耳后注射与鼓膜穿刺给药治疗突发性耳聋的疗效比较

The Effect Comparison of Ear Injection and Puncture of the Ear Drum in the Treatment of Sudden Deafness

目的探讨耳后注射与鼓膜穿刺给药治疗突发性耳聋的临床疗效。方法将我院收治的突发性耳聋患者70例分为2组,分别接受耳后注射和鼓膜穿刺给药。结果两组治疗前及停药3个月后听阈比较差异无统计学意义(P>0.05)。治疗10 d时,耳后注射组听阈低于鼓膜穿刺组,差异有统计学意义(P<0.05)。耳后注射组并发症少于鼓膜穿刺组,差异有统计学意义(P<0.05)。结论耳后注射与鼓膜穿刺鼓室灌注甲泼尼龙远期效果相似。但耳后注射可加快听力恢复,避免鼓膜穿刺的并发症。

Objective To investigate the clinical effect of the treatment of sudden deafness by the injection of ear and the puncture of the ear drum.Methods 70 cases of sudden deafness in our hospital were divided into 2 groups,which were treated by ear injection and puncture.Results There was no sicnificant difference in the two groups before treatment and 3 months after drug withdrawal（P〈0.05）.After the treatment of 10 d,postaurical injection group was significantly lower than the threshold of tympanic membrane puncture group,the difference was statistically significant（P〈0.05）.Because the complication of the opisthotic injection group was less than that of the control group,the difference was also statistically significant（P〈0.05）.Conclusion Although the long-term effects of opisthotic injection and puncture of ear drum injecting methylpredisolone are similar,ear injection can speed up the hearing recovery and avoid the complications of the puncture of the ear drum.