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作 者:张亚容 黄丁兰[2] 谷英英 章晓峰 Zhang Yarong;Huang Dinglan;Gu Yingying;Zhang Xiaofeng(Department of Otolaryngology,Dongguan Houjie Hospital,Dongguan 523900,China;Department of Rehabilitation,Dongguan Houjie Hospital,Dongguan 523900,China;Community Health Service Center of Gaobu Town,Dongguan 523275,China;Community Health Service Center of Hongmei Town,Dongguan 523160,China)
机构地区:[1]广东医学院附属厚街医院眼耳鼻喉科,东莞523900 [2]广东医学院附属厚街医院康复科,东莞523900 [3]东莞市高埗镇社区卫生服务中心,广东523275 [4]东莞市洪梅镇社区卫生服务中心,广东523160
出 处:《国际医药卫生导报》2021年第9期1351-1353,共3页International Medicine and Health Guidance News
基 金:2021年东莞市医疗卫生科技计划一般项目。
摘 要:目的研究突发性耳聋患者实施耳穴压豆联合渐进性肌肉放松训练对其心理状态和听力的影响。方法选取2018年12月至2020年11月在本院诊治的突发性耳聋患者84例,采用随机数字表法分为试验组和对照组,每组42例。对照组男20例,女22例,年龄(51.42±1.56)岁;试验组男19例,女23例,年龄(51.38±1.44)岁。对照组患者实施渐进性肌肉放松训练,试验组患者在对照组的基础上联合耳穴压豆干预。对比两组患者的心理状态、听力水平和临床效果。结果两组患者干预前心理状态、听力水平比较差异均无统计学意义(均P>0.05);试验组干预14 d后焦虑自评量表评分(50.01±4.92)分、抑郁自评量表评分(55.02±5.21)分、空气传导听阈值(27.61±9.74)dBHL、听力损失分贝数(26.68±6.72)dB,均低于对照组的(54.33±5.58)分、(58.01±5.24)分、(36.22±11.71)dBHL、(32.14±9.43)dB,两组比较差异均有统计学意义(均P<0.05);试验组临床总有效率明显高于对照组[95.24%(40/42)比80.95%(34/42)],两组比较差异有统计学意义(P<0.05)。结论突发性耳聋患者实施耳穴压豆联合渐进性肌肉放松训练,能够有效改善患者的听力水平,提高综合疗效,改善患者心理状态,具有较高的推广应用价值。Objective To study the effect of auricular point pressing combined with progressive muscle relaxation training on the psychological state and hearing of patients with sudden deafness.Methods Eighty-four patients with sudden deafness treated at our hospital from December,2018 to October,2020 were divided into an experimental group and a control group by the random number table method,with 42 cases in each group.There were 20 males and 22 females in the control group;they were(51.42±1.56)years old.There were 19 males and 23 females in the experimental group;they were(51.38±1.44)years old.The control group took progressive muscle relaxation training,and the experimental group received auricular point pressing bean intervention on the basis of the control group.The psychological states,hearing levels,and clinical effects of the two groups were compared.Results There were no statistical differences in psychological state and hearing level between the two groups before the intervention(all P>0.05).The scores of Self-rating Anxiety Scale and Self-rating Depression Scale,hearing threshold of air conduction,and decibels of hearing loss after 14 days'intervention were lower in the experimental group than in the control group[(50.01±4.92)vs.(54.33±5.58),(55.02±5.21)vs.(58.01±5.24),(27.61±9.74)dBHL vs.(36.22±11.71)dBHL,and(26.68±6.72)dB vs.(32.14±9.43)dB;all P<0.05].The total clinical effective rate was significantly higher in the experimental group than in the control group[95.24%(40/42)vs.80.95%(34/42);P<0.05].Conclusion Auricular point pressing combined with progressive muscle relaxation training for patients with sudden deafness can effectively improve their hearing level and psychological state and the comprehensive curative effect,so it is worth being generalized.
关 键 词:突发性耳聋 耳穴压豆 渐进性肌肉放松训练 心理状态 听力
分 类 号:R764.437[医药卫生—耳鼻咽喉科] R493[医药卫生—临床医学]
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