颈中交感神经节阻滞在神经性耳聋治疗中的应用  

Application of the Middle Cervical Sympathetic Ganglion Block on the Treatment of the Sensorineural Hearing Loss

作　　者：冯力 黄增平[2] 李浩[2] 富丽俊[2] 徐卫华[2] 张研[2] 

机构地区：[1]广东省深圳市第六人民医院,518052 [2]广州中医药大学深圳附属医院

出　　处：《解剖与临床》2011年第4期307-309,共3页Anatomy and Clinics

摘　　要：目的：探讨颈中交感神经节阻滞对神经性耳聋的治疗作用.方法：选择神经性耳聋患者90例,并随机分成三组：星状神经节阻滞组（S）、颈中交感神经节阻组（M）及对照组（C）,每组各30例.三组均采用中药治疗,M组、S组分别加行颈中交感神经节、星状神经节阻滞治疗,每日1次,10次为1个疗程,2个疗程之间间隔1周.结果：M组、S组60例患者治疗后总有效率分别为90%、86.6%,组间比较差异无统计学意义（P＞0.05）,但高于C组66.6%（P＜0.05）.颈中交感神经节阻滞成功率（96.8%）高于星状神经节阻滞（78.7%）,且并发症发生率低于后者（P＜0.05）.结论：颈中交感神经节阻滞联合中医药辨证施治,对神经性耳聋是一种安全、有效、可靠的治疗方法.Objective：To explore the therapeutic effects of the middle cervical sympathetic ganglion block （MCSGB） on the sensofineural hearing loss （SNHL）. Methods：90 cases with SNHL,under the treat- ment of the traditional Chinese medicine , were randomly divided into three groups： M group （30eases）, S group （30cases） and C group （30eases）. The patients in the treatment groups M and C were treated with MCS- GB or stellate ganglionic block （SGB） and Chinese medicine, and simple Chinese medicine was given to the control group once a day, ten times as one course with one week of interval between two courses. Group C only accepted Chinese medicine. Results：The total effective rate were 90% and 86.6% in group M or group C, no difference were found between the two groups （P 〉 O. 05 ）, which were significantly higher than that in the group C （66.6%）. The success rate of MCSGB （96.8%） was higher than SGB（78.7% ） and the complications oc- curred less （ P 〈 O. 05 ）. Conclusions ： MCSGB combined with the diagnosis and treatment of Chinese medicine is a safe, effective and reliable method on the treatment of SNHL.

关 键 词：颈中交感神经节阻滞 星状神经节阻滞 中药 神经性耳聋 

分 类 号：R764.431[医药卫生—耳鼻咽喉科]