感音神經(jīng)性耳聾的相關(guān)因素分析及中西醫(yī)結(jié)合治療

陳曉劍　楊蓓蓓

[摘要] 目的 研究分析感音神經(jīng)性耳聾的相關(guān)致病因素及中西醫(yī)結(jié)合治療的療效。 方法 回顧性分析2010年1月～2012年1月入院治療的感音神經(jīng)性耳聾的224例患者的臨床資料，并對(duì)耳聾的危險(xiǎn)因素進(jìn)行分析。將其按照治療方法分為對(duì)照組和實(shí)驗(yàn)組各112例。其中對(duì)照組應(yīng)用西醫(yī)藥物和激素治療，實(shí)驗(yàn)組在對(duì)照組基礎(chǔ)上應(yīng)用中西醫(yī)結(jié)合治療。比較兩組患者的臨床療效及生活質(zhì)量改善情況。 結(jié)果 造成感音神經(jīng)性耳聾的主要原因有內(nèi)耳病毒感染（20.10%）、累及聽(tīng)覺(jué)傳導(dǎo)通路的炎癥（17.84%）、聽(tīng)神經(jīng)病（14.73%）、年齡相關(guān)性耳聾（14.29%）。實(shí)驗(yàn)組痊愈54例（48.21%），總有效率93.43%，復(fù)發(fā)10例（8.93%）；對(duì)照組痊愈22例（19.64%），總有效率84.82%，復(fù)發(fā)21例（18.75%）。實(shí)驗(yàn)組的生活質(zhì)量好于對(duì)照組。 結(jié)論 應(yīng)用中西醫(yī)結(jié)合治療感音神經(jīng)性耳聾具有良好的療效，且患者的生活質(zhì)量明顯提高。

[關(guān)鍵詞] 感音神經(jīng)性耳聾；相關(guān)因素；中西醫(yī)結(jié)合治療

[中圖分類(lèi)號(hào)] R764.43 [文獻(xiàn)標(biāo)識(shí)碼] B [文章編號(hào)] 1673-9701（2014）12-0082-03

[Abstract] Objective To study the sensorineural deafness related pathogenic factors and the effect of combining traditional Chinese and western medicine treatment. Methods Retrospectively analyzed the clinical data of 224 cases with sensorineural deafness at hospital from January 2010 to January 2012. According to the treatment method， the patients were divided into control group and experimental group of 112 cases each. The control group applied western medicine and hormone treatment， and the experimental group combined therapy of traditional Chinese medicine based on the control group. The therapeutic effect and quality of life after treatment between the two groups of patients were compared. Results The cause sensorineural deafness was the main reason of the inner ear virus infection（20.10%）， accumulated auditory pathway inflammation （17.84%）， listen to neuropathy（14.73%）， age-related deafness（14.29%）. The recovery 54 cases （48.31%）， the total effective rate 93.43%， recurrence 10 cases （8.93%）； Control group healed 22 cases （19.64%）， the total effective rate 84.82%， recurrence 21 cases（18.75%）. The quality of life of the experimental group was better than that of the control group. Conclusion The application of combining traditional Chinese and western medicine treatment of sensorineural deafness has good curative effect， and obviously improves the quality of life of the patients.

[Key words] Sensorineural deafness； Related factors； Combining traditional Chinese and western medicine treatment

感音神經(jīng)性耳聾患者的內(nèi)耳聽(tīng)覺(jué)神經(jīng)和聽(tīng)覺(jué)中樞神經(jīng)產(chǎn)生病變，導(dǎo)致聽(tīng)力減退，嚴(yán)重者甚至出現(xiàn)聽(tīng)力消失[1]。當(dāng)引起病變的原因?yàn)槊?xì)胞病變時(shí)，患者會(huì)出現(xiàn)重振現(xiàn)象，當(dāng)患者的聽(tīng)神經(jīng)和相應(yīng)的傳導(dǎo)路徑出現(xiàn)病變時(shí)，患者的語(yǔ)言辨別率會(huì)出現(xiàn)下降[2]。本文分析了導(dǎo)致感音神經(jīng)性耳聾的相關(guān)因素，并采用中西醫(yī)結(jié)合的治療方案予以治療，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

回顧性分析2010年1月～2012年1月入院治療的突發(fā)性耳聾的224例患者的臨床資料，所有患者均采用中華醫(yī)學(xué)會(huì)制定的耳鼻喉科中突發(fā)性耳聾診斷標(biāo)準(zhǔn)確診為感音性耳聾[3]。……