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地塞米松与利多卡因耳后注射治疗急性耳鸣患者的效果

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目的 分析地塞米松与利多卡因耳后注射治疗急性耳鸣患者的效果.方法 选取2022年8月—2023年8月永康市第一人民医院耳鼻喉科收治的70例急性耳鸣患者为研究对象,采用随机数表法分为参照组与研究组,各35例.参照组采用甲钴胺片+倍他司汀片治疗,研究组在参照组治疗基础上加用地塞米松+利多卡因耳后注射治疗.比较两组患者治疗前后耳鸣症状评分、耳鸣功能指数评分及听力阈值,统计两组不良反应的发生率.结果 治疗后,研究组耳鸣症状评分、耳鸣功能指数评分分别为(42.78±4.79)分、(45.39±6.54)分,低于参照组的(48.56±4.34)分、(50.77±6.01)分,差异有统计学意义(t=5.290、3.583,P均<0.05);治疗后,研究组高频听力阈值、低频听力阈值均低于参照组,差异有统计学意义(P均<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 采用地塞米松与利多卡因耳后注射治疗,可有效改善急性耳鸣患者的症状和耳鸣功能,并提高患者的听力水平,且不良反应轻微.
Effect of Retroaural Injection of Dexamethasone and Lidocaine on Patients with Acute Tinnitus
Objective To analyze the effect of retroaural injection of dexamethasone and lidocaine on patients with acute tinnitus.Methods Seventy patients with acute tinnitus admitted to the Otolaryngology Department of Yongkang First People's Hospital from August 2022 to August 2023 were selected as the study objects,and they were divided into the reference group and the study group by random number table method,with 35 cases in each group.The refer-ence group was treated with mecobalamine tablets+betahistine tablets,and the study group was treated with dexa-methasone+lidocaine retroaural injection on the basis of the reference group.Tinnitus symptom score,tinnitus func-tion index score and hearing threshold before and after treatment were compared between the two groups,and the inci-dence of adverse reactions was analyzed.Results After treatment,the score of tinnitus symptom and the score of tinni-tus function index in the study group were(42.78±4.79)points and(45.39±6.54)points,respectively,which were lower than(48.56±4.34)points and(50.77±6.01)points in the control group,and the differences were statistically significant(t=5.290,3.583,both P<0.05).After treatment,the high frequency hearing threshold and low frequency hearing thresh-old of the study group were lower than those of the reference group,and the differences were statistically significant(both P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Retroaural injection of dexamethasone and lidocaine can effectively improve the symptoms and tin-nitus function of patients with acute tinnitus,and improve the hearing level of patients with mild adverse reactions.

Patients with acute tinnitusDexamethasoneLidocaineRetroaural injection

徐楠楠、关佐佳、毛莹莹

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永康市第一人民医院耳鼻咽喉科,浙江永康 321300

锡山人民医院东亭分院超声科,江苏无锡 214000

急性耳鸣患者 地塞米松 利多卡因 耳后注射

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)