老年血压正常高值耳鸣患者药物疗效分析  

Clinical analysis of drug treatment on tinnitus in aged prehypertensive patients

作　　者：林乐平 陶朵朵[2] 

机构地区：[1]上海市黄浦区五里桥街道社区卫生服务中心全科,上海市200023 [2]复旦大学附属眼耳鼻喉科医院耳鼻喉科,上海市200031

出　　处：《老年医学与保健》2012年第2期106-107,112,共3页Geriatrics & Health Care

摘　　要：目的通过口服药物对老年血压正常高值伴耳鸣患者进行临床治疗，观察耳鸣疗效并分析可能影响因素。方法根据入选标准筛选上海市黄浦区五里桥街道社区卫生服务中心门诊诊断为老年血压正常高值且病程3个月及以上的耳鸣患者120例，给予松龄血脉康胶囊口服1．5g／次，3次／d，12d一个疗程，共服用2个疗程。疗程结束后根据疗效评定标准评价耳鸣疗效，观察治疗前后患者血压变化情况并分析疗效的相关因素。结果120例患者中，痊愈15例，显效31例，有效48例，无效26例；总有效率78．3％；经统计分析发现：疗效与耳鸣持续时间呈负相关，而年龄、耳鸣严重程度与疗效之间无统计学相关性；药物治疗后老年患者血压较治疗前有所下降，但差异无统计学意义。结论松龄血脉康胶囊治疗老年血压正常高值伴耳鸣患者有一定疗效，且对降低血压有积极作用。Objective To investigate the clinical efficacy of drug treatment on tinnitus using Songling Xuemaikang capsule in aged prehypertensive patients in order to analyze the possible influencing factors. Methods 120 aged prehypertensive cases with chronic subjective tinnitus in whom tinnitus was the first complaint and the course of tinnitus was more than 3 months were enrolled in this study from Shanghai Five Mile Bridge Street Community Health Service Center. Drug treatment only using Songling Xuemaikang capsule were given orally to all the 120 patients for two courses of treatment （24 days）. After the treatment, evaluations were made according to standards and analyses were performed for influencing factors. Results Of the 120 subjects, fifteen cases recovered. Marked and general effective rates of drug treatment on subjective tinnitus were 25.8% （31 cases） and 40.0% （48 cases）, respectively. The total effective rate was 78.3%. The treatment efficency had a negative correlation with the course of tinnitus, and there was no more correlation with other factors. The mean value of blood pressure after drug treatment was lower than the value before treatment, but there was no significant difference （P 〉 0.05）. Conclusion Intervention with Songling Xuemaikang Capsule was effective for subjective tinnitus in aged prehypertensive patients and good for lowering blood pressure.

关 键 词：耳鸣 治疗 影响因素 松龄血脉康胶囊 

分 类 号：R395[哲学宗教—心理学]