突聋后期再治疗临床效果观察  

The Clinical Observation the Effects of the Re-Therapeutic on the Later Stage of Sudden Deafness

作　　者：翟所强[1] 于宁[1] 郑贵亮[1] 朱玉华[1] 秦贺[1] 

机构地区：[1]解放军总医院耳鼻咽喉头颈外科研究所,北京100853

出　　处：《听力学及言语疾病杂志》2010年第1期17-18,共2页Journal of Audiology and Speech Pathology

基　　金：国家科技支撑计划(2006BAI02B06);国家自然科学基金(30772413)资助

摘　　要：目的观察突聋后期再治疗的临床效果。方法选择经常规治疗2个月以上效果不理想的突聋患者103例(112耳),给予碳酸氢钠250ml加地塞米松10mg静脉滴注2天后,应用东菱迪芙5BU每天静脉滴注一小时,治疗6天,全疗程共8天。治疗前后进行纯音测听并作统计学分析。结果治疗前后平均听阈分别为56.34dBHL和49.22dBHL,差异有统计学意义(P<0.01),有效率46.43%(52/112)。结论突聋后期治疗中应用碳酸氢钠加激素和东菱迪芙对挽救或提高部分听力有一定效果。Objective To observe the effects of the re-therapeutic on later stage of sudden deafness. Methods Patients who met the criteria for sudden deafness and showed poor response to conventional therapy over two months were recruited and assigned randomly for re-therapy. The pure tone audiometry was conducted before and after re-treatment in 103 patients（112 ears）.Sodium bicarbonate and dexamethasone were injected by intravenous drip for two days and batroxobin 5 BU for 6 days. Statistics were made in the effecency of the re-treatment.Results The effective rate of re-treatment group was 46.43% and the difference was significant before and after re-treatment（P0.01）.Conclusion Combined use of sodium bicarbonate dexamethasone and batroxobin is effective in re-treating later sudden deafness.

关 键 词：突聋 听力 治疗 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]