地塞米松治疗突发性耳聋的临床疗效观察

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1、的疗效与患者的年龄、性别、治疗前的听力水平、发病的月份、是否伴有耳鸣等因素无相关性。．结论：地塞米松治疗突发性耳聋有确切的疗效，越早应用激素疗效越好。地塞米松治疗突发性耳聋不伴有眩晕的患者疗效较好。地塞米松治疗突发性耳聋安全、有效、无明显不良反应，早期治疗是提高疗效的关键，病程长短可为预后预测提供参考。．关键词：突发性耳聋；地塞米松；治疗ObservingtheTherapeuticEffectsofDexamethasoneOilSuddenDeafnessAbstract：Objective：ToobservetheeffectofDexamethasoneonSuddende

2、afnessthroughtheanalysisofclinicalcasesandmultiplerelatedfactorsintreatmentofsuddendeafnessandonpatientsprognosis．Itwillprovidescientificbasisandnewideaforcureofsuddendeafnessofsteroidhormoneofclinical．Methods：Thedataofonehundredandtwentypatientswhomwerediagnosedassuddendeafnessandadmittedinth

3、eDepartmentofOtolaryngology—HeadandNeckSurgery,AffiliatedHospitalofLuZhouMedicalCollegefrom2006to2008havebeenanalyzed．Onehundredandtwentysuddendeafnesspatientsweredividedintotwogroupsbasedondifferenttreatmentprescriptions，hormonegroup(fortysevencases)wereputtouseDexamethasone，non—hormoneGroup(

4、seventythreecases)werenotputtouseDexamethasone．Patientsofnon—hormoneGroupweretreatedbyroutinetherapy(themedicineofrelaxingbloodvesselsandprotectingnervesinjectionandVitamininjection)，hormonegroupweretreatedbyDexamethasone(1Omg))addedin5％GS250ml(glucoseinwater)byintravenousdriponetimeaday，thedi

5、abeticpatientsoughttobetreatedby0．9％NS250ml(physiologicsaline)．Inaddition，hormonegroupweretreatedbyroutinetherapy．Bothoftwogroupscomplementhyperbaricoxygentherapy，onecourseof3treatmentoftendays．Ifpatientscatchacold(hormonegrouphavefourcases，non．hormoneGrouphaveeightcases)，patientsweretreatedby

6、antivirusdrug(vivazole)．Bothoftwogroupstestpatients’hearingbypuretoneaudiometeratthebeginningoftherapyandatthetwodaysafterthat，andthenduringprocessoftherapyonetimeoffourdays．averagevalueofairconduction(averagehearingthreshold)with0．25HZ、O．5HZ、1．0HZ、2．OHZ、and4．OHZiSlookedasevaluatedstandard．Too

7、bservetheeffectsofDexamethasoneonsuddendeafnessbetweenhormonegroupandnon-hormoneGroup．Toputstatisticsdatatocomputer，tocarryonT-Testandx2．TestduringSPSS12．0forWindows，itbeconsideredtheresulthavestatisticssignificanceas尸