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The use of combined pharmacotherapy and hyperbaric oxygen in the treatment of sudden sensorineural hearing loss

机译:使用组合的药物疗法和高压氧气治疗突然感应性听力损失

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Aim: Sudden sensorineural hearing loss (SSNHL) involves acute unexplained hearing loss, nearly always one-sided of 30dB or greater over at least three contiguous audiometric frequencies. The aetiology of SSNHL is mostly unknown. According to the literature, the causes include vascular, microbial and autoimmune problems. There is still no agreed standard treatment. The aim of the paper was to evaluate the results of combined pharmacotherapy and hyperbaric oxygen therapy in patients with idiopathic sudden deafness. Material/Methods: The study was carried out on 40 patients with SSNHL. The patients were divided into two groups: group I – 24 patients treated with the combined pharmacotherapy and hyperbaric oxygen therapy and group II – 16 patients treated only pharmacologically. The patients from Group 1 were treated in the Centre of Hyperbaric Therapy CREATOR Ltd. in Lodz, Poland. Each patient underwent 15 sessions in a hyperbaric chamber. In all patients, the percentage of hearing loss for the selected frequencies was assessed before and after the therapy according to Sabine and Fowler. Results: The group of 40 patie nts aged from 33 to 77 years (mean 52.4) included 21 females and 19 males. Group I consisted of 24 patients, 11 females and 13 males, group II consisted of 16 patients, 10 females, and 6 males. After therapy, the mean hearing level in all patients improved by 27.14%, in Group I – by 34.34%, in Group II – by 16.3%. Conclusions: Early hyperbaric oxygen therapy combined with steroid therapy improves prognosis and shows good results in sudden hearing loss treatment.
机译:目的:突然的感官听力损失(SSNHL)涉及急性无法解释的听力损失,几乎总是在至少三种连续的听力测量频率上占外的30dB或更高。 SSNHL的病因大多是未知的。根据文献,原因包括血管,微生物和自身免疫问题。仍然没有商定的标准治疗。本文的目的是评估特发性突然耳聋患者的药疗法和高压氧治疗的结果。材料/方法:研究40例SSNHL患者进行。将患者分为两组:I-24款患者,治疗组合药疗法和高压氧治疗和II组 - 16名患者仅治疗药理学。第1组患者在波兰罗兹的高压疗法创建有限公司中心进行治疗。每位患者在高压室中接受了15个会话。在所有患者中,根据Sabine和Fowler之前和治疗之前和之后评估所选频率的听力损失的百分比。结果:40岁的糖类组织为33至77岁(平均52.4)包括21个女性和19名男性。组I由24名患者,11名女性和13名男性组成,第II组由16名患者,10名女性和6名男性组成。治疗后,所有患者的平均听力水平均在II组Ⅰ组-134%中提高27.14% - II组 - 达16.3%。结论:早期高压氧治疗与类固醇疗法相结合,提高了预后,突然听力损失治疗效果良好。

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