CAJ | 학술논문

目的：对难治性突发性感音神经性聋患者采用鼓室内地塞米松注射治疗的临床效果进行观察和分析。方法从我院2012年3月～2015年3月眼耳鼻科门诊收治的难治性突发性感音神经性聋患者中随机抽取26例进行研究，在行常规治疗无效后采用鼓室内地塞米松注射治疗，对患者的治疗方法和听力改善情况进行回顾性分析。结果治疗30天后，进行纯音测听结果为：有4例显效，听阈提高的平均值为48.5分贝；有5例有效，听阈提高的平均值为18.5分贝；有17例无效，本组治疗的总有效率为34.62%。结论采用鼓室内地塞米松注射方法治疗难治性突发性感音神经性聋可以促进药效的充分发挥，减小对患者的创伤，预防不良反应，有利于改善患者的听力状况。
목적：대난치성돌발성감음신경성롱환자채용고실내지새미송주사치료적림상효과진행관찰화분석。방법종아원2012년3월～2015년3월안이비과문진수치적난치성돌발성감음신경성롱환자중수궤추취26례진행연구，재행상규치료무효후채용고실내지새미송주사치료，대환자적치료방법화은력개선정황진행회고성분석。결과치료30천후，진행순음측은결과위：유4례현효，은역제고적평균치위48.5분패；유5례유효，은역제고적평균치위18.5분패；유17례무효，본조치료적총유효솔위34.62%。결론채용고실내지새미송주사방법치료난치성돌발성감음신경성롱가이촉진약효적충분발휘，감소대환자적창상，예방불량반응，유리우개선환자적은력상황。
Objective To observe and analyze the clinical effect of dexamethasone injection in the treatment of refractory sudden deafness. Methods 26 cases of refractory of sudden sexy sensorineural deafness patients was chosen for study in otolaryngology clinic in our hospital in March 2012 to March 2015, row refractory to conventional treatment by intratympanic dexamethasone injection in the treatment, the patient's treatment and hearing improvement were retrospectively analyzed. Results After 30 days of treatment, pure tone audiometry results:4 cases were cured, threshold was increased in the average of 48.5 dB, 5 cases were effective, improve the threshold average 18.5 dB, ineffective in 17 cases, the treatment group total efficiency was 34.62%. Conclusion By intratympanic dexamethasone injection in the treatment of refractory sudden sensorineural hearing loss can promote the efifcacy into full play, reduce the patient's trauma, prevention of adverse reactions, is conducive to improve the patient's hearing status.