中西医结合治疗突发性耳聋68例

Research on 68 Cases of Sudden Deafness Treated with Integrated Traditional Chinese and Western Medicine

目的探讨中西医结合治疗突发性耳聋的疗效。方法 68例突发性耳聋患者,其中对照组31例,予以改善内耳微循环、激素、脱水等治疗;治疗组35例,在对照组治疗的基础上,结合中医辨证论治方法,采用宣肺通窍汤加减及通窍活血汤加减。两组均在治疗后第4、7、11、15、21天复查听力,对两组疗效进行比较。结果参照中华医学会耳鼻咽喉科学会制定的突发性耳聋疗分级标准,治疗组与对照组治疗总有效率分别为91.42%和74.19%(P<0.05)。结论中西医在突发性耳聋病因病机上是一致的,中西医结合治疗突发性耳聋能提高疗效。

Objective To discuss the therapeutic effect on sudden deafness treated with integrated Traditional Chinese and Western Medicine.Methods 68 cases were divided into treatment group and control group.31 patients of the control group were given the therapy of improving inner ear microcirculation,hormone,dehydration,ect,while 35 patients of the treatment group were treated with integrat ed Traditional Chinese and Western Medicine,which included the Western Medicine mentioned above combined with the Traditional Chinese Medicine Xuan Fei Tong Qiao Decoction and Tong Qiao Huo XueDecoction.After 4,7,11,15 and 21 days of the treatment,audiomenrist was taken among all the patients to evaluate the therapeutic effects of the two treatments.Results The totle effective rates of the treatment and the control group were 91.42% and 74.19%（P 0.05） respectively,according to the sudden deafness classification criterion made by Chinese Medical Association of otolaryngology.Conclusion Traditional Chinese Medicine are accordant with Western Medicine on the etiology and pathogenesis of sudden deafness.The treatment with integrated Traditional Chinese and Western Medicine has better therapeutic effect than that with Western Medicine alone.