类固醇激素耳内给药对突发性耳聋的临床疗效评估

常晓红

（西安市临潼区人民医院耳鼻咽喉科，陕西 西安，710600）

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摘要：

目的 分析类固醇激素耳内给药在突发性耳聋中的临床治疗效果。方法 选取2014年8月至2016年2月我院收治的突发性耳聋患者34例作为试验组，采取类固醇激素耳内给药治疗。另外选取同期突发性耳聋患者34例作为对照组，给予常规方法进行治疗，比较两组患者的临床治疗效果。结果 试验组纯音测听（PTA）及言语分辨率（SDS）有效率分别为94.12%、88.24%，高于对照组的76.47%、67.65%（P<0.05）；试验组并发症发生率为5.88%，明显低于对照组的26.47%（P<0.05）。结论 类固醇激素耳内给药方式治疗突发性耳聋，临床效果明显，并发症发生率低，值得临床推广。

关键词：类固醇激素；耳内给药；突发性耳聋

中图分类号：R764.43文献标志码：A文章编号：2096-1413(2016)27-0087-02

Clinical efficacy evaluation of steroid hormones ear administration in the treatment of sudden deafness
CHANG Xiao-hong
(Department of E.N.T., People`s Hospital of Lintong District, Xi`an 710600, China)

ABSTRACT: Objective To analyze the clinical effect of steroid hormones ear administration in the treatment of sudden deafness. Methods Thirty-four cases of patients with sudden deafness in our hospital from August 2014 to February 2016 were selected as experimental group, which were treated with steroid hormones ear administration. While 34 cases of patients with sudden deafness at the same time were selected as control group, which were treated with conventional treatment methods. The clinical effects of the two groups were observed and compared. Results The effective rate of pure tone audiometry (PTA) and speech separation rate (SDS) in the experimental group were 94.12% and 88.24%, which were higher than 76.47% and 67.65% in the control group (P<0.05). The complication rate of the experimental group was 5.88%, which was obviously lower than 26.47% of the control group (P<0.05). Conclusion The clinical effect of steroid hormones ear administration in the treatment of sudden deafness was good, with lower complications, and it is worthy of clinical promotion.

KEYWORDS: steroid hormone; ear administration; sudden deafness

参考文献：
[1] 吴允刚,李晓瑜,庞太忠,等.鼻内镜下经咽鼓管鼓室内注入地塞米松辅助治疗难治性突发性耳聋[J].山东大学耳鼻喉眼学报,2012,26(1):29-30.
[2] 陈敬彩.全身或鼓室内应用激素治疗突发性耳聋的疗效及预后影响因素研究[D].石河子:石河子大学,2014.
[3] 邹健华.巴曲酶首剂加量治疗突发性耳聋患者凝血功能的变化及其疗效分析[J].中国耳鼻咽喉颅底外科杂志,2014,20(3):211-214.
[4] 胜利.突发性耳聋介入治疗的临床研究进展[J].世界最新医学信息文摘:电子版,2015,15(员园员):52-53.
[5] 李识君,申震,张小兵.类固醇激素耳内给药对突发性耳聋的疗效评估[J].中国耳鼻咽喉颅底外科杂志,2012,18(4):325-327.
[6] 王强.激素三种不同给药方式治疗突发性耳聋的疗效比较[D].合肥:安徽医科大学,2015.
[7] 耿娟娟,段燕,赵翠青.鼓室注射类固醇激素治疗突发性耳聋的疗效研究[J].中外医学研究,2015,13(11):28-30.
[8] 李春丽.在耳内应用类固醇激素类药物治疗突发性耳聋的临床效果观察[J].当代医药论丛,2015,13(17):10-11.