LIU Fei, WANG Zhanjiang. Clinical effect of acoustic resonance combined with methylprednisolone injection in tympanum in treating patients with sudden deafness[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 85-88. DOI: 10.7619/jcmp.201913024
Citation: LIU Fei, WANG Zhanjiang. Clinical effect of acoustic resonance combined with methylprednisolone injection in tympanum in treating patients with sudden deafness[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 85-88. DOI: 10.7619/jcmp.201913024

Clinical effect of acoustic resonance combined with methylprednisolone injection in tympanum in treating patients with sudden deafness

More Information
  • Received Date: April 08, 2019
  • Accepted Date: May 14, 2019
  • Available Online: February 23, 2021
  • Published Date: July 14, 2019
  •   Objective  To investigate the clinical efficacy of combined therapy of acoustic resonance and injection of methylprednisolone in tympanum in treating patients with sudden deafness.
      Methods  A total of 88 sudden deafness cases treated in our hospital were included in the study, and were divided into the control group(n=44) and study group(n=44) according to the different treatments. The study group received acoustic resonance combined with injection of methylprednisolone in tympanum, while the control group only received methylprednisolone injection in tympanum. The clinical efficacy of the two groups after different treatments were compared, the changes of average hearing threshold at different time points before and after treatments were analyzed, and the adverse reactions were observed.
      Results  After one course of treatment, there was no significant difference in the rate of recovery and total efficacy between the two groups(P>0.05). After 3 and 6 courses of treatment, the total effective rates of the observation group were 72.73% and 79.55%, which were significantly higher than 68.18%, 70.45%, respectively, in the control group (P < 0.05). After 6 courses of treatment, the observation group had significantly higher cure rate than that of the control group (47.73% vs. 38.64%, P < 0.05).The average hearing threshold of the observation group was (41.96±19.13), (37.17±18.89) dB at 3- and 6-month treatment, which were significantly lower than (50.89±18.14), (48.93±17.84) dB, in the control group (P < 0.05). After one course of treatment, the average threshold values of showed no between-group significant differences (P < 0.05).
      Conclusion  Acoustic resonance can activate the nerve hair cells, reduce the local inflammatory response, promote permeation of the tympanic drug and continuously maintain the inner ear drug efficacy. Therefore, the combined therapy can further improve the hearing level of patients with sudden deafness.
  • [1]
    黄晶晶, 周慧群, 陈正侬, 等. 全聋型突发性聋的疗效及预后相关因素分析[J]. 中国中西医结合耳鼻咽喉科杂志, 2016, 24(3): 168-170. https://www.cnki.com.cn/Article/CJFDTOTAL-XYJH201603003.htm
    [2]
    姚亮, 李继红, 任同力, 等. 不同途径局部应用糖皮质激素治疗SSNHL的临床效果[J]. 西南国防医药, 2017, 27(6): 555-557. doi: 10.3969/j.issn.1004-0188.2017.06.005
    [3]
    张秀玲, 佘万东, 戴艳红. 糖皮质激素受体的分子生物学特征及其在内耳的研究进展[J]. 听力学及言语疾病杂志, 2010, 18(1): 87-89. doi: 10.3969/j.issn.1006-7299.2010.01.033
    [4]
    王雪玲, 马娟, 张红香. 声频共振电疗法辅助治疗职业性噪声聋的疗效分析[J]. 中国工业医学杂志, 2016, 29(1): 50-52. https://www.cnki.com.cn/Article/CJFDTOTAL-SOLE201601018.htm
    [5]
    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. doi: 10.3760/cma.j.issn.1673-0860.2015.06.002
    [6]
    陈清, 姚琦, 陈望燕, 等. 声频共振作用下外耳道激素灌注治疗突发性聋的疗效观察[J]. 中华物理医学与康复杂志, 2017, 39(5): 382-385. doi: 10.3760/cma.j.issn.0254-1424.2017.05.018
    [7]
    姚琦, 陈清, 陈望燕, 等. 声频共振联合全身激素及常规药物治疗突发性聋的随机对照研究[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(4): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201704007.htm
    [8]
    王大勇, 侯志强, 刘岩, 等. 青少年突发性耳聋的临床特征及疗效分析[J]. 中华医学杂志, 2013, 93(20): 1574-1576. doi: 10.3760/cma.j.issn.0376-2491.2013.20.016
    [9]
    Lionello M, Staffieri C, Breda S, et al. Uni-and multivariate models for investigating potential prognostic factors in idiopathic sudden sensorineural hearing loss[J]. Eur Arch Otorhinolaryngol, 2015, 272(8): 1899-1906. doi: 10.1007/s00405-014-2992-8
    [10]
    张武宁, 唐安洲, 徐志文. 糖皮质激素治疗突发性聋的作用机制[J]. 医学综述, 2013, 19(14): 2513-2517. doi: 10.3969/j.issn.1006-2084.2013.14.006
    [11]
    后婕, 戴艳红, 佘万东. 盐皮质激素受体对糖皮质激素的影响及其在自身免疫性内耳疾病中的作用[J]. 听力学及言语疾病杂志, 2014, 22(3): 313-316. doi: 10.3969/j.issn.1006-7299.2014.03.022
    [12]
    苏吉利. 声频共振辅助治疗突发性聋临床疗效研究[J]. 中医临床研究, 2017, 9(8): 116-117. doi: 10.3969/j.issn.1674-7860.2017.08.059
    [13]
    邓丽芳, 李碧玉, 陈伟南. 声频共振联合外耳道灌注药物治疗突发性聋的近、远期疗效[J]. 中国医药科学, 2017, 7(20): 237-240. doi: 10.3969/j.issn.2095-0616.2017.20.073
    [14]
    程福庆. CZF-8F声频共振治疗耳聋300例疗效观察[J]. 中国医药指南, 2012, 10(16): 252-253. doi: 10.3969/j.issn.1671-8194.2012.16.196
    [15]
    张帆, 袁琨, 陈伟, 等. 应用声频共振仪联合外耳道灌注三磷酸腺苷药物综合治疗主观性耳鸣的疗效观察[J]. 中华物理医学与康复杂志, 2013, 35(5): 403-405. doi: 10.3760/cma.j.issn.0254-1424.2013.05.021
    [16]
    Hobson C E, Alexander T H, Harris J P. Primary treatment of idiopathic sudden sensorineural hearing loss with intratympanic dexamethasone[J]. Curr Opin Otolaryngol Head Neck Surg, 2016, 24(5): 407-412. doi: 10.1097/MOO.0000000000000288
  • Related Articles

