心理诱导护理在突发性耳聋治疗中的辅助作用

Auxiliary Function of Psychological-induced Nursing in Treatment of Sudden Deafness

目的探讨心理诱导护理在突发性耳聋治疗中的作用。方法回顾2008年6月-2009年6月对76例患者,实验组40例采用药物、高压氧治疗同时给予系统心理诱导护理。对照组36例仅用药物,高压氧治疗。两组前后分别检测听力、血肾上腺素(E)/去甲肾上腺素(NE)水平,治疗结束后疗效比较。结果听力两组都有改善,但试验组听力提高更明显(P<0.05)。试验组E和NE水平下降比对照组更明显(P<0.05)。出院时试验组总有效率为87.5%,对照组为63.9%,组间差异有统计学意义(χ2=5.84,P<0.05)。结论心理诱导护理能明显降低血浆儿茶酚胺浓度,可减轻患者的焦虑心理,提高治愈率。

Objective To explore the effect of psychological-induced nursing in the treatment of sudden deafness.Methods Seventy-six patients with sudden deafness from June,2008 to June,2009 were reviewed.40 patients in experiment group were received drugs,hyperbaric oxygen therapy and psychological-induced nursing.36 patients in control group were treated with drugs and hyperbaric oxygen therapy.The hearing ability and the plasma concentration of epinephran（E）/norepinephrine（NE） were tested before and after the treatment.The therapeutic efficacy of the two groups was compared.Results The hearing abilities of the two groups were both improved, but the improvement in experiment group was more significantly（P〈0.05）. As compared with control group,the plasma concentration of epinephran（E）/norepinephrine（NE） was significantly declined in experiment group（P〈0.05）.When discharged from the hospital,the total effective rates of experiment group and control group were 87.5% and 63.9%,respectively,and the difference was statistically significant between the two groups（χ^2=5.84,P〈0.05）.Conclusions Psychological-induced nursing can significantly decline the plasma levels of catecholamines,reduce the patient＇s anxiety,and improve the curative rate.