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目的双察银杏达莫、腺苷钴胺、高压氧联合治疗在突发性耳聋治疗中的作用。方法对56例采用银杏达莫、腺苷钴胺、高压氧联合治疗的突聋患者的治疗效果进行回顾性分析。结果银杏达莫、腺苷钴胺联合高压氧治疗突发性耳聋临床疗效显著。结论银杏达莫、腺苷钴胺联合高压氧临床可用于治疗突发性耳聋。 相似文献
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目的探讨银杏达莫注射液在治疗突发性耳聋中的作用及药物安全性。方法 53例突发性耳聋患者随机分为治疗组和对照组,均予低分子右旋糖酐静点,口服尼莫地平、脑复康、B族维生素及应用地塞米松3-5天,并辅以耳部穴位注射及高压氧治疗。治疗组在此基础上加用银杏达莫静点,观察两组的治疗效果。结果治疗组和对照组平均听阈均有明显提高,治疗组平均听阈提高值较对照组高,但差异无显著性。耳鸣有效率治疗组(88.9%)明显高于对照组(63.2%),差异显著。眩晕治疗有效率均100%,无明显差异。结论本药能改善微循环,增加内耳血氧供应,为耳蜗功能恢复创造良好条件,具有疗效高,听力恢复快,耳鸣、眩晕症状消退显著的特点,在治疗突发性耳聋中,应用银杏达莫效果良好,银杏达莫能作为突发性耳聋治疗的有效安全的药物。 相似文献
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目的观察探讨前列地尔联合银杏达莫治疗老年突发性聋的临床疗效。方法选取2010年1月-2012年7月我院诊治的老年突发性耳聋患者78例，随机分为观察组和对照组，每组39例。两组患者均给予常规治疗，在常规治疗的基础上，对照组给予血栓通和能量合剂静脉滴注，观察组给予前列地尔联合银杏达莫静脉滴注。比较两组患者的临床总有效率。结果观察组的临床总有效率为89．7％，显著高于对照组的66．7％，比较结果具有统计学意义（X^2=11．229，P〈0．05）。结论前列地尔联合银杏达莫治疗老年突发性耳聋具有较好的临床疗效，能显著提高临床总有效率，降低治疗过程中的全身不良反应，安全可靠，值得临床推广应用。 相似文献
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突发性耳聋几种治疗方法的疗效比较 总被引：3，自引：0，他引：3
目的 对比观察3种方法治疗突发性耳聋的疗效,探讨较为理想的治疗方案。方法 对30例(32耳)采用单纯药物治疗(治疗组) ,35例(40耳)采用高压氧(高压氧组) ,4 0例(48耳)采用药物加高压氧组(综合组)作疗效比较。结果 总有效率综合组(85 .4 % )优于高压氧组(45 .0 % )及药物组(2 8.1% ) ,有显著性差异(P <0 .0 1) ,高压氧组与药物组比较无显著性差异(P >0 .0 5 )。结论 药物联合高压氧治疗突发性耳聋疗效确切,是治疗突然性耳聋的较好方法。 相似文献
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目的：比较高压氧与常规药物治疗突发性耳聋患者的临床效果。方法：将笔者所在医院收治的86例突发性耳聋患者随机均分为对照组与观察组,对照组采取单纯常规药物治疗,观察组在对照组基础上联合高压氧疗法进行治疗,对比两组疗效。结果：观察组治愈率为34．00％,总有效率为80．00％;对照组治愈率为18．37％,总有效率为59．18％,观察组总效率明显优于对照组俨〈0．05）。结论：高压氧联合常规药物治疗突发性耳聋可有效提高临床疗效,可于临床推广应用。 相似文献
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目的对高压氧治疗突发性耳聋的疗效和机制进行探究。方法对采用高压氧进行突发性耳聋治疗的90例患者的临床资料进行回顾分析。结果 90例突发性耳聋的患者中有44例经高压氧治疗后完全治愈,有39例患者经高压氧治疗后突发性耳聋的症状明显减轻,仅有7例患者经过高压氧的治疗突发性耳聋病情未得到缓解。高压氧治疗突发性耳聋的有效率达到了92.2%,治疗效果明显。结论高压氧在治疗突发性耳聋方面的效果显著,值得在临床推广。 相似文献
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目的 观察血栓通联合低分子右旋糖酐治疗突发性耳聋的临床疗效.方法 将96例突发性耳聋患者随机分成两组,血栓通组48例(55耳)和对照组48例(56耳).血栓通组使用血栓通粉针联合低分子右旋糖酐治疗,对照组采用复方丹参注射液治疗,10 d为一个疗程.结果 血栓通组总有效率81.82％,对照组总有效率62.50％,两组有效率差异有统计学意义(P=0.023).结论 血栓通联合低分子右旋糖酐治疗突发性耳聋是一种较有效的治疗方法. 相似文献
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《临床医学工程》2019,(5):641-642
目的探讨耳后筛区联合鼓室注射甲泼尼龙治疗突发性耳聋的临床疗效。方法选取我院2016年1月至2018年6月收治的60例突发性耳聋患者,分为对照组和实验组,各30例。两组均采用甲泼尼龙注射治疗,对照组于耳后筛区注射,实验组于耳后筛区联合鼓室注射,比较两组的临床疗效和不同频率听力改善程度。结果实验组的总有效率为93.33%,明显高于对照组的73.33%(P <0.05)。两组患者的0.5 kHz、 1 kHz、 2 kHz听力改善程度比较差异无统计学意义(P>0.05);实验组的4 kHz、 8k Hz听力改善程度明显优于对照组(P <0.05)。结论耳后筛区联合鼓室注射甲泼尼龙治疗突发性耳聋的效果显著,可有效改善患者的听力障碍,促进听力恢复,值得临床推广应用。 相似文献
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《社区医学杂志》2017,(16)
目的观察认知干预联合高压氧治疗突发性耳聋患者的临床效果。方法选取86例突发性耳聋患者,随机分为两组,对照组42例,给予患者改善循环、营养神经、活血化瘀等常规治疗药物治疗;实验组44例,在对照组基础上进行认知干预联合高压氧治疗。观察两组患者的治疗效果及心理状态(焦虑、抑郁等)变化情况。计量资料比较采用t检验,计数资料比较采用χ2检验,P0.05为差异有统计学意义。结果实验组总有效率(93.33%)高于对照组(83.33%),差异有统计学意义(P0.05),治疗后实验组突发性耳聋患者的SAS、SDS平均值[(38.95±3.5)、(39.52±4.12)分]均优于对照组[(46.62±4.18)、(44.62±3.57)分],差异有统计学意义(均P0.05)。结论认知干预联合高压氧治疗突发性耳聋患者的临床疗效显著,可以加快患者的治疗进程,缩短患者的恢复期。 相似文献
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目的探讨使用长春西汀治疗突发性耳聋的效果。方法将我院2010年2月-2011年11月收治的突发性耳聋患者按照住院的先后顺序随机分为对照组和实验组。对照组患者给予银杏叶制剂静脉滴注,实验组患者在对照组患者治疗基础上给予长春西汀治疗,比较两组患者治疗的效果及对伴随疾病的治疗效果。结果实验组痊愈29例,显效14例,有效5例,无效3例,总有效率为84.31%;对照组治愈19例,显效10例,有效12例,无效10例,总有效率为56.62%(P<0.05);实验组耳鸣有效率为75%,对照组耳鸣有效率为52.94%(p<0.05)。结论使用长春西汀能够改善内耳循环,对治疗突发性耳聋能取得较满意效果。 相似文献
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Susan R. Glaser LCSW 《Social work in health care》2014,53(1):31-47
This article discusses the value and importance of support groups for people living with chronic cancer. It is a primer for the professional mental health practitioner interested in leading a support group. Group formation, screening, open versus closed groups, size, co-facilitation, duration and phases-beginning, middle and end will be discussed. Leadership, structure, and group dynamics are explained using case examples to highlight the issues. The effect of the deterioration and death of group members on both the facilitators and the group's members will be explored. The paper ends with a discussion of counter-transference, stress, self-care and resiliency. 相似文献
