王翔 谭业农 谢柳 吴小秦

    [摘要] 目的 探讨补中益气汤联合耳后注射甲泼尼龙琥珀酸钠及盐酸利多卡因治疗突发性耳聋的临床效果。 方法 选择2015年11月～2017年11月海南省中医院收治的140例突发性耳聋患者为研究对象，并按照随机数字表法将其分为观察组(n = 70)和对照组(n = 70)。对照组给予甲泼尼龙琥珀酸钠及2%盐酸利多卡因耳后注射治疗，观察组在对照组的基础上给予补中益气汤治疗。观察并比较两组患者治疗后的临床效果;检测并比较两组患者治疗前后的纯音听阈(PTA)、血液流变学指标及血浆同型半胱氨酸(Hcy)水平變化;记录两组患者治疗过程中的不良反应发生情况。 结果 观察组临床总有效率明显高于对照组(P 0.05)。 结论 补中益气汤联合耳后注射甲泼尼龙琥珀酸钠及盐酸利多卡因治疗突发性耳聋的临床效果显著，可以改善血浆Hcy及血液流变学水平，其安全性好，值得在临床上推广应用。

    [关键词] 补中益气汤;突发性耳聋;耳后注射;临床效果

    [中图分类号] R764.437? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)03(c)-0137-04

    [Abstract] Objective To investigate the clinical effect of Buzhong Yiqi Decoction combined with post-auricular injection of Methylprednisolone Sodium Succinate and Lidocaine Hydrochloride in the treatment of sudden hearing loss. Methods A total of 140 sudden hearing loss patients admitted to Hainan Provincial Hospital of Traditional Chinese Medicine from November 2015 to November 2017 were selected as resarch subjects. They were divided into observation group (n = 70) and control group (n = 70) according to random number table method. The control group was treated with post-auricular injection of Methylprednisolone Sodium Succinate and 2% Lidocaine Hydrochloride ......