鼓室内注射鼠神经生长因子联合泼尼松龙对突发性耳聋的影响
投稿时间:2015-11-11  修订日期:2015-11-27  点此下载全文
引用本文:宋伟伟.鼓室内注射鼠神经生长因子联合泼尼松龙对突发性耳聋的影响[J].医学研究杂志,2016,45(6):180-183
DOI: 10.11969/j.issn.1673-548X.2016.06.046
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宋伟伟 462000 河南省漯河市第二人民医院 
中文摘要:目的 观察鼓室内注射鼠神经生长因子联合泼尼松龙治疗突发性耳聋临床疗效。方法 124例突聋患者采用数字表法随机分为两组,观察组鼓室内注射(泼尼松龙20mg+鼠神经生长因子18μg)0.5ml,1次/3天,连续两周。对照组鼠肌内注射神经生长因子18μg,泼尼松龙20mg,1次/2天,连续两周。观察两组临床疗效,比较治疗前、治疗7天及14天血清中Hs-CRP、IL-10、NO、SOD水平。结果 观察组耳聋、眩晕临床总有效率均明显优于对照组(P<0.05)。两组耳鸣总有效率比较,差异无统计学意义(P>0.05)。治疗7天和14天后,两组患者的Hs-CR较治疗前均明显下降(P<0.05),NO、IL-10、SOD较治疗前均明显上升(P<0.05),尤其观察组更加明显,治疗14天后观察组患者的Hs-CRP、IL-10、NO、SOD水平与对照组比较,差异有统计学意义(P<0.05)。结论 采用鼓室内注射鼠神经生长因子和泼尼松龙治疗突发性耳聋疗效确切,能有效改善耳聋和眩晕症状,提高耳鸣临床疗效,改善炎性和氧化应激水平,值得临床推广。
中文关键词:突发性耳聋  鼠神经生长因子  泼尼松龙  疗效  炎症  氧化应激
 
Influence of Intratympanic Injection with Mouse Nerve Growth Factor and Prednisolone on Sudden Deafness
Abstract:Objective To observe the effect of intratympanic injection of mouse nerve growth factor combined with prednisolone for sudden ear. Methods Totally 124 cases of sudden deafness were randomly divided into two groups.Patients in observation group was done by intratympanic injection with 0.5ml mouse nerve growth factor(18μg) combined with prednisolone(20mg) for 2 weeks,once 3 days.Those in the control group were treated by intramuscular injection of nerve growth factor 18μg, prednisolone 20mg for two weeks, once every two day. The clinical efficacy of the two groups were observed, and IL-10, NO, SOD, Hs-CRP level in serum of 7 days and 14 days was compared. Results The total effective rate in the observation group was significantly better than that in the control group (P<0.05). After treatment with 7 days and 14 days, the Hs-CRP of the two groups were significantly decreased (P<0.05), and IL-10, SOD, NO were significantly increased (P<0.05). Especially in the observation group after treatment, Hs-CRP, IL-10, NO, SOD level e was statistically significant than those of the control group, the differenc (P<0.05). Conclusion Intratympanic injection of mouse nerve growth factor and prednisolone in treatment of sudden deafness is effective, which can effectively improve the deafness, tinnitus and vertigo, improved the level of inflammation and oxidative stress. It is worth clinical promotion.
keywords:Sudden deafness  Nerve growth factor  Prednisolone  Curative effect  Inflammation  Oxidative stress
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