中老年人突聋79例临床疗效分析.docVIP

中老年人突聋79例临床疗效分析 　　[摘要] 目的 探讨老年性突发性耳聋临床疗效分析。方法 随机抽取该院2013年2月―2014年1月收治的79例突聋老年患者进行回顾性分析，按就诊前后随机分为对照组33例和治疗组46例，对照组给予常规治疗，治疗组给予综合治疗，两组患者在治疗后进行纯音测听检查。结果 两组结果比较，治疗组痊愈13例，总有效率82.6%，总不良反应率13.04%；对照组痊愈8例，总有效率75.7%，总不良反应率21.07%。治疗组总有效率明显高于对照组，两组比较差异有统计学意义（P0.05）。结论 老年性突发性耳聋治疗效果慢，疗程长，采取综合治疗能有效改善患者耳聋症状，促进患者康复。 　　[关键词] 老年人；突聋；疗效分析 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0051-02 　　[Abstract] Objective To discuss the efficacy of clinical treatment for sudden deafness in the elderly. Methods A retrospective analysis was conducted on 79 elderly patients with sudden deafness admitted in our hospital from February 2013 to January 2014. The patients were randomly divided into the control group（33 cases） and the treatment group（46 cases）. The control group were treated by the conventional treatment， while the treatment group were treated by the comprehensive treatment. And the pure tone audiometry was performed in both groups after treatment. Results In the treatment group， 13 cases were cured， the total effective rate was 82.6%， the rate of total adverse reactions was 13.04%. In the control group， 8 cases were cured， the total effective rate was 75.7%， the rate of total adverse reactions was 21.07%. The total effective rate of the treatment group was significantly higher， the difference between the two groups was statistically significant（P0.05）. Conclusion The treatment effect is achieved slowly in elderly patients and the course of treatment is long. Comprehensive treatment can effectively improve the deafness and promote the rehabilitation in the patients. 　　[Key words] Elderly people； Sudden deafness； Effect analysis 　　突聋又称突发性感音神经性耳聋，原因不明的在短时间内听力突然下降，并伴有耳鸣或眩晕等症状的疾病，可伴有耳闭、恶心、耳鸣、眩晕、呕吐等症状[1]。老年突发性聋的发病率呈逐年上升趋势，然而目前对于其发病原因及发病机制尚不明确。对于突发性耳聋，临床上有很多治疗方法，但疗效都不确定，给治疗带来一定困难，随机抽取该院2013年2月―2014年1月来该院治疗突聋患者79例，疗效满意，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取该院2013年2月―2014年1月79例来该院治疗突发性耳聋患者进行研究，所有患者均已经临床确诊为突发性耳聋，按照治疗方法不同，随机将其分为对照组33例和治疗组46例，对照组患者男性16例，女性17例，年龄（40.1±2.3）岁，病程2 h～15