产褥期突发性耳聋的诊治经验
作者:
作者简介:

刘环海,Email:liuhuanhaiok@sina.com


Experience in diagnosis and treatment of sudden puerperal deafness
Author:
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
    摘要:

    目的探讨产褥期妇女突发性耳聋的治疗方案,积累治疗经验。方法选取2例产褥期突发性耳聋患者,分析其耳聋分型及听力损失级别,充分考虑患者所处的特殊时期,2例患者均采用2~3周短期断乳+改善内耳微循环药物治疗方案。采用改善内耳微循环、抗凝、营养神经、口服糖皮质激素等综合治疗方法。结果2例患者均取得满意的治疗效果。病例1停药后7 d复诊,眩晕消失,患耳各频率听力提高50 dB左右。病例2停药后7 d复诊,眩晕基本缓解,耳鸣减轻,患耳各频率听力提高30 dB左右。两例患者均在停药后1周恢复哺乳,1个月后复查,新生儿发育正常,患者听力稳定,无再次下降。结论妊娠合并突发性耳聋药物治疗主要以营养神经为基础,配合改善循环、清除自由基,改善情绪,调整睡眠等治疗,且强调早期治疗,用药期间建议短期断母乳,牛乳喂养,停药后1周恢复哺乳,不会造成新生儿营养不良。

    Abstract