降脂治疗对突发性聋合并高脂血症患者的疗效分析
作者简介:

周芳,Email:zhoufang0213@163.com

基金项目:

湖南省卫生健康委员会科技计划项目(20201960)。


Analysis of the therapeutic effect of lipidlowering therapy on patients with sudden hearing loss combined with hyperlipidemia
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    摘要:

    摘要:目的探讨联合降脂治疗对突发性聋合并高脂血症患者的疗效。方法回顾性分析2017—2019年住院的181例突发性聋合并高脂血症患者的临床资料,并对联合降脂治疗组患者及非降脂治疗组患者治疗前后纯音听阈测试(PTA)差值及总体有效率进行比较。结果降脂治疗组及非降脂治疗组患者治疗前后PTA差值分别为(24.8±14.3)dB及(19.6±13.2)dB,总体有效率分别为67.1%及52.1%,两组经比较差异均具有统计学意义(P均<0.05)。结论联合降脂治疗可显著改善突发性聋合并高脂血症患者的听力恢复程度。对于无明显治疗禁忌证的患者,在与其充分沟通,获得患者的理解和同意后,可以尝试联合应用降脂治疗改善预后。

    Abstract:

    ObjectiveTo explore the therapeutic effect of a combined lipidlowering therapy on sudden hearing loss patients with hyperlipidemia.MethodsIt was analyzed retrospectively for the clinical data of 181 patients diagnosed with sudden hearing loss and hyperlipidemia who were hospitalized from 2017 to 2019. The differences of the average hearing threshold (Pure Tone Audiometry, PTA), and the total effective rate was compared before and after treatment in the group with combined lipidlowering therapy and the group without lipidlowering therapy.ResultsThe differences of the PTA before and after treatment were (24.8±14.3)dB and (19.6±13.2)dB, respectively. And the total effective rates were 67.1% and 52.1% respectively. The differences between the two groups were statistically significant (all P<0.05).ConclusionThe combined lipidlowering therapy can significantly improve the hearing recovery of sudden hearing loss patients with hyperlipidemia. For the patients without obvious treatment contraindications, after fully communicating with them and obtaining the understanding and consent from the patients, the combination of lipidlowering therapy can be tried to improve the prognosis.

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曾瑞芳,杨中纯,蔡岳祥,周芳.降脂治疗对突发性聋合并高脂血症患者的疗效分析[J].中国耳鼻咽喉颅底外科杂志,2020,26(2):167-170

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