急性主观性耳鸣的治疗方法及疗效探讨

摘要

Objective To observe the therapeutic efficacy of different treatment programs on the acute subjective tinnitus . Methods 327 patients with acute subjectivity tinnitus were randomly divide into physical ,medication and comprehensive treatment group .The 97 cases in physical group were treated with hyperbaric oxygen ,acupuncture and sound therapy ;the 103 cases in medica‐tion group were treated with microcirculation and oral steroids ;the 127 cases in comprehensive treatment groups were treated with combination the therapy of above what have mentioned .THI was used to evaluate three groups before the treatment ,two and four weeks after treatment .Results After two week′s treatment ,the efficiency rate for physical group is 60 .82% ,64 .78% in medica‐tion group and 70 .08% in comprehensive group .After four weeks of treatment ,the efficiency rate of each group is 70 .10% , 72 .81% and 80 .31% .At two‐week time point ,there was no significant difference between drug and physics group (P> 0 .05) , there was statistically significant difference between medication group and comprehensive group (P< 0 .05) .At four‐week time point ,the difference of physics group and drug group had no statistically significance compared with the two‐week in each group (P>0 .05) ,but there was a statistically significant difference in comprehensive group (P<0 .05) ,meanwhile ,there was statistically significant differences between comprehensive group and the physical group and drug group (P<0 .05) .Conclusion Physical and medication therapy have quite effects on acute subjective tinnitus ,but the effect was worse than the comprehensive therapy group . After four weeks of treatment ,the efficiency of purely physical and drug therapy have not been significantly improved compared with two weeks time ,but still improved of comprehensive treatment .%目的：探讨不同的治疗方法在急性主观性耳鸣治疗中的作用。方法将327例急性主观性耳鸣患者分为物理组、药物组、综合组。物理治疗组97例给予高压氧＋耳鸣声治疗＋针炙治疗，药物治疗组103例给予金多纳改善微循环＋激素治疗，综合组127例给予上述两组治疗，于治疗前及治疗第2、4周时分别予以耳鸣致残（THI）量表进行评价。结果治疗2周时物理、药物及治疗组有效率分别为60．82％、64．78％、70．08％；治疗4周时有效率分别为70．10％、72．81％、80．31％；治疗2周时物理组与药物组比较差异无统计学意义（P＞0．05），综合组分别与物理组及药物组比较差异有统计学意义（P＜0．05）；4周时物理组与药物组分别与2周时各组比较差异无统计学意义（P＞0．05），综合组4周时与2周时比较差异有统计学意义（P＜0．05）；4周时综合组分别与物理组及药物组比较差异有统计学意义（P＜0．05）。结论物理治疗急性主观性耳鸣与药物治疗效果相当，但效果不及综合治疗。治疗4周时单纯物理及药物治疗疗效较2周时并未得到明显提高，而综合治疗疗效仍有提高。