中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
90-92
,共3页
突发性耳聋%血液流变学%听力曲线
突髮性耳聾%血液流變學%聽力麯線
돌발성이롱%혈액류변학%은력곡선
Sudden deafness%Hemorheology%Audiometric curve
目的：探讨不同听力曲线突发性耳聋患者的血液流变学改变情况及治疗效果。方法采集本院2010年3月~2011年10月收治的74例突发性耳聋患者的病史资料，所有患者给予血液流变学检测及治疗前后纯音测听，对所得结果进行统计学分析。结果1(平坦型组)、2组(高频下降型组)的全血黏度、血浆黏度差异无统计学意义(Q=0.53、0.08、0.42、0.00，P>0.05)；1、2组的全血黏度、血浆黏度均高于3组(Q=3.97、4.25、3.47、4.58，P<0.05；Q=3.86、3.62、3.33、3.97，P<0.01)。1、2、3组的总有效率分别为57.14%、66.67%、100.00%，1、2组的治疗效果差异无统计学意义(χ2=0.48，P>0.05)；1、2组的总有效率与3组比较，差异有统计学意义，3组的疗效优于1、2组(χ2=8.84、5.74，P<0.05)。结论听力曲线为平坦型及高频下降型的突发性耳聋患者，其全血黏度及血浆黏度高于低频下降型者。低频下降型组的治疗效果优于其余两组。
目的：探討不同聽力麯線突髮性耳聾患者的血液流變學改變情況及治療效果。方法採集本院2010年3月~2011年10月收治的74例突髮性耳聾患者的病史資料，所有患者給予血液流變學檢測及治療前後純音測聽，對所得結果進行統計學分析。結果1(平坦型組)、2組(高頻下降型組)的全血黏度、血漿黏度差異無統計學意義(Q=0.53、0.08、0.42、0.00，P>0.05)；1、2組的全血黏度、血漿黏度均高于3組(Q=3.97、4.25、3.47、4.58，P<0.05；Q=3.86、3.62、3.33、3.97，P<0.01)。1、2、3組的總有效率分彆為57.14%、66.67%、100.00%，1、2組的治療效果差異無統計學意義(χ2=0.48，P>0.05)；1、2組的總有效率與3組比較，差異有統計學意義，3組的療效優于1、2組(χ2=8.84、5.74，P<0.05)。結論聽力麯線為平坦型及高頻下降型的突髮性耳聾患者，其全血黏度及血漿黏度高于低頻下降型者。低頻下降型組的治療效果優于其餘兩組。
목적：탐토불동은력곡선돌발성이롱환자적혈액류변학개변정황급치료효과。방법채집본원2010년3월~2011년10월수치적74례돌발성이롱환자적병사자료，소유환자급여혈액류변학검측급치료전후순음측은，대소득결과진행통계학분석。결과1(평탄형조)、2조(고빈하강형조)적전혈점도、혈장점도차이무통계학의의(Q=0.53、0.08、0.42、0.00，P>0.05)；1、2조적전혈점도、혈장점도균고우3조(Q=3.97、4.25、3.47、4.58，P<0.05；Q=3.86、3.62、3.33、3.97，P<0.01)。1、2、3조적총유효솔분별위57.14%、66.67%、100.00%，1、2조적치료효과차이무통계학의의(χ2=0.48，P>0.05)；1、2조적총유효솔여3조비교，차이유통계학의의，3조적료효우우1、2조(χ2=8.84、5.74，P<0.05)。결론은력곡선위평탄형급고빈하강형적돌발성이롱환자，기전혈점도급혈장점도고우저빈하강형자。저빈하강형조적치료효과우우기여량조。
Objective To explore the change of hemorheology and therapeutic effect on patients with sudden deafness in different audiometric curve. Methods Medical history of 74 patients with sudden deafness treated in our hospital from March 2010 to October 2011 were collected,hemorheology was determined and pure tone test before and after treatment was carried out in all patients. Results There was no statistical difference of whole blood viscosity or plasma viscosity between group 1 (flat-type group) and group 2 (high-frequency descending group) (Q=0.53,0.08,0.42,0.00,P>0.05).The whole blood viscosity and plasma viscosity in group 1 and group 2 were all lower than those in group 3 (Q=3.97,4.25,3.47 and 4.58,P<0.05;3.86,3.62,3.33 and 3.97,P<0.01).The total effective rate of group 1,2 and 3 was 57.14%, 66.67% and 100% respectively.There was no statistical difference in curative effect in group 1 and 2 (χ2=0.48,P>0.05). There was a statistical difference of the total effective rate in group 1 and 2 compared with group 3,the curative effect of group 3 was better than that of group 1 and 2 (χ2=8.84 and 5.74,P<0.05). Conclusion The whole blood viscosity and plasma viscosity are higher in patients with sudden deafness whose audiometric curve types belonging to flat-type and high-frequency descending type in comparison with those in low-frequency descending type.The therapeutic effect in low-frequency descending type group is superior to that in the other two groups.
