山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (4): 33-34.

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疏血通治疗急性低频感音神经性聋42例

张庆泉 王强 陈秀梅   

  1. 青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉-头颈外科, 山东 烟台 264000
  • 收稿日期:2009-05-28 修回日期:2009-08-10 出版日期:2009-08-16 发布日期:2009-08-16
  • 作者简介:张庆泉,男,教授,硕士生导师,科主任,主要从事头颈肿瘤和睡眠呼吸障碍方面的研究。 Email:ytebhzqq@163.com

Shuxuetong injection in treatment of acute low-tone sensorineural hearing loss

 ZHANG Qiang-Quan,  Wang-Jiang Chen-Xiu-Mei   

  1. Depatment of Otorhinolaryngol and Head & Neck Surgery, Yantai Yuhuangding Hospital of  Qingdao University, Yantai 264000, Shandong, China
  • Received:2009-05-28 Revised:2009-08-10 Online:2009-08-16 Published:2009-08-16

摘要:

目的探讨急性低频感音神经性聋可能的病因以及临床治疗效果。方法 对42例诊断为急性低频感音神经性聋的患者进行详细的听力学检测、发病情况调查及病因分析等,观察临床治疗效果。结果 患者均快速发病,28例有饮酒史,9例有情绪变化史。晨起发病33例,中午发病3例。经过治疗后,33例听力完全恢复(其中1个疗程恢复者25例,2个疗程恢复者8例);9例患者部分恢复(均治疗2个疗程)。治愈率78.57%,有效率100.00%。3例痊愈患者在3~24月后再次发病,再行以上治疗,1例治愈,2例有效。其中1例2年后伴发同侧的耳鸣、走路不稳,对症治疗后症状消失。结论 本组患者均为中老年,发病前大部分有饮酒和情绪变化病史,认为可能与血管因素及血液粘稠度改变有关。疏血通注射液治疗效果良好。

关键词: 聋,感音神经性;疏血通;治疗结果

Abstract:

ObjectiveTo explore the curative effectof Shuxuetong Injection in treating acute lowtone sensorineural hearing loss(ALSHL) and the possible reasonfor ALSHL. Methods We performed detailed audiology tests and administered Shuxuetong Injection on 42 patients diagnosed as ALSHL, and the curative effects were observed. Results  Of 42 patients, 33 completely recovered their hearing(25 healed after one course of treatment, and 8 healed after two courses of treatment), and 9 patients partly recovered after two courses of treatment. The curative ratewas 78.57%, and effective rate was 100%. 3 patients who were cured suffered recurrences after 3 to 24 months and were retreated with Shuxuetong Injection. One of them was cured again while 2 partly recovered. One had a homolateral bombus and unsteadiness while walking, which disappeared after symptomatic treatments.Conclusions Based on the fact that all patients were in their middle or senile ages, and most had a drinking problem or emotional agitation before the onset, we estimate that the disease may be related to vascular factors and blood viscidity changes, and the satisfactory effect of Shuxuetong Injection also supports our estimation

which is worthy of notice for therapists.

Key words: Deafness, sensorineural; Shuxuetong Injection; Treatment outcome

中图分类号: 

  • R764.43
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