|
|
The clinical effect of M ethylprednisolone and Dexamethasone in treatment of sudden deafness |
HE Bi-yun ZHANG Zhu |
Department of ENT,Wuyi Traditional Chinese Medicine Hospital of Jiangmen City in Guangdong Province,Jiangmen 529000,China |
|
|
Abstract Objective To explore the clinical effects of Methylprednisolone and Dexamethasone in treatment of sudden deafness.M ethods 98 patientswith sudden deafness and who accepted treatments in our hospital from September 2014 to September 2015 were selected as the research objects,and were divided into A and B two groups by the random number table methods.In the A group of 49 cases were applied the Methylprednisolone while in the B group of 49 cases were given the Dexamethasone treatment.Then,the treatment effect and adverse reactions of the two groups of patients were observed.Results The total effective rate in the two groups respectively were 95.92%and 83.67%,and the differences were significant(P<0.01);before treatment,two groups had no significant difference in hearing threshold(P>0.05). Improvement after treatment,the A group of 3,7 d threshold testwas better than B group after treatment,the difference was significant(P<0.01);the incidence rare of adverse reactions in the two groups respectively were 14.29%,10.20%,the difference was no statistically significant(P>0.05),and there was no serious adverse reactions.Conclusion In the treatment of sudden deafness,the clinical effect of Methylprednisolone is better than that of Dexamethasone,and the safety is high,thus it isworthy to be promoted.
|
|
|
|
|
[1] |
管红霞,张志坚,江洋,等.糖皮质激素治疗突发性聋的研究进展[J].中国医药导报,2016,13(5):41-45.
|
[2] |
中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.突发性聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.
|
[3] |
陈敬彩,杨军,吴皓,等.美国耳鼻咽喉头颈外科基金会突发性聋诊疗指南解读及国内诊疗现状[J].中国耳鼻咽喉头颈外科,2012,19(10):573-576.
|
[4] |
杨斌,王占强,朱建忠,等.甲泼尼龙对突发性耳聋患者血浆Hcy水平及血液流变学的影响[J].宁夏医科大学学报,2015,37(12):1484-1486.
|
[5] |
张武宁.糖皮质激素治疗突发性耳聋的作用机制[J].医学综述,2013,19(14):2513-2517.
|
[6] |
苗英章,耿敬磊,王荣国,等.糖皮质激素治疗低频突发性聋的临床观察[J].河北医药,2013,35(22):3409-3411.
|
[7] |
梁丹,赖丹,殷泽登,等.地塞米松治疗突发性耳聋的临床疗效观察[J].中国现代医学杂志,2011,21(33):4181-4185.
|
[8] |
张胜,黄加云.鼓室内注射地塞米松治疗突发性耳聋的临床观察[J].中国医师进修杂志,2010,33(15):17-19.
|
[9] |
苗忠义.地塞米松与甲泼尼龙治疗突发性耳聋的效果对比[J].中国现代药物应用,2016,10(3):123-124.
|
[10] |
韦一,王德乐,王韶鉴,等.地塞米松与甲泼尼龙治疗突发性耳聋的临床疗效对比[J].中国全科医学,2014,17(27):3194-3196.
|
[11] |
静媛媛,王大勇,樊兆民,等.甲泼尼龙与地塞米松对全频下降型突发性聋疗效的多中心对照研究[J].中华耳鼻咽喉头颈外科杂志,2015,50(7):536-539.
|
[12] |
魏欣,张黎媛,张秀英,等.甲泼尼龙治疗突发性耳聋的临床疗效观察[J].中国全科医学,2012,15(33):3923-3924.
|
[13] |
杨军,黄莉,施俊,等.鼓室内注射地塞米松或甲泼尼龙治疗突发性聋的疗效观察[J].临床耳鼻咽喉头颈外科杂志,2010,24(13):594-597.
|
[14] |
陈晓华,秦兆冰.地塞米松与甲泼尼龙治疗突发性耳聋的临床疗效对比[J].中国继续医学教育,2016,8(15):170-171.
|
[15] |
秦江波,常玮,霍秀兰,等.甲泼尼龙鼓室内注射治疗突发性耳聋88例分析[J].重庆医学,2014,43(15):1927-1928.
|
|
|
|