山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 70-72.

• 论文 • 上一篇    下一篇

突发性聋高压氧治疗方案与疗程的选择

刘阳云,江文,毛坤华,陈琼   

  1. 解放军第163中心医院耳鼻喉头颈外科, 长沙  410003
  • 收稿日期:2011-08-09 出版日期:2012-02-16 发布日期:2012-02-16
  • 作者简介:刘阳云(1972- ),副主任医师,副主任。

Application of hyperbaric oxygen therapy  on sudden deafness

LIU Yang-yun, JIANG Wen, MAO Kun-hua, CHEN Qiong   

  1. Department of Otolaryngology, No.163 Hospital of Chinese PLA, Changsha 410003, China
  • Received:2011-08-09 Online:2012-02-16 Published:2012-02-16

摘要:

目的   探讨高压氧治疗突发性聋(SD)采用不同方案与疗程对其疗效的影响,以提高治疗有效率。方法   将80例SD患者分成两组进行药物联合高压氧治疗,每组40例,A组在每天上午药物治疗结束后再接受高压氧治疗,B组每天上午接受高压氧治疗后再行药物治疗。药物治疗持续2~3周,高压氧治疗持续1~3个疗程,每10天一个疗程。结果   A组总有效率77.5%(31/40),B组总有效率55%(22/40),两组总有效率比较存在差异(χ2 =4.528,P=0.033)。无论是A组还是B组,高压氧第一个疗程后与第二、三个疗程后及第二与三个疗程后总有效率比较,差异均无统计学意义。结论   药物联合高压氧治疗突发性聋时,在早晨使用药物后再行高压氧治疗疗效更佳。高压氧治疗一个疗程即可,更长的疗程对突发性聋的治疗意义不大。

关键词: 突发性聋;高压氧;方案;疗程

Abstract:

ObjectiveIn    order to increase the curative effect, the effects of different hyperbaric oxygen therapy plans and the courses of treatment on sudden deafness were explored. Methods   80 cases of sudden deafness were divided into two groups respectively( each group with 40 cases). Hyperbaric oxygen treatment was given before (group A) or after the drug treatment(group B) on every day morning.  Drug treatment lasted for 23 weeks, while The hyperbaric oxygen treatment was repeated for 13 courses.One course of the treatment was 10 days. Results   Total effective rates were significantly different between group A(77.5%, 31/40) and B(55.00%, 22/40) (χ2=4.528,P=0.033). There was no difference between the first course of hyperbaric oxygen treatment and the second or 3rd course. Conclusions   For the patients with sudden deafness, it is better to apply the hyperbaric oxygen treatment after the drug treatment than the contrary.Because the first course of hyperbaric oxygen treatment has shown good curative effect, it is unnecessary to increase the courses.

Key words: Sudden deafness; High pressure oxygen; Therapy plan; Course of treatment

中图分类号: 

  • R764.4
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