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高压氧气疗法对突然神经感官听力损失患者恢复的影响:一项观察性研究
Hye Ah Joo1,2, So Hee Kang1, Se Eun Lee1
1Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Journal of audiology & otology
|July 31, 2025
概括
早期的高压氧疗法 (HBOT) 改善了突然的感觉神经听力损失 (SSNHL) 的听力恢复. 症状出现后两周内迅速治疗对于接受HBOT的SSNHL患者的更好的结果至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 紧急医疗 紧急医疗
背景情况:
- 突然感觉神经听力损失 (SSNHL) 是一种需要立即干预的医疗紧急情况.
- 对于SSNHL的治疗选择包括皮质类固醇和高压氧疗法 (HBOT).
- 接受HBOT治疗的时间可能会显著影响听力恢复的结果.
研究的目的:
- 为了评估各种SSNHL治疗的疗效.
- 具体评估高压氧气疗法 (HBOT) 对听力恢复的影响.
- 确定在SSNHL患者中启动HBOT的最佳时间.
主要方法:
- 患有SSNHL的患者接受了全身性皮质类固醇,内脉内甲松或HBOT.
- 听力值是使用纯色调听力测量来测量的.
- 听力恢复被分为完全,部分,轻微或没有恢复治疗后2-3个月.
主要成果:
- 总体康复率:15.2%完全康复,21.0%部分康复,42.0%轻微康复,22.0%没有康复.
- 在SSNHL发病后2周内接受治疗的患者表现出改善的听力结果,特别是那些严重听力损失 (>70dB) 的患者.
- 早些时候开始HBOT与更高的听力改善率相关,特别是在初始值<70dB的情况下.
结论:
- 在SSNHL症状发作后两周内早期启动HBOT与更好的听力恢复有关.
- 及时治疗是最大化SSNHL患者听力恢复的关键因素.
- 这些发现支持及时的HBOT作为SSNHL管理的关键组成部分.
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