CAJ | 학술논문

目的分析影响突发性耳聋患者治疗疗效和生活质量的相关因素,以针对性制定积极有效的健康宣教对策,改进负性影响,最大限度地提高患者的听力和生活质量.方法 90例住院治疗的突发性耳聋患者,按照有无眩晕、“三高”(血糖高、血脂高、血压高)及焦虑心理问题分为三个组,分别对预后进行统计学分析.结果有“三高”组患者痊愈6例,无“三高”组患者痊愈15例,两组比较差异有统计学意义(u=2.012,P＜0.05)；有焦虑心理组患者痊愈8例,无焦虑心理组患者12例,两组比较差异有统计学意义(u =2.809,P＜0.01)；有眩晕组患者痊愈12例,无眩晕组患者痊愈8例,两组比较差异无统计学意义(u =0.923,P＞0.05).结论可以有针对性地对患者实施健康宣教,使患者在药物治疗的同时,形成有益于健康的行为和生活方式,对提高患者的疗效和生活质量具有十分重要的意义.
목적 분석영향돌발성이롱환자치료료효화생활질량적상관인소,이침대성제정적겁유효적건강선교대책,개진부성영향,최대한도지제고환자적은력화생활질량.방법 90례주원치료적돌발성이롱환자,안조유무현훈、“삼고”(혈당고、혈지고、혈압고)급초필심리문제분위삼개조,분별대예후진행통계학분석.결과 유“삼고”조환자전유6례,무“삼고”조환자전유15례,량조비교차이유통계학의의(u=2.012,P＜0.05)；유초필심리조환자전유8례,무초필심리조환자12례,량조비교차이유통계학의의(u =2.809,P＜0.01)；유현훈조환자전유12례,무현훈조환자전유8례,량조비교차이무통계학의의(u =0.923,P＞0.05).결론 가이유침대성지대환자실시건강선교,사환자재약물치료적동시,형성유익우건강적행위화생활방식,대제고환자적료효화생활질량구유십분중요적의의.
Objective To explore the related factors that affects the therapeutic affects and quality of life of sudden hearing loss.To establish an effective health propaganda and education strategy and improve these patient's hearing and quality of life.Methods In a retrospective study,clinical data of 90 hospitalized patients in Chinese PLA General Hospital from September 2009 to March 2010 were analyzed.The patients were divided into 2 subgroups respectively,according to with or without vertigo,psychological problems,and hypertension,diabetes mellitus and hypedipidemia.The therapeutic effects of each subgroup were analyzed respectively and ranked test of ranked data in the form of one-side sequence cross table were used in our study.Results 6 cases have been cured in hypertension,diabetes mellitus and hyperlipidemia patients and 15 cases in those without hypertension,diabetes mellitus and hypedipidemia and the difference was statistically significant(u =2.012,P＜0.05); 8 cases have been cured in those with anxiety,and 12 cases in those without anxiety,and the difference was also significant(u =2.809,P ＜0.01); 12 cases were cured in those with vertigo and 8 cases in those without vertigo,however,the difference was not significant(u =0.923,P ＞ 0.05).Conclusions With comparison of prognosis between these subgroups,a purpose-aimed health propaganda and education should be performed to make the patients understand the disease comprehensively,and to improve their self-health care consciousness,as well as to form a healthybehavior and life style.