鼓室注射地塞米松治疗糖尿病伴突发性耳聋
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摘要
目的将鼓室注射地塞米松治疗方案实行于糖尿病伴突发性耳聋患者的临床治疗中,研究并评估临床效果及价值。方法此文予以分析的样本资料是2016年2月—2018年3月在本医院开展治疗的70例糖尿病伴突发性耳聋患者,参照计算机法实施分组,常规治疗实施于两组,静脉给药地塞米松治疗方案实施于参照组(35例),鼓室注射地塞米松治疗方案实施于实验组(35例),分析并比对两组患者的治疗总有效率、并发症发生率、治疗满意度。结果实验组患者的治疗总有效率、治疗满意度高于参照组,差异有统计学意义(P <0.05),实验组患者的并发症发生率低于参照组患者,差异有统计学意义(P <0.05)。结论对糖尿病伴突发性耳聋患者开展鼓室注射地塞米松治疗呈现较优临床效果。
Objective To study the clinical effect and value of tympanic injection of dexamethasone in the clinical treatment of patients with diabetes mellitus complicated with sudden deafness. Methods 70 patients with diabetes mellitus complicated with sudden deafness admitted to our hospital from February 2016 to March 2018 were enrolled in the study and divided into two groups through computer method. The two groups were both treated with conventional method, while intravenous dexamethasone was implemented in control group(35 cases) and tympanic injection of dexamethasone was implemented in experimental group(35 cases), then the effective rate, complication rate, treatment satisfaction rate in patients of two groups were analyzed and compared. Results The effective rate and treatment satisfaction rate of patients in experimental group was higher compared to those in control group, the difference was significant(P < 0.05), the complication rate in patients in experimental group was lower compared to that in control group, the difference was significant(P < 0.05). Conclusion The application of tympanic injection of dexamethasone in the treatment of patients with diabetes mellitus complicated with sudden deafness can achieve better clinical effect.
Objective To study the clinical effect and value of tympanic injection of dexamethasone in the clinical treatment of patients with diabetes mellitus complicated with sudden deafness. Methods 70 patients with diabetes mellitus complicated with sudden deafness admitted to our hospital from February 2016 to March 2018 were enrolled in the study and divided into two groups through computer method. The two groups were both treated with conventional method, while intravenous dexamethasone was implemented in control group(35 cases) and tympanic injection of dexamethasone was implemented in experimental group(35 cases), then the effective rate, complication rate, treatment satisfaction rate in patients of two groups were analyzed and compared. Results The effective rate and treatment satisfaction rate of patients in experimental group was higher compared to those in control group, the difference was significant(P < 0.05), the complication rate in patients in experimental group was lower compared to that in control group, the difference was significant(P < 0.05). Conclusion The application of tympanic injection of dexamethasone in the treatment of patients with diabetes mellitus complicated with sudden deafness can achieve better clinical effect.
引文
[1]邵美君,王湘芸.鼓室及静脉注射地塞米松治疗中老年性突发性耳聋的临床应用[J].现代中西医结合杂志,2015,24(3):262-264.
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[7]李谊,岳玮,张灵敏,等.甲泼尼龙琥珀酸钠耳后注射治疗伴2型糖尿病突发性耳聋的临床效果观察[J].临床合理用药杂志,2016,9(8):7-8,10.
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[9]姚建慧,陈庆峰,施乐娟,等.鼓室内注射地塞米松治疗难治性突发性聋[J].中国中西医结合耳鼻咽喉科杂志,2016,24(1):21-22,20.
[10]刘焕娣.鼻内镜下经咽鼓管鼓室内注入地塞米松辅助治疗突发性耳聋临床研究[J].现代中西医结合杂志,2015,24(22):2484-2485.
[11]李丽,杨家富,黄成彬,等.伴有糖尿病的突发性耳聋52例临床分析[J].糖尿病新世界,2015(19):86-88.
[12]徐曼.针灸配合药物治疗突发性耳聋耳鸣的疗效观察[J].中国继续医学教育,2018,10(20):158-159.
[13]周长明,郑茜玲,杨川,等.176例突发性耳聋患者的临床特征分析[J].中国听力语言康复科学杂志,2017,15(2):111-114.
[2]李欣,王锐,孙立军,等.鼓室内注射甲泼尼龙治疗糖尿病伴突发性耳聋[J].中华医学杂志,2010,90(44):3103-3106.
[3]朱丽娜.鼓室注射地塞米松治疗糖尿病伴突发性耳聋的临床分析[J].北方药学,2017,14(5):66-67.
[4]苗忠义.鼓室内注射甲强龙治疗糖尿病突发性耳聋的临床分析[J].糖尿病新世界,2015(1):29.
[5]唐艳丽,郭有新,赵明,等.突聋伴糖尿病患者耳后骨膜下注射地塞米松临床疗效观察[J].河北医学,2016,22(2):301-302.
[6]李郁明,刘敏,庄惠文,等.合并高脂血症或糖尿病的突发性耳聋患者的治疗及转归[J].中国老年学杂志,2015,35(3):626-628.
[7]李谊,岳玮,张灵敏,等.甲泼尼龙琥珀酸钠耳后注射治疗伴2型糖尿病突发性耳聋的临床效果观察[J].临床合理用药杂志,2016,9(8):7-8,10.
[8]刘慧巧,陶静,汤剑芳.甲泼尼龙琥珀酸钠耳后注射治疗伴2型糖尿病突发性耳聋的临床效果[J].中国现代医生,2017,55(24):82-84,88.
[9]姚建慧,陈庆峰,施乐娟,等.鼓室内注射地塞米松治疗难治性突发性聋[J].中国中西医结合耳鼻咽喉科杂志,2016,24(1):21-22,20.
[10]刘焕娣.鼻内镜下经咽鼓管鼓室内注入地塞米松辅助治疗突发性耳聋临床研究[J].现代中西医结合杂志,2015,24(22):2484-2485.
[11]李丽,杨家富,黄成彬,等.伴有糖尿病的突发性耳聋52例临床分析[J].糖尿病新世界,2015(19):86-88.
[12]徐曼.针灸配合药物治疗突发性耳聋耳鸣的疗效观察[J].中国继续医学教育,2018,10(20):158-159.
[13]周长明,郑茜玲,杨川,等.176例突发性耳聋患者的临床特征分析[J].中国听力语言康复科学杂志,2017,15(2):111-114.