星状神经节阻滞（SGB）治疗突发性听力损失的疗效评估。
Evaluation of effectiveness of stellate ganglion block (SGB) treatment of sudden hearing loss.
作者信息
Takinami Yoshikazu
机构信息
Department of Anesthesiology and Emergency Medicine, Tannan Regional Hospital, Sabae, Fukui, Japan.
出版信息
Acta Otolaryngol. 2012 Jan;132(1):33-8. doi: 10.3109/00016489.2011.616911. Epub 2011 Oct 30.
CONCLUSION
A stellate ganglion block (SGB) based on the goal of improving internal ear circulatory disturbance appears to be beneficial for the treatment of sudden hearing loss.
OBJECTIVES
To evaluate the effectiveness of SGB for sudden hearing loss.
METHODS
This retrospective study reviewed the medical records of 49 patients who received SGBs and 496 patients who received only conservative therapy, primarily with systemic steroids, for treatment of sudden hearing loss. Propensity scores were used in pairwise matching of these patients to avoid selection biases between the two treatment modalities.
RESULTS
Propensity score matching yielded 48 pairs. The mean therapeutic effect of the SGB was calculated to be 0.40 ± 0.20 (mean ± standard error, p = 0.051).
结论
基于改善内耳循环障碍目标的星状神经节阻滞（SGB）似乎对突发性听力损失的治疗有益。
目的
评估SGB治疗突发性听力损失的有效性。
方法
这项回顾性研究回顾了49例接受SGB治疗的患者以及496例仅接受以全身用类固醇为主的保守治疗的突发性听力损失患者的病历。使用倾向评分对这些患者进行配对匹配，以避免两种治疗方式之间的选择偏倚。
结果
倾向评分匹配产生了48对。计算得出SGB的平均治疗效果为0.40±0.20（平均值±标准误差，p = 0.051）。
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