Department of Otolaryngology, Cangzhou Central Hospital, Cangzhou, Hebei, China.
Department of Otolaryngology, Cangzhou Central Hospital, Cangzhou, Hebei, China.
Am J Otolaryngol. 2022 May-Jun;43(3):103201. doi: 10.1016/j.amjoto.2021.103201. Epub 2021 Sep 10.
The current study was conducted aimed at investigating the effect of stellate ganglion injection guided with different approaches on hearing threshold in patients harboring sudden deafness.
There involved a total of 68 patients with sudden deafness in our study. The patients were randomly allocated into control group and study group, with 34 cases in each group. The control group and study group were respectively given conventional blind puncture block and ultrasound-guided stellate ganglion injection. The clinical efficacy, first puncture success rate, first block success rate, average block time, hearing threshold improvement value, vertigo disappearance time, hearing recovery time, hemorheological changes and complications of the two groups were compared.
The total effective rate of the study group was significantly higher than that of the control group (96.06 vs. 76.47%, P < 0.05). The first puncture success rate and the first block success rate of the study group were evidently higher than those of the control group, and the average block time of the study group was significantly shorter than that of the control group (P < 0.05). The improvement of hearing threshold in the study group was higher than that in the control group, and the time of vertigo disappearance and hearing recovery in the study group was shorter than that in the control group, with significant difference (P < 0.05). Before treatment, EAI, HCT and PV levels of the two groups were comparable (P > 0.05). After treatment, however, the levels of EAI, HCT and PV in the two groups were lower. Furthermore, the levels of EAI, HCT and PV in the study group were significantly lower compared with the control group (P < 0.05). The incidence of complications in the study group was significantly less than that in the control group (P < 0.05).
Ultrasound-guided stellate ganglion injection achieved beneficial effects in treating sudden deafness, which is available for wide clinical practice.
本研究旨在探讨不同入路引导下星状神经节注射对突发性聋患者听力阈值的影响。
本研究共纳入 68 例突发性聋患者，随机分为对照组和观察组，每组 34 例。对照组和观察组分别给予常规盲穿阻滞和超声引导下星状神经节注射。比较两组的临床疗效、首次穿刺成功率、首次阻滞成功率、平均阻滞时间、听力阈值改善值、眩晕消失时间、听力恢复时间、血液流变学变化及并发症。
观察组总有效率明显高于对照组（96.06%比 76.47%，P<0.05）。观察组首次穿刺成功率和首次阻滞成功率明显高于对照组，平均阻滞时间明显短于对照组（P<0.05）。观察组听力阈值改善程度高于对照组，眩晕消失时间和听力恢复时间短于对照组，差异均有统计学意义（P<0.05）。治疗前，两组的红细胞变形指数（EAI）、红细胞压积（HCT）和全血高切黏度（PV）水平相当（P>0.05）。治疗后，两组的 EAI、HCT 和 PV 水平均降低，且观察组明显低于对照组，差异均有统计学意义（P<0.05）。观察组并发症发生率明显低于对照组（P<0.05）。
超声引导下星状神经节注射治疗突发性聋效果良好，值得临床推广。
