鼓室内注射地塞米松治疗突发性耳聋52例的疗效观察

Clinical observation of 52 cases of sudden deafness treated by dexamethas one injection in drum room

目的:探讨用鼓室内注射地塞米松疗法治疗突发性耳聋的临床疗效。方法:选择2021年1月至6月在贵州医科大学附属白云医院采用鼓室内注射地塞米松疗法进行治疗的突发性耳聋患者52例作为观察组,另选取同期在该院采用常规方法进行治疗的突发性耳聋患者52例作为对照组。评价两组患者的临床治疗效果,测试其治疗前后的纯音听阈值。结果:治疗后,观察组患者的临床痊愈率(34.62%)和治疗的总有效率(73.08%)均高于对照组患者的临床痊愈率(25.00%)和治疗的总有效率(59.62%),差异有统计学意义(P<0.05)。治疗后,两组患者0.5 kHz、1.0 kHz、2.0 kHz的纯音听阈值均低于治疗前,观察组患者0.5 kHz、1.0 kHz、2.0 kHz的纯音听阈值均低于对照组患者,差异有统计学意义(P<0.05)。结论:用鼓室内注射地塞米松疗法治疗突发性耳聋的效果显著,可有效改善患者的纯音听阈值。

Objective:To explore the clinical efficacy of dexamethasone injection in drum room in the treatment of sudden deafness.Methods:A total of 52 patients with sudden deafness treated with dexamethasone injection in the drum chamber from January to June 2021 in Baiyun Hospital affiliated to Guizhou Medical University were selected as the observation group,and another 52 patients with sudden deafness treated with conventional treatment in the hospital during the same period were selected as the control group.The clinical treatment effect of the two groups was evaluated,and pure tone threshold before and after treatment was tested.Results:After treatment,the clinical recovery rate(34.62%)and total effective rate(73.08%)of the observation group were higher than those of the control group(25.00%)and total effective rate(59.62%),the differences were statistically significant(P<0.05).After treatment,the pure tone thresholds of 0.5khz,1.0khz and 2.0khz in 2 groups were lower than before,and the pure tone thresholds of 0.5khz,1.0khz and 2.0khz in observation group were lower than those in control group,the difference was statistically significant(P<0.05).Conclusion:Dexamethasone injection in drum room is eff ective in the treatment of sudden deafness,and can effectively improve the p ure tone threshold of patients.