高压氧治疗突发性聋疗效及相关因素分析  

Effect of hyperbaric oxygen therapy on sudden hearing loss and its relevant factors

作　　者：贾桂芬[1] 

机构地区：[1]秦皇岛市第二医院耳鼻喉科,河北省秦皇岛066600

出　　处：《中国基层医药》2013年第15期2294-2296,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨高压氧治疗突发性聋的疗效及相关因素,为临床治疗提供依据.方法 选择突发性聋患者72例,其中常规治疗41例,左右聋总数为43耳.高压氧加常规治疗31例,左右聋总数为32耳.并对32例聋影响因素进行分析.结果 总有效率高压氧治疗组为81.25％,常规药物治疗组为65.12％,差异有统计学意义（P＜0.05）；高压氧治疗不同就诊时间患者疗效比较,就诊时间小于24 h者有效率为100.00％,高于就诊时间l～ 14 d（90.00％）和15 d以上（37.50％）患者（P＜0.05）；且就诊时间10～20 d与20 d以上患者有效率差异有统计学意义（P＜0.05）；不同年龄患者有效率由高到低分别为15 ～ 34岁、35～54岁和≥55岁,其中15 ～34岁和35 ～54岁组均高于≥55岁组（P＜0.05）；轻度聋的有效率100.00％,明显高于中度聋（84.62％）和重度聋（20.00％）（均P ＜0.05）；中度聋高于重度聋（P＜0.05）.结论 采用高压氧加药物综合治疗突聋疗效显著,临床上应早行进行高压氧综合治疗突发性聋.Objective To evaluate the efficacy of hyperbaric oxygen in treatment of sudden deafness and to analyze related factors of deafness, in order to provide the basis for clinical treatment. Methods 72 cases with sud- den deafness were admitted. 41 cases （total of 43 ears） were given conventional treatment. 31 cases （total of 32 ears） were given hyperbaric oxygen plus conventional treatment. The influencing factors of deafness in 32 cases were also analyzed. Results The total effective rate of hyperbaric oxygen therapy group was 81.25%, that of the conven- tional drug treatment group was 65.12%, the difference was statistically significant （P 〈 O. 05）. In hyperbaric oxygen therapy group, .the visiting time less than 24h, the effective rate was 100.00%, which was higher than visiting time 1 to 14 days （90.00%） and more than 15 days （37.50%） （P〈0.05）. The effective rate of visiting time between 10-20 days and more than 20 days was significant different （P 〈 0.05 ）. The effective rate from high to low was 15-34 years old,35-54 years old and 〉155 years old. The effective rate of 15-34 and 35-54 years old group was significantly higher than 〉~55 group （P 〈0.05）. The effective rate of mild deafness was 100.00 %, which was significantly higher than moderate deafness 84.62% and severe hearing loss 20.00% （ all P 〈 O. 05）. Conclusion The effect of hyperbaric oxygen plus drug in treatment of sudden deafness was significant. The sudden deafness shoud be treated early in clinical by hyperbaric oxygen.

关 键 词：高压氧 突发性聋 疗效 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]