碳酸氢钠静脉注射联合地塞米松鼓室内注射对内耳眩晕的疗效观察

Efficacy Observation of Sodium Bicarbonate Intravenous Injection Combined with Dexamethasone Intratympanic Injection on Inner Ear Vertigo

目的:探讨碳酸氢钠静脉注射联合地塞米松实施鼓室内注射对内耳眩晕的临床疗效。方法:选择2019年2月-2022年2月如东县人民医院收治的62例内耳眩晕患者,随机分为试验组和对照组,各31例。对照组给予葛根素葡萄糖注射液静脉滴注,发作期给予5%碳酸氢钠注射液静脉注射。试验组在对照组基础上给予2%利多卡因局部麻醉,于鼓膜前下象限缓慢注入地塞米松磷酸钠注射液。比较两组眩晕控制疗效、听力改善情况。结果:经过治疗,试验组眩晕控制总有效率高于对照组,听力改善总有效率高于对照组,差异有统计学意义(P<0.05)。结论:碳酸氢钠静脉注射联合地塞米松实施鼓室内注射治疗内耳眩晕,可明显控制眩晕程度,改善听力水平,值得临床推广。

Objective:To explore the clinical efficacy of sodium bicarbonate intravenous injection combined with dexamethasone intratympanic injection in the treatment of inner ear vertigo.Methods:A total of 62 patients with inner ear vertigo treated in Rudong County People's Hospital from February 2019 to February 2022 were selected and randomly divided into experimental group and control group,with 31 cases in each group.The control group was given puerarin and glucose injection intravenously,and 5%sodium bicarbonate injection intravenously at the onset stage.On the basis of control group,the experimental group was additionally given 2%lidocaine local anesthesia and dexamethasone sodium phosphate injection was slowly injected into the anterior and lower quadrats of eardrum.The efficacy of vertigo control and hearing improvement between the two groups were compared.Results:After treatment,the total effective rate of vertigo control in the experimental group was higher than that in the control group,and the total effective rate of hearing improvement in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Sodium bicarbonate intravenous injection combined with dexamethasone intratympanic injection in the treatment of inner ear vertigo can obviously control the degree of vertigo and improve the hearing level,which is worthy of clinical promotion.