心理干预对突发性耳聋治疗效果的影响

Effect of psychological intervention to sudden deafness

目的探讨心理护理在突发性耳聋治疗中的作用。方法65例突发性耳聋患者,随机分成2组,对照组（n=32）仅用药物治疗,观察组（n=33）除应用药物治疗外,系统心理干预治疗,治疗前后分别检测听力、血肾上腺素（E）、去甲肾上腺素（NE）水平。结果治疗后2组的听力均有所提高,但观察组听力提高更明显（P〈0.05）。2组的E和NE水平均有所下降,但观察组下降更明显（P〈0.05）。结论心理干预能明显降低血浆儿茶酚胺浓度,扩张血管,改善微循环,明显提高突发性耳聋患者的听力。

Objective To explore the role of psychological nursing in the treatment of sudden deaf-ness. Methods Sixteen-five sudden deafness cases were randomly divided into two groups. Among them 32 patients were treated with drugs only, while other 33 patients were treated with drugs and psychological nursing. Hearing, plasma levels of epinephrine （E） and norepinephrine （NE） were measured beforeand after the treatment. Results Hearing in the two groups was improved after the treatment, but the rising of hearing in the observation group was more obvious （P〈0.05）. The plasma levels of E and NE were all partly decreased in the two groups after the treatment, but the decrease in the observation group was more notable （P〈0.05）. Conclusions Psychological intervention could obviously decrease the plasma levels of eatecholamines, expand the blood vessel, improve the microcirculation, and obviously increase the hearing of sudden deafness patients.