首页|甲泼尼龙琥珀酸钠联合利多卡因耳后筛区注射治疗突发性耳聋伴耳鸣的效果

甲泼尼龙琥珀酸钠联合利多卡因耳后筛区注射治疗突发性耳聋伴耳鸣的效果

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目的 分析甲泼尼龙琥珀酸钠联合利多卡因耳后筛区注射治疗突发性耳聋伴耳鸣的效果。方法 将2022年7 月至 2023 年 7 月收治的 110 例突发性耳聋伴耳鸣患者作为研究对象,采用双盲法将其分为比照组、实践组,各55例。比照组采用传统治疗,实践组采用甲泼尼龙琥珀酸钠+利多卡因耳后筛区注射治疗。比较两组的治疗效果。结果 实践组的治疗总有效率高于比照组,差异具有统计学意义(P<0。05)。治疗后,两组均未出现5级、6级耳鸣患者;实践组的 0级率和 1 级率均高于比照组,2 级率和3 级率均低于比照组,差异具有统计学意义(P<0。05)。治疗后,两组的纯音听阈值及耳鸣致残量表(THI)评分均降低,且实践组低于比照组,差异具有统计学意义(P<0。05)。实践组的不良反应总发生率低于比照组,差异具有统计学意义(P<0。05)。结论 甲泼尼龙琥珀酸钠联合利多卡因耳后筛区注射治疗突发性耳聋伴耳鸣可以提高临床疗效,快速降低耳鸣分级,有效调节纯音听阈值,不良反应少,值得临床推广应用。
Effect of methylprednisolone sodium succinate combined with lidocaine postauricular ethmoid injection in the treatment of sudden deafness with tinnitus
Objective To analyze the effect of methylprednisolone sodium succinate combined with lidocaine postauricular ethmoid injection in the treatment of sudden deafness with tinnitus.Methods A total of 110 patients with sudden deafness with tinnitus admitted from July 2022 to July 2023 were selected as the research objects.The patients were divided into control group and practice group by double-blind method,with 55 cases in each group.The control group was treated with traditional treatment,and the practice group was treated with methylprednisolone sodium succinate + lidocaine postauricular ethmoid injection.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the practice group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,there were no patients with grade 5 and grade 6 tinnitus in the two groups;the grade 0 rate and grade 1 rate of the practice group were higher than those of the control group,and the grade 2 rate and grade 3 rate were lower than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the pure tone hearing threshold and Tinnitus Handicap Inventory(THI)score of the two groups decreased,and those in the practice group were lower than the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the practice group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Methylprednisolone sodium succinate combined with lidocaine postauricular ethmoid injection in the treatment of sudden deafness with tinnitus can improve clinical efficacy,quickly reduce the tinnitus grade,effectively regulate the pure tone hearing threshold,and has fewer adverse reactions,which is worthy of clinical promotion and application.

methylprednisolone sodium succinatelidocainesudden deafnesstinnituspostauricular ethmoid injection

夏潇、赵玲

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河南省直第三人民医院,河南 郑州,450000

甲泼尼龙琥珀酸钠 利多卡因 突发性耳聋 耳鸣 耳后筛区注射

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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