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Carolyn Greene Karla Klein Murdock Daphne Koinis Mitchell 《Children's Health Care》2006,35(4):297-320
The effect of problem-focused and avoidant coping on social withdrawal was investigated among a sample of 31 urban children with asthma experiencing varied levels of illness-related stress. Two main and two moderating effects were examined. Neither problem-focused nor avoidant coping was significantly associated with withdrawal when the child's asthma symptoms and stressors were controlled. However, a pattern emerged in analyses of the interaction between coping and stress level. Higher levels of both problem-focused and avoidant coping were associated with lower levels of social withdrawal, but only for children with low levels of asthma-related stress. 相似文献
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目的 探讨化疗联合安罗替尼对三阴性乳腺癌患者的预后及用药安全性.方法 选取2016年1月—2019年1月我院确诊为三阴性乳腺癌的100例患者作为研究对象,随机分为研究组和对照组.对照组纳入研究后给予单纯化疗,研究组加用安罗替尼,对比研究组和对照组治疗前、治疗6个月及治疗12个月血清PRL及BSP;两组治疗后药物安全性情... 相似文献
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Sascha R. Bolt Laura Verbeek Judith M.M. Meijers Jenny T. van der Steen 《Journal of the American Medical Directors Association》2019,20(3):268-272
Objectives
To examine family caregivers' experiences with end-of-life care for nursing home residents with dementia and associations with the residents dying peacefully.Design
A secondary data analysis of family caregiver data collected in the observational Dutch End of Life in Dementia (DEOLD) study between 2007 and 2010.Setting and participants
Data were collected at 34 Dutch nursing homes (2799 beds) representing the nation. We included 252 reports from bereaved family members of nursing home residents with dementia.Measures
The primary outcome was dying peacefully, assessed by family members using an item from the Quality of Dying in Long-term Care instrument. Unpleasant experiences with end-of-life care were investigated using open-ended questions. Overall satisfaction with end-of-life care was assessed with the End-of-Life Satisfaction With Care (EOLD-SWC) scale, and families' appraisal of decision making was measured with the Decision Satisfaction Inventory. Associations were investigated with multilevel linear regression analyses using generalized estimating equations.Results
Families' reports of unpleasant experiences translated into 2 themes: neglect and lack of respect. Neglect involved facing inaccessibility, disinterest, or discontinuity of relations, and negligence in tailored care and information. Lack of respect involved perceptions of being purposefully disregarded, an insensitive approach towards resident and family, noncompliance with agreements, and violations of privacy. Unpleasant experiences with end-of-life care were negatively associated with families' perceptions of the resident dying peacefully. Families' assessment of their relative dying peacefully was positively associated with satisfaction with end-of-life care and decision making.Conclusions/Implications
Families' reports of unpleasant experiences with end-of-life care may inform practice to improve perceived quality of dying of their loved ones. Humane and compassionate care and attention from physicians and other staff for resident and family may facilitate recollections of a peaceful death. 相似文献20.
Marybeth R. Jones Sean M. Frey Kristin Riekert Maria Fagnano Jill S. Halterman 《The Journal of adolescent health》2019,64(2):265-271