中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2014年
10期
767-768
,共2页
噪声性耳聋%高压氧疗%疗效分析
譟聲性耳聾%高壓氧療%療效分析
조성성이롱%고압양료%료효분석
Noise induced deafness%Hyperbaric oxygen therapy%Clinical analysis
目的 观察高压氧联合常规药物治疗噪声性耳聋的临床疗效.方法 选取2009年5月至2012年4月在湖北省民族学院附属民大医院就诊的220例噪声性耳聋患者,职业均为建筑工人,按照治疗方法的不同分为对照组(110例)和综合治疗组(110例),其中对照组只单纯采用高压氧治疗,而对照组则采用高压氧联合药物治疗;记录并对比两组的听力改善情况.结果 高压氧综合治疗组的治愈率为53.6％,高于对照组的38.2％ (x2=5.290,P＜0.05),总有效率为79.1％,明显高于对照组的67.3％(x2=3.914,P＜0.05).2个疗程后综合治疗组的治愈率和总有效率分别为47.3％和73.6％;4个疗程后综合治疗组的治愈率和总有效率分别为60.9％和84.5％,与2个疗程组相比,差异有统计学意义(x2值分别为4.118和3.958,均P＜0.05).结论 高压氧疗联合药物综合疗法用于治疗噪声性耳聋的治愈率和总有效率均高于单纯高压氧疗组,值得推广应用.
目的 觀察高壓氧聯閤常規藥物治療譟聲性耳聾的臨床療效.方法 選取2009年5月至2012年4月在湖北省民族學院附屬民大醫院就診的220例譟聲性耳聾患者,職業均為建築工人,按照治療方法的不同分為對照組(110例)和綜閤治療組(110例),其中對照組隻單純採用高壓氧治療,而對照組則採用高壓氧聯閤藥物治療;記錄併對比兩組的聽力改善情況.結果 高壓氧綜閤治療組的治愈率為53.6％,高于對照組的38.2％ (x2=5.290,P＜0.05),總有效率為79.1％,明顯高于對照組的67.3％(x2=3.914,P＜0.05).2箇療程後綜閤治療組的治愈率和總有效率分彆為47.3％和73.6％;4箇療程後綜閤治療組的治愈率和總有效率分彆為60.9％和84.5％,與2箇療程組相比,差異有統計學意義(x2值分彆為4.118和3.958,均P＜0.05).結論 高壓氧療聯閤藥物綜閤療法用于治療譟聲性耳聾的治愈率和總有效率均高于單純高壓氧療組,值得推廣應用.
목적 관찰고압양연합상규약물치료조성성이롱적림상료효.방법 선취2009년5월지2012년4월재호북성민족학원부속민대의원취진적220례조성성이롱환자,직업균위건축공인,안조치료방법적불동분위대조조(110례)화종합치료조(110례),기중대조조지단순채용고압양치료,이대조조칙채용고압양연합약물치료;기록병대비량조적은력개선정황.결과 고압양종합치료조적치유솔위53.6％,고우대조조적38.2％ (x2=5.290,P＜0.05),총유효솔위79.1％,명현고우대조조적67.3％(x2=3.914,P＜0.05).2개료정후종합치료조적치유솔화총유효솔분별위47.3％화73.6％;4개료정후종합치료조적치유솔화총유효솔분별위60.9％화84.5％,여2개료정조상비,차이유통계학의의(x2치분별위4.118화3.958,균P＜0.05).결론 고압양료연합약물종합요법용우치료조성성이롱적치유솔화총유효솔균고우단순고압양료조,치득추엄응용.
Objective To observe the clinical effects of using hyperbaric oxygen comprehensive therapy for the treatment of noise induced deafness.Methods From May 2009 to April 2012 in our hospital 220 cases of noise induced deafness patients were chosen and they were all construction workers; According to different treatments all patients were divided into the control group (110 cases) only having hyperbaric oxygen treatment and the treatment group (110 cases) using hyperbaric oxygen comprehensive therapy,including control group simply by.Hearing improvements of the two groups were recorded and compared.Results The cure rate of the comprehensive therapy group was 53.6％ which was higher than that of the control group 38.2％ (x2=5.290,P＜ 5.290),while the total effective rate of the comprehensive therapy group was 79.1％ which was also significantly higher than that of the control group 67.3％ (x2=3.914,P＜0.05).After two courses of comprehensive treatment the cure rate and total effective rate were 47.3％ and 73.6％ respectively,while after four courses of comprehensive treatment group the cure rate and total effective rate turned to be 60.9％ and 84.5％ respectively,which had significant difference (x2 values were 4.118 and 3.958,P＜0.05).Conclusions The cure rate and total effective rate of the comprehensive therapy group are higher than the simple hyperbaric oxygen treatment group,which is worthy of clinical application and promotion in the future.
