| 引用本文: |
罗齐平,卢标清.颅息穴注射甲泼尼龙治疗突发性聋的疗效观察[J].湖南中医药大学学报,2019,39(8):982-985[点击复制] |
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| 颅息穴注射甲泼尼龙治疗突发性聋的疗效观察 |
| 罗齐平,卢标清 |
| (广州中医药大学附属中山中医院, 广东 中山 528401) |
| 摘要: |
| 目的 观察颅息穴穴位注射甲泼尼龙琥珀酸钠治疗突发性聋的临床疗效，明确其对突发性聋的治疗作用，以期找到一种更为简便、有效、安全的激素给药途径。方法 将80例突发性聋患者分成两组，治疗组40例，选取颅息穴，穴位注射甲泼尼龙琥珀酸钠0.5 mL，隔日1次，共5次；对照组40例，鼓室注射甲泼尼龙琥珀酸钠1 mL，隔日1次，共5次。比较两组患者治疗前后受损频率改善情况。结果 治疗后，两组轻度、中度、中重度/重度耳聋患者总有效率比较，差异无统计学意义（P=0.77、0.81、0.51，均>0.05）。整体来说，颅息穴组总有效率为62.5%，鼓室组总有效率为72.5%，两组总有效率比较差异亦无统计学意义（P=0.34，P>0.05）。结论 颅息穴穴位注射甲泼尼龙琥珀酸钠治疗突发性聋临床疗效确切，与鼓室注射甲强龙治疗突发性聋的疗效无明显差别，且风险较小，值得临床推广。 |
| 关键词: 颅息穴 穴位注射 突发性聋 甲泼尼龙 |
| DOI：10.3969/j.issn.1674-070X.2019.08.012 |
| 投稿时间：2018-03-08 |
| 基金项目:广东省中山市卫生和计划生育局一般项目（2015J099）。 |
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| Effects of Luxi Acupoint (SJ19) Injection with Methylprednisolone in the Treatment of Sudden Sensorineural Hearing Loss |
| LUO Qiping,LU Biaoqing |
| (Zhongshan Hospital Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, Guangdong 528401, China) |
| Abstract: |
| Objective To observe the curative effect of sudden hearing loss by acupointLuxi (SJ19) injection with methylprednisolone sodium succinate, and to come up with a more convenient, effective, safer administration route for glucocorticoid by clarifying the therapeutic effect of acupoint Luxi(SJ19) injection to sudden hearing loss. Methods A total of 80 cases of sudden hearing loss were divided into a treatment group and a control group. The treatment group was given acupoint Luxi(SJ19) injection with methylprednisolone sodium succinate 0.5 mL, once every other day, 5 times in total. The control group was given intratympanic injection with methylprednisolone sodium succinate 1mL, once every other day, 5 times in total. Hearing loss improvement was compared between the 2 groups before and after treatment. Results After the treatment in both groups, there was no statistical difference in the total effective rate for those mild, moderate, moderate severe/severe hearing loss (P=0.77, 0.81, 0.51, all>0.05). All in all, the total effective rate in the Luxi (SJ19) point group and the intratympanic group were 62.5% and 72.5% respectively, and there was no statistical difference between the 2 groups (P=0.34, P>0.05). Conclusion Acupoint Luxi(SJ19) injection with methylprednisolone sodium succinate has curative effect in sudden hearing loss, but the curative effect has no significantly difference to intratympanic injection with methylprednisolone sodium succinate. |
| Key words: Luxi (SJ19) acupoint acupoint injection therapy sudden sensorineural hearing loss methylprednisolone |
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