60例急性低频感音神经性聋临床疗效分析

A curative effect analysis of acute low-frequency sensorineural hearing patients

目的探讨急性低频下降型感音神经性听力损失(ALHL)的良好治疗方法。方法 60例急性低频下降型感音神经性耳聋患者,随机分为两组,即对照组和地塞米松组,各30例。对照组患者均给予金钠多注射液等常规治疗10天,地塞米松组患者在对照组用药的基础上加用地塞米松,同样治疗10天,观察两组患者的临床疗效。结果对照组和地塞米松组治疗后低频平均听阈均有显著改善(均P<0.05),而高频平均听阈治疗前后均明显变化(P>0.05),地塞米松组治疗后高频平均听阈优于对照组(P<0.05)。地塞米松组总有效率高于对照组(P<0.05)。结论地塞米松联合金钠多治疗急性低频感音神经性聋临床疗效良好,建议临床推广。

Objective To search for therapeutic methods of the down-type acute low-frequency sensorineural hearing loss （ALHL）. Methods 60 cases of ALHL were randomly divided into two groups, the control group and treatment group, 30 patients in each group patients. The control was given injection of gold sodium （Routine treatment）, and the treatment was treated with routine treatemtn plus Cypriot land Musson for 10 days. Their clinical efficacy was observed. Results In both the control and the treatment group, the average low-frequency hearing threshold was significantly promoted after treatment （P〈0.05）. However, There were no changes at high-frequency hearing threshold either the control or the treatment （P〉0.05）, but high-frequency hearing threshold of the treatment group was better than the control（P〈0.05）. The total effective is better in the treatment than the control group （P〈0.05）. Conclusions Dexamethasone treatment has a good clinical effect to acute low Ginaton sensorineural hearing loss.