回顾分析本院2012年至2013年的全身使用激素及2015年至2016年全身加局部耳后使用激素治疗全聋型突发性耳聋病例的临床资料,比较治疗疗效。结果:全身激素组纳入患者56例,治愈率7.4%,有效率69.6%。全身加局部耳后激素组纳入患者78例,治愈率14.1%,有效率85.9%。两组间的有效率经χ2检验,听阈提高幅度绝对值经t检验,分别χ2=4.96,t=6.03,P<0.05,有统计学意义。结论:全身加局部耳后激素的应用可能更有利于提高全聋型突发性耳聋治疗的有效率和听阈。

关 键 词:突发性耳聋  全聋型  听力改善  全身糖皮质激素  耳后局部注射

Clinical efficacy of methylprednisolone combined with whole body and ear injection in treating profound sudden sensorineural hearing loss
LIU Tao,DOU Yan-ling.Clinical efficacy of methylprednisolone combined with whole body and ear injection in treating profound sudden sensorineural hearing loss[J].Journal of North Sichuan Medical College,2018(1):56-58.
Authors:LIU Tao  DOU Yan-ling
Abstract:Objective:To identify and evaluate the efficacy of methylprednisolone combined with whole body and ear injection in treating profound sudden sensorineural hearing loss.Methods:A retrospective analysis of the systemic methylprednisolone in our hos-pital from 2012 to 2013 and the systemic and local methylprednisolone were treated with local ear from 2015 to 2016,and the therapeu-tic effect was compared.Results:The systemic methylprednisolone group was 56 patients,the cure rate was 7.4%,the effective rate was 69.6%.The systemic and local methylprednisolone group were enrolled in 78 patients,the cure rate was 14.1%,the effective rate was 85.9%.The rates of clinical total efficiency of the two groups were tested by χ2and the absolute value of the PTA was test by t,there was statistical significance (χ2=4.96,t=6.03,P<0.05).Conclusions:Systemic and postauricular injection of methylprednisolone may be more conducive to improve profound sudden sensorineural hearing loss in treatment efficiency and threshold.
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