鼓室内注射地塞米松联合强的松治疗突发性聋33例

摘要

Objective To evaluate the therapeutic efficacy of intratympanic dexamethasone injections combined with prednisone in patients with idiopathic sudden sensorineural hearing loss. Methods A total of 71 patients diagnosed with sudden hearing loss were treated with intratympanic dexamethasone injections plus prednisone (B group) or prednisone alone (A group). Hearing was evaluated by pure tone audiogram performed before initial treatment and at 4 weeks following the final treatment. Results The total recovery rate after the treatment was 81.8% in the B group and 55.3% in the A group. The diflference between two groups was statistically significant (P < 0.05). Conclusion The present study suggests that sudden sensorineural hearing loss patients treated with intratympanic dexamethasone combined with prednisone have a higher likelihood of hearing recovery than those treated with prednisone alone.%目的：观察鼓室内注射地塞米松联合强的松治疗突发性聋的疗效。方法：71例（71耳）突发性聋患者分成2组， A 组38例（38耳）口服强的松， B 组33例（33耳）在 A 组用药的基础上，加用鼓室注射地塞米松治疗，4周后比较两组疗效。结果：B 组总有效率（81．8％）显著高于 A 组（55．3％），差异有统计学意义（P ＜0．05）。结论：鼓室注射地塞米松联合强的松治疗突发性聋疗效显著。