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鼓室内注射催产素与地塞米松治疗顺铂耳毒性的比较:一项实验研究。

Comparison of Intratympanic Oxytocin and Dexamethasone in Cisplatin Ototoxicity: An Experimental Study.

作者信息

Taş Burak Mustafa, Özel Gökçe, Azman Musa, Çakmak Karaer Işıl, Kılıç Rahmi

机构信息

Department of Otorhinolaryngology, Division of Head and Neck Surgery, Kırıkkale University School of Medicine, Kırıkkale, Turkey.

Gökçe ÖZEL ENT Clinic, Ankara, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3405-3411. doi: 10.1007/s12070-024-04701-z. Epub 2024 Apr 24.

Abstract

Although it is widely used, there is still no valid treatment for ototoxicity caused by the antineoplastic drug cisplatin. In this study, we aimed to investigate the efficacy of intratympanic resveratrol and intratympanic dexamethasone treatment in cisplatin-induced ototoxicity. We also compared intratympanic atosiban (oxytocin antagonist) and oxytocin in cisplatin ototoxicity. In this study, 30 rats (60 ears) were used by separating into 5 groups. Cisplatin, oxytocin, dexamethasone, atosiban and 0.9% NaCl were administered intraperitoneally to all groups separately. Auditory Brainstem Response and Distortion Product Otoacoustic Emission tests were performed on all groups before and 72 h after the procedure. Pre-treatment values were higher than post-treatment values in all groups ( < 0.001). There was no significant prolongation of the post-treatment Auditory Brainstem Response I-IV interval in the oxytocin and dexamethasone groups ( > 0.05). There was no significant decrease in the frequencies of 2832 and 4004 after treatment in the oxytocin and dexamethasone group compared to pre-treatment in Distortion Product Otoacoustic Emission. As a result, it has been shown that intratympanic oxytocin may be an option that can be used in the treatment, although it is not as effective as dexamethasone in preventing cisplatin ototoxicity.

摘要

尽管抗肿瘤药物顺铂广泛应用,但对于其所致耳毒性仍没有有效的治疗方法。在本研究中,我们旨在探讨鼓室内注射白藜芦醇和鼓室内注射地塞米松治疗顺铂诱导的耳毒性的疗效。我们还比较了鼓室内注射阿托西班(催产素拮抗剂)和催产素对顺铂耳毒性的影响。在本研究中,30只大鼠(60只耳)被分为5组。分别向所有组腹腔注射顺铂、催产素、地塞米松、阿托西班和0.9%氯化钠。在操作前和操作后72小时对所有组进行听性脑干反应和畸变产物耳声发射测试。所有组治疗前的值均高于治疗后的值(<0.001)。催产素组和地塞米松组治疗后的听性脑干反应I-IV间期无显著延长(>0.05)。与治疗前相比,催产素组和地塞米松组治疗后畸变产物耳声发射中2832和4004频率无显著降低。结果表明,鼓室内注射催产素可能是一种可用于治疗的选择,尽管其在预防顺铂耳毒性方面不如地塞米松有效。

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本文引用的文献

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