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高压氧综合治疗110例噪声性聋的临床分析

[Clinical analysis of using hyperbaric oxygen comprehensive therapy for the treatment of 110 cases noise induced deafness].

作者信息

Tan Junwu, Li Liangbo, Peng Hong

机构信息

Minda Hospital of Hubei Nationalities Institute, Enshi 445000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2014 Oct;32(10):767-8.

PMID:25533370
Abstract

OBJECTIVE

To observe the clinical effects of using hyperbaric oxygen comprehensive therapy for the treatment of noise induced deafness.

METHODS

From May 2009 to April 2012 in our hospital 220 cases of noise induced deafness patients were chosen and they were all construction workers; According to different treatments all patients were divided into the control group (110 cases) only having hyperbaric oxygen treatment and the treatment group (110 cases) using hyperbaric oxygen comprehensive therapy, including control group simply by. Hearing improvements of the two groups were recorded and compared.

RESULTS

The cure rate of the comprehensive therapy group was 53.6%which was higher than that of the control group 38.2% (χ(2) = 5.290, P < 5.290), while the total effective rate of the comprehensive therapy group was 79.1%which was also significantly higher than that of the control group 67.3% (χ(2) = 3.914, P < 0.05). After two courses of comprehensive treatment the cure rate and total effective rate were 47.3%and 73.6%respectively, while after four courses of comprehensive treatment group the cure rate and total effective rate turned to be 60.9% and 84.5% respectively, which had significant difference (χ(2) values were 4.118 and 3.958, P < 0.05).

CONCLUSIONS

The cure rate and total effective rate of the comprehensive therapy group are higher than the simple hyperbaric oxygen treatment group, which is worthy of clinical application and promotion in the future.

摘要

目的

观察高压氧综合疗法治疗噪声性聋的临床效果。

方法

选取2009年5月至2012年4月我院收治的220例噪声性聋患者,均为建筑工人;根据不同治疗方法将所有患者分为对照组(110例)单纯行高压氧治疗和治疗组(110例)采用高压氧综合疗法,记录并比较两组听力改善情况。

结果

综合治疗组治愈率为53.6%,高于对照组的38.2%(χ² = 5.290,P < 5.290),综合治疗组总有效率为79.1%,也显著高于对照组的67.3%(χ² = 3.914,P < 0.05)。综合治疗两个疗程后治愈率和总有效率分别为47.3%和73.6%,而综合治疗四个疗程后治愈率和总有效率分别变为60.9%和84.5%,差异有统计学意义(χ²值分别为4.118和3.958,P < 0.05)。

结论

综合治疗组的治愈率和总有效率高于单纯高压氧治疗组,值得今后临床应用推广。

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