Comparison of effects of tympanic and retroauricular injection of glucocorticoids in treatment of patients with sudden deafness
Objective:To compare effects of tympanic and retroauricular injection of glucocorticoids in treatment of patients with sudden deafness.Methods:The clinical data of 94 patients with sudden deafness admitted to the hospital from March 2019 to October 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=47)and observation group(n=47).The control group was treated with postauricular injection of glucocorticoids,while the observation group was treated with tympanic injection of glucocorticoids.The clinical efficacy,the hearing threshold levels at different frequencies,the sleep quality[Pittsburgh sleep quality index(PSQI)]score,and the incidence of adverse reactions were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).After the treatment,the hearing threshold levels at 250 Hz,500 Hz and 1000 Hz in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The PSQI scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusions:The total effective rates of tympanic injection and postauricular injection of glucocorticoid in the treatment of the patients with sudden deafness are similar;however,the hearing threshold levels and the PSQI scores at different frequencies of tympanic injection are lower than those of postauricular injection,and the incidence of adverse reactions is higher than that of postauricular injection.
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