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不同部位注射NGF治疗突发性耳聋对患者听力及症状的影响

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[目的]探讨不同部位注射鼠神经生长因子(NGF)治疗突发性耳聋对患者听力及症状的影响.[方法]选取 2019 年 10 月至 2022 年 10 月韩城市人民医院收治的 70 例突发性耳聋患者,按照随机数字表法分为观察组和对照组,每组 35 例.对照组采用臀部注射 NGF治疗,观察组采用耳后乳突骨膜下注射 NGF治疗.比较两组患者临床疗效、不良反应发生率、临床症状(包括耳鸣、耳闷、眩晕)消失时间及治疗前后听阈值(包括骨传导、空气传导听阈值).[结果]观察组临床疗效总有效率为 94.29%,显著高于对照组的 74.29%,差异有统计学意义(P<0.05).观察组耳鸣、耳闷、眩晕消失时间均短于对照组,差异有统计学意义(P<0.05).治疗后,两组患者骨传导、空气传导听阈值均低于同组治疗前,差异有统计学意义(P<0.05);且观察组治疗后骨传导、空气传导听阈值均低于对照组治疗后,差异有统计学意义(P<0.05).两组患者不良反应总发生率比较,差异无统计学意义(P>0.05).[结论]与臀部注射 NGF相比,耳后乳突骨膜下注射 NGF治疗突发性耳聋临床疗效更好,患者临床症状改善更明显,促进患者听力恢复,且安全性较高.
The Effect of Injecting NGF into Different Parts of the Body on the Hearing and Symptoms of Pa-tients with Sudden Deafness
[Objective]To explore the effects of injecting rat nerve growth factor(NGF)into different parts of the body on the hearing and symptoms of patients with sudden deafness.[Methods]A total of 70 patients with sudden deaf-ness admitted to the Hancheng People's Hospital from October 2019 to October 2022 were randomly divided into an ob-servation group and a control group,with 35 cases in each group,using a random number table method.The control group received NGF injection into the buttocks,while the observation group received NGF injection under the periosteum of the mastoid process behind the ear.We compared the clinical efficacy,incidence of adverse reactions,disappearance time of clinical symptoms(including tinnitus,ear tightness,and dizziness),and hearing threshold values(including bone conduction and air conduction hearing thresholds)before and after treatment between two groups of patients.[Results]The total effective rate of clinical efficacy in the observation group was 94.29%,significantly higher than the control group's 74.29%,and the difference was statistically significant(P<0.05).The disappearance time of tinnitus,ear tight-ness,and dizziness in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the bone conduction and air conduction hearing thresholds of the two groups of patients were lower than before treatment,and the difference was statistically significant(P<0.05);After treatment,the bone conduction and air conduction hearing thresholds in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups of patients(P>0.05).[Conclusion]Compared with the injec-tion of NGF into the buttocks,the injection of NGF into the subperiosteal area behind the ear and mastoid process has better clinical efficacy in the treatment of sudden deafness,with more significant improvement in clinical symptoms,pro-motion of hearing recovery,and higher safety.

Hearing Loss,SuddenNerve Growth Factors/TUAuditory Perception

柴晓霞、刘玉娟

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韩城市人民医院耳鼻喉科,陕西 韩城 715400

杨凌示范区医院耳鼻咽喉科,陕西 咸阳 712100

听觉丧失,突发性 神经生长因子类/治疗应用 听觉

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(2)
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