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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

23卷

期数:

2017年03期

页码:

263-265

栏目:

临床医学

出版日期:

2017-05-18

文章信息/Info

Title:

Clinical observation on the treatment of unilateral low middle sfrequency sudden deafness by? different administration routes?of glucocorticoid

文章编号:

1006-8147(2017)03-0263-03

作者:

朱江彬¹; 郝宗生¹; 陈 涛¹; 刘江华²

(1．涿州市医院耳鼻咽喉科,涿州 072750; 2.保定市第二中心医院功能科,涿州 072750)

Author(s):

ZHU Jiang-bin ¹; HAO Zong-sheng ¹; CHEN Tao ¹; LIU Jiang-hua²

(1. Department of Otolaryngology ，Hospital of Zhuozhou, Zhuozhou 072750, China; 2. Department of Function；Second Central Hospital of Baoding, Zhuozhou 072750, China)

关键词:

突发性聋' target="_blank" rel="external">">突发性聋; 低中频下降型; 糖皮质激素; 用药途径

Keywords:

sudden deafness;  low middle frequency descent type;  glucocorticoid hormone; ? administration route

分类号:

R764.43+7

DOI:

-

文献标志码:

A

摘要:

目的：观察糖皮质激素不同给药途径治疗单侧低中频下降型突发性聋的临床疗效。方法：所有患者均接受基础药物治疗（舒血宁及甲钴胺），在基础药物治疗同时分别采取糖皮质激素不同应用途径（口服、静脉注射、鼓室注射、乳突骨膜下注射）给予治疗，观察治疗有效率。结果：口服组、静脉注射组、鼓室注射组、乳突骨膜下注射组总有效率分别是80.00%、85.00%、90.00%、90.00%，经X²检验，不同给药途径疗效差异无统计学意义（P>0.05）。结论：不同途径糖皮质激素应用均能起到较好的疗效，且疗效差异无统计学意义（P>0.05），综合患者多方面情况，更建议应用乳突骨膜下注射途径。

Abstract:

Objective ：To observe the clinical effect of glucocorticoid in the treatment of? unilateral low middle frequency? sudden deafness . Methods：All patients were treated with basic medicine(shuxuening injection and mecobalamin),at the same time,different?application routes of glucocorticoid? (oral, Intravenous injection, Intratympanic injection, Injection under the periosteum ) were adopted. Treatment efficiency was observed. Results: For the oral group and intravenous injection group, intratympanic injection group, mastoid subperiosteal injection group, the total effective rates were 80.00%,85.00%,90.00% and 90.00% respectively?. According to X² test , there was no significant difference in the therapeutic effect of different routes of administration (P>0.05). Conclusion: Different glucocorticoid applications can play a good effect, and there is no significant difference in curative effects (P>0.05), it is suggested that the application of the mastoid subperiosteal injection should be carried out.

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备注/Memo

备注/Memo:

?作者简介 朱江彬（1980-），男，主治医师，学士，研究方向：内耳病和听力学；E-mail:zhujb80@163.com。

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更新日期/Last Update: 2017-05-18