摘要
目的：调查小儿突发性耳聋的发病因素，论述中医临床保健对于预后的影响。方法：选取2011年1月-2013年12月在该院住院治疗的突发性耳聋小儿60例，根据保健方法的不同分为治疗组（30例）与对照组（30例），两组均给予常规治疗，在此基础上治疗组加用泻火治聋汤辅助治疗。结果：多因素logistic回归分析结果显示，外伤、病毒感染、合并耳部疾病与家族遗传是导致小儿突发性耳聋的主要独立危险因素。治疗组的治愈率与有效率分别为93．3％和100．0％，而对照组为76．7％和90．0％，治疗组的治愈率及有效率明显高于对照组，差异具有统计学意义（P〈0．05）。两组患者治疗后耳鸣、头晕症状评分在组内与组间对比差异均具有统计学意义（P〈0．05）。治疗后治疗组的SCL-90总分、阳性项目分与阴性项目分都明显低于对照组，差异具有统计学意义（P〈0．05）。结论：小儿突发性耳聋的发病因素包括外伤、病毒感染、合并耳部疾病与家族遗传，基于中医的临床保健能有效改善预后。
Objective： To investigate the risk factors of sudden deafness, explore the effect of clinical health care of traditional Chinese medicine on prognosis. Methods： Sixty children with sudden deafness treated in the hospital from January 2011 to December 2013 were selected and divided into treatment group and control group according to different health care methods, 30 children in each group; the children in the two groups were treated with routine therapy, on the basis of routine therapy, the children in treatment group were treated with Xiehuozhilong soup for adjuvant therapy. Results： Multivariate logistic regression analysis showed that trauma, viral infection, combining with ear disease and family history of ear disease were the major independent risk factors of sudden deafness. The cure rate and effective rate in treatment group were 93.3 % and 100. 0%, respectively, while the rates in control group were 76. 7% and 90.0%, respectively; the cure rate and effective rate in treatment group were statistically significantly higher than those in control group （P 〈 0. 05 ） . There were statistically significant difference in tinnitus and dizziness symptom scores after treatment between the two groups （P 〈 0. 05） . After treatment, the SCL- 90 total score, positive project score and negative project score in treatment group were statistically significantly lower than those in control group （P 〈 0. 05 ） . Conclusion： The risk factors of sudden deafness in children include trauma, viral infection, combining with ear disease and family history of ear disease, traditional Chinese medicine - based clinical health care can improve the prognosis.
出处
《中国妇幼保健》
CAS
北大核心
2014年第17期2737-2740,共4页
Maternal and Child Health Care of China
关键词
突发性耳聋
小儿
发病因素
临床保健
生活质量
Sudden deafness
Child
Risk factor
Clinical health care
Quality of life
