首页|巴曲酶联合耳后注射地塞米松治疗突发性耳聋患者的临床研究

巴曲酶联合耳后注射地塞米松治疗突发性耳聋患者的临床研究

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目的 探讨耳后注射地塞米松基础上联合巴曲酶治疗突发性耳聋患者的临床效果.方法 非随机选取2022年7月—2023年12月盱眙县人民医院收治的83例突发性耳聋患者作为研究对象.根据治疗方法不同分为常规治疗组(n=41,仅接受耳后注射地塞米松治疗)及联合治疗组(n=42,地塞米松+巴曲酶治疗).在治疗前后,评估两组患者耳鸣、耳闷、眩晕评分变化,同时比较两组患者的治疗有效率及各项临床症状得到显著改善的时间.结果 治疗前两组耳鸣、耳闷、眩晕评分比较,差异无统计学意义(P均>0.05),治疗后,两组耳鸣、耳闷、眩晕评分均降低,且联合治疗组患者低于常规治疗组患者,差异有统计学意义(P均<0.05).联合治疗组呕吐、耳鸣、眩晕消失时间及听力恢复时间少于常规治疗组,差异有统计学意义(P均<0.05).联合治疗组治疗有效率为 97.61%(41/42),高于常规治疗组的 80.49%(33/41),差异有统计学意义(χ2=4.651,P<0.05).结论 在耳后注射地塞米松的基础上联合巴曲酶对突发性耳聋患者进行治疗能够有效提高其临床有效率,同时可缩短患者的治疗周期,显著改善眩晕耳鸣等相关症状.
Clinical Study of Batroxase Combined with Retroaural Injection of Dexa-methasone in Treatment of Sudden Deafness
Objective To explore the clinical effect of combined use of dexamethasone and batroxobin for the treat-ment of sudden deafness in patients.Methods A total of eighty-three patients with sudden deafness treated in Xuyi County People's Hospital from July 2022 to December 2023 were selected as the study objects.According to different treatment methods,they were divided into conventional treatment group(n=41,only receiving retroaural injection of dexamethasone)and combined treatment group(n=42,dexamethasone+batroxase treatment).Before and after treat-ment,the score changes of tinnitus,ear congestion and vertigo in the two groups were evaluated,and the treatment ef-fectiveness and the time of significant improvement of various clinical symptoms in the two groups were compared.Re-sults Before treatment,there were no statistical significances in tinnitus,ear tightness and vertigo scores between the two groups(all P>0.05).After treatment,tinnitus,ear tightness and vertigo scores were all decreased between the two groups,and the combined treatment group was lower than the conventional treatment group,the differences were statis-tically significant(all P<0.05).The disappearance time of vomiting,tinnitus,vertigo and hearing recovery time in com-bined treatment group were less than those in conventional treatment group,the differences were statistically signifi-cant(all P<0.05).The effective rate of the combined treatment group was 97.61%(41/42),which was higher than 80.49%(33/41)of the conventional treatment group,the difference was statistically significant(χ2=4.651,P<0.05).Conclusion The combination of dexamethasone and batroxobin after retroauricular injection can effectively improve the clinical efficacy of patients with sudden deafness,shorten the treatment cycle,and significantly improve symptoms such as dizziness and tinnitus.

BatrazymeDexamethasoneSudden deafnessHearing

陈长林

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盱眙县人民医院耳鼻咽喉科,江苏 淮安 211700

突发性耳聋 巴曲酶 地塞米松 耳后注射 听力

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)