糖皮质激素联合脱水剂治疗低中频突发性聋82例临床体会  

The clinical treatment experience of low-middle frequency sudden sensorineural hearing loss with steroid combined with dehydrant in 82 cases

作　　者：屈永涛[1] 张慧平[1] 陈红耀[1] 郭明丽[1] 

机构地区：[1]河北省人民医院耳鼻咽喉科,石家庄050051

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第16期1322-1324,1328,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:观察糖皮质激素联合脱水剂治疗低中频突发性聋的疗效。方法:将82例低中频突发性聋患者随机分为糖皮质激素治疗组和糖皮质激素联合脱水剂治疗组,均常规给予前列地尔、银杏叶提取物及甲钴胺等药物治疗,在以上治疗基础上糖皮质激素治疗组采用激素静脉滴注给药,糖皮质激素联合脱水剂治疗组采用激素静脉滴注及脱水剂联合给药,观察和分析疗效。结果:糖皮质激素治疗组的治疗总有效率为92.31%,糖皮质激素联合脱水剂治疗组为93.02%,两组比较差异无统计学意义(P>0.05);糖皮质激素治疗组的听力改善平均时间为(7.03±1.22)d,糖皮质激素联合脱水剂治疗组为(6.17±1.15)d,两组比较差异有统计学意义(P<0.05)。结论:糖皮质激素联合脱水剂治疗低中频突发性聋疗效较好,且能缩短治疗时间。Objective：The aim of this study is to explore the treatment of low-middle frequency sudden sensorineural hearing loss with steroid combined with dehydrant.Method：Eighty-two patients with diagnosis of lowmiddle frequency sudden sensorineural hearing loss were selected;All patients were randomly divided into systemic steroid therapy group and steroid combined with dehydrant therapy group.All patients received Alprostadil,Ginaton and Mecobalamin.Intravenous steroids was given in systemic steroid therapy group,while intravenous steroids and dehydrant were given in steroid combined with dehydrant therapy group.Finally,the results were collected and analyzed.Result：The total effective rate was 92.31% in systemic steroid therapy group,and 93.02% in steroid combined with dehydrant therapy group.There is no significant difference between the twogroups（P〉0.05）.The average time of hearting recovery was（7.03±1.22）days in systemic steroid therapy group,while（6.17±1.15）days in steroid combined with dehydrant therapy group,and significant difference was detected between the two difierent treatments（P〈0.05）.Conclusion：The treatment of low-middle frequency sudden sensorineural hearing loss with steroid combined with dehydrant can achieve a favorable prognosis,and may shorten the treatment time.

关 键 词：听觉丧失 突发性 激素类 脱水剂 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]