    [1]WANG Fandong, ZHENG Jiazhuang, CHEN Yu, SONG Zhaojun, LIU Yuanbin, TANG Long, WANG Miao, ZHOU Yong, LIU Huiyi. Effects of pedicle screw internal fixation via different approaches in patients with thoracic and lumbar fractures[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 83-87. DOI: 10.7619/jcmp.20232471
    [2]YANG Yang, LIU Hao, WANG Fulin, HE Erping. Analysis of recurrence factors after borehole drainage for chronic subdural hematoma[J]. Journal of Clinical Medicine in Practice, 2020, 24(22): 73-75. DOI: 10.7619/jcmp.202022021
    [3]ZHAO Ping, ZHANG Li. Effectiveness and safety of continuous subcutaneous insulin infusion in the treatment of gestational diabetes patients[J]. Journal of Clinical Medicine in Practice, 2020, 24(15): 61-64. DOI: 10.7619/jcmp.202015017
    [4]ZHAO Yuefeng. Effect of hematoma removal and decompressive craniectomy in the treatment of hypertensive intracerebral hemorrhage[J]. Journal of Clinical Medicine in Practice, 2020, 24(6): 98-100. DOI: 10.7619/jcmp.202006027
    [5]SHI Qiang, PAN Weicheng, LIU Yue, WANG Zhikang, LI Yunjian, CHENG Yun, WEI Jingyu. Effect of surgical repair of refractory subcutaneous effusion after modified radical mastectomy for breast cancer[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 89-91. DOI: 10.7619/jcmp.201924028
    [6]HAO Caihong, MA Shicai. Nursing effect of hydrocolloid transparent dressing on reduction of stasis and pain in plateletpheresis patients with subcutaneous ecchymosis[J]. Journal of Clinical Medicine in Practice, 2019, 23(22): 20-23. DOI: 10.7619/jcmp.201922007
    [7]XU Jialu, PAN Huirong, CHANG Zheng, ZHU Min. Effects of different abdominal subcutaneous injection of low molecular weight heparin sodium[J]. Journal of Clinical Medicine in Practice, 2016, (16): 145-147. DOI: 10.7619/jcmp.201616044
    [8]HUANG Jian, XIAO Chunrong. Clinical analysis on diagnosis and treatment of 20 patients with delayed traumatic intra cephalic hematoma[J]. Journal of Clinical Medicine in Practice, 2015, (Z1): 86-87.
    [9]CHEN Qiang. Clinical research on the minimally invasive hematoma in the treatment of hypertensive thalamic hemorrhage[J]. Journal of Clinical Medicine in Practice, 2013, (21): 97-99. DOI: 10.7619/jcmp.201321027
    [10]CHEN Fu-mei. Hemodialysis patients with arteriovenous fistula puncture needle withdrawal after subcutaneous hematoma reason analysis and nursing[J]. Journal of Clinical Medicine in Practice, 2012, (14): 42-43. DOI: 10.3969/j.issn.1672-2353.2012.14.015
  • Cited by

    Periodical cited type(5)

    1. 赵攀. 微通道经皮肾镜碎石取石术联合输尿管软镜钬激光碎石术治疗上尿路结石的效果观察. 大医生. 2025(01): 59-61 .
    2. 李群秀,张胜利,邢伟只,李磊. 经皮肾微造瘘取石术联合输尿管软镜碎石术治疗上尿路结石患者的疗效观察. 实用临床医药杂志. 2024(10): 42-45 . 本站查看
    3. 何泉芳,王沛昌,杨华旭,唐华,陈启富,王德明,林金松,林叶福. 闽西地区感染性结石的危险因素分析及预测模型构建. 实用临床医药杂志. 2024(10): 24-28+34 . 本站查看
    4. 王纯才,刘近坤. 上尿路结石输尿管软镜手术与经皮肾镜碎石取石术治疗效果对比. 系统医学. 2023(08): 106-109 .
    5. 张名清,刘芳,吴雯. 上尿路结石术后泌尿系感染患者的中段尿病原微生物培养结果及菌株耐药性分析. 实用医技杂志. 2023(12): 881-884 .

    Other cited types(0)

Catalog

    Article views (307) PDF downloads (4) Cited by(5)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return