不同疗程对全聋型突发性耳聋疗效的影响分析  

Efficacy of different course of treatment in profound sudden sensorineural hearing loss： a retrospective observational study

作　　者：刘涛[1] 窦艳玲[1] 高小丹[1] 付明亮[1] 

机构地区：[1]解放军452医院耳鼻咽喉头颈外科,四川成都610021

出　　处：《中医眼耳鼻喉杂志》2017年第2期76-78,共3页Journal of Chinese Ophthalmology and Otorhinolaryngology

基　　金：四川省医学科研青年创新课题（项目编号：Q16002）

摘　　要：目的探讨全聋型突发性耳聋的治疗疗程，提高疗效。方法回顾分析2011年及2015年于我科诊治的全聋型突发性耳聋患者临床资料，比较两年治疗疗效。结果2011年收治的全聋型突发性耳聋患者20例，治愈率5％，有效率65％，无效率35％。2015年收治的全聋型突发性耳聋患者31例，治愈率16．1％，有效率83．9％，无效率16．1％。两组间的有效率比较采用秩和检验，P=0．031（P〈0．05）差异有统计学意义。结论全聋型突发性耳聋治疗根据在分型治疗方案基础上，根据听力改善情况延长治疗时间，可明显提高听力疗效。Objective To identify and evaluate the method that we used in patients with profound idiopathic sudden sensorineural hearing loss in 2011 and in 2015 of otolaryngology in our hospital. Methods This is a retrospective observational study. A total of 51 patients with profound sudden deafness were enrolled. Pre-treatment and post-treatment audiometric evaluations： pure-tone average（PTA）. Rank sum test analysis was performed to identify effective power of treatment. Results The rates of clinical total efficiency of 2011 and 2015 were analysed. The clinical effective rate of 2015 （83. 9%）had significant difference compared with that of 2011（65 %）. A statistically significant difference was noted in those patients （P = 0. 031）. The treatment was more effective in 2015 than in 2011 on hearing recovery. Conclusion The results indicate it is useful of prolonging treatment time. The results will provide a meaningful suggestion in clinical therapy of profound idiopathic sudden sensorineural hearing loss.

关 键 词：突发性耳聋 全聋型 听力改善 全身糖皮质激素 耳后局部注射 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]