星状神经节阻滞配合经皮神经电刺激对突发性耳聋的康复作用

Rehabilitation effectiveness of stellate ganglion block combined with transcutaneous electric nerve stimulation on idiopathic sudden hearing loss

目的 探索星状神经节阻滞 (SGB)配合经皮神经电刺激 (TENS)对突发性耳聋 (SHL)的康复作用。方法 采用SGB配合TENS ,每日或隔日 1次 ,10次为 1个疗程 ,2个疗程之间间隔 3～ 5d。结果 在接受治疗的 94例患者中 ,94只耳 0 .2 5～ 4kHz治疗后的听力与治疗前相比显著提高 (P <0 .0 5 ) ,低频(0 .5kHz)优于高频 (2kHz ,4kHz) (P <0 .0 5 ) ;中、重度耳聋组和全聋组的听力损失dB数值治疗前、后自身比较有显著改变 (P <0 .0 5 ,P <0 .0 0 1) ;治疗总有效率 5 3 .2 % ,显效 8.5 1% ,有效 44 .7% ;伴有的耳鸣、眩晕症状也有所改善。以上过程中无 1例出现并发症。结论 SGB配合TENS对突发性耳聋导致的听力损失是一种有效、安全。

Objective The purpose of this study was to identify the feasibility and efficacy of stellate ganglion block (SGB) combined with transcutaneous electric nerve stimulation (TENS) in the treatment of sudden hearing loss (SHL). Methods 94 patients with SHL were treated by the SGB and TENS once a day or every other day. One course of treatment consisted of 10 times of intervention, and the interval between courses was 3～5 days. Results Hearing was improved in all of the 94 cases after the treatment as compared with their previous state ( P < 0.001 ). The improvement was more remarkable with lower frequency (0.25 kHz, 0.5 kHz) with higher frequency. (2 kHz,4 kHz) hearing loss than, the difference was statistically significant ( P <0.05). More significant improvement was observed in those with severe hearing loss ( P <0.001) and complete hearing loss ( P <0.05) when compared with those with moderate hearing loss. Patients with shorter history and got more treatment sessions showed better outcomes. Conclusion SGB combined with TENS is a useful method for the treatment of patients with idiopathic sudden hearing loss.