Dundar Kadir, Gumus Tuna, Ay Hakan, Yetiser Sertac, Ertugrul Eylem
Undersea and Hyperbaric Medicine Department, Gulhane Military Medical Academy, Ankara, Turkey.
J Otolaryngol. 2007 Feb;36(1):32-7. doi: 10.2310/7070.2006.0061.
The role of hyperbaric oxygen (HBO) treatment in sudden sensorineural hearing loss (SSNHL) is still controversial. In this study, 80 patients were treated for SSNHL. Fifty-five patients who received HBO and medical treatment and 25 patients who received medical treatment only were studied. There was a statistically significant difference between the HBO and medical treatment group and the medical treatment group for hearing gain and the degree of hearing loss after treatment (p<.05). In the HBO and medical treatment group, patients with tinnitus showed the highest hearing improvement. The patients who had tinnitus had a statistically significant difference for hearing gain in the HBO and medical treatment group (p<.05) but not in the medical treatment group (p>.05). In the HBO and medical treatment group, average hearing gain on each audiometric frequency was better than in the medical treatment group (p<.05).
高压氧(HBO)治疗在突发性感音神经性听力损失(SSNHL)中的作用仍存在争议。在本研究中,80例SSNHL患者接受了治疗。其中55例患者接受了HBO联合药物治疗,25例患者仅接受了药物治疗。HBO联合药物治疗组与单纯药物治疗组在治疗后的听力增益和听力损失程度方面存在统计学显著差异(p<0.05)。在HBO联合药物治疗组中,耳鸣患者的听力改善最为明显。耳鸣患者在HBO联合药物治疗组中的听力增益存在统计学显著差异(p<0.05),而在单纯药物治疗组中则无显著差异(p>0.05)。在HBO联合药物治疗组中,各听力测定频率的平均听力增益均优于单纯药物治疗组(p<0.05)。