高压氧治疗突发神经性耳聋42例的疗效观察及护理

目的观察高压氧治疗配合综合性护理在突发神经性耳聋中的临床应用效果。方法临床纳入突发神经性耳聋患者90例,根据临床治疗及护理方案的不同分为研究组与对照组。研究组给予高压氧配合综合性护理,对照组给予常规治疗(右旋糖酐、复方丹参液等)配合常规护理。观察2组临床疗效、治疗依从性以及耳聋程度与疗效关系。结果研究组有效率92.86%,对照组为77.08%,差异有统计学意义(P0.05);研究组治疗依从性好、差者分别占69.05%、7.14%,对照组分别为41.67%、25.00%,差异均有统计学意义(P0.05);研究组与对照组耳聋程度60dB者痊愈率为34.62%、23.33%,耳聋程度≥60dB者痊愈率为6.25%、0,差异均有统计学意义(P0.05)。结论采用高压氧配合综合性护理治疗突发神经性耳聋具有较好的临床疗效,耳聋程度较轻者疗效优于较重者,此外还能够有效提高患者的治疗依从性,值得推广。

Clinical observation and nursing of hyperbaric oxygen therapy for 42 cases with sudden nerve deafness

Objective To observe the clinical application of hyperbaric oxygen therapy combined with comprehensive nursing in sudden nerve deafness. Methods Ninety patients with sudden nerve deafness were selected and divided into study group and control group according to different therapies and nursing methods. The study group adopted the hyperbaric oxygen therapy combined with comprehensive nursing ;control group adopted the conventional therapy (Dextranum ,Fufang Dansheng extract) combined with comprehensive nursing. The clinical efficacy ,compliance ,degree of deafness and curative effect of two groups was observed. Results The effective rate of study group (92.86% ) was significantly higher than that of control group (77.08% ) (P<0.05);the rate of favorable compliance and unfavorable compliance of study group was 69.05% and 7.14%while the rate of control group was 41.67% and 25.00% (P<0.05);for patients with deafness (<60 dB) ,the cure rate of study group and control group was 34.62% and 23.33% ;for patients with deafness (≥60 dB) ,the curate rate of study group and control group was 6.25% and 0 (P< 0.05). Conclusion The hyperbaric oxygen therapy combined with comprehensive nursing has a favorable effect in sudden nerve deafness. The curative effect in patients with milder deafness is better than pa-tients with severe deafness. The compliance is also improved. It is worthy of promotion.