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混合氧联合药物治疗突发性聋

Carbogen combined with drugs in the treatment of sudden deafness

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【作者】 倪玉苏赵霞

【Author】 NI Yusu ZHAO Xia (Department of Otorhinolaryngology-Head and Neck Surgery, Huashan Hospital of Fudan University,Shanghai,200040,China)

【机构】 复旦大学附属华山医院耳鼻咽喉头颈外科复旦大学附属华山医院耳鼻咽喉头颈外科 上海200040上海200040

【摘要】 目的 :探讨混合氧联合药物治疗突发性聋的临床疗效及其可能的治疗机制。方法 :将 5 2例突发性聋患者随机分为混合氧联合药物治疗与单纯药物治疗两组 ,各 2 6例。混合氧治疗为常压下吸入 5 %CO2 和 95 %O2 的混和气体 ,每次吸入 30min后休息 30min ,然后再吸入 30min ,每日如此循环 2次 ,配合使用类固醇激素及扩血管营养神经药物 ;对照组单纯使用上述同类药物治疗 ;比较两组疗效。结果 :治疗组总有效率 76 .9% ,听力开始恢复时间在治疗后 3~ 14d ;对照组总有效率 5 0 .0 % ,听力开始恢复时间在治疗后 6~ 2 3d ,两组总有效率差异有统计学意义 (P <0 .0 5 ) ,听力开始恢复时间差异无统计学意义。结论 :混合氧联合药物治疗突发性聋疗效优于单纯药物治疗

【Abstract】 Objective:To analyze the clinical efficiency and study the possible mechanism of the carbogen combined with drugs in the treatment of sudden deafness.Method:Fifty-two patients with sudden deafness were divided into two groups:Twenty-six cases received carbogen(5%CO 2-95%O 2) combined with drug therapeutics of a course of intravenous administration of dexamethasone,vitaminB, low molecular dextran, salviae miltiorrhizae, and intake vitaminC, vitaminE,et al and the other 26 cases received the drugs only. The clinical effects were compared.Result:The total effective rate was 76.92% in the carbogen group and 50.00% in the control group.The difference was significant between the two groups.The recovery time in the carbogen group was 3~14 days while in the control group was 6~23 days.Conclusion:The efficiency of carbogen ombined with drugs is superior to drug therapeutics in the treatment of sudden deafness.

【关键词】 突发性聋混合气药物治疗
【Key words】 Deafness suddenCarbogenDrug therapy
  • 【文献出处】 临床耳鼻咽喉科杂志 ,Journal of Clinical Otorhinolaryngology , 编辑部邮箱 ,2004年07期
  • 【分类号】R764.43
  • 【被引频次】20
  • 【下载频次】46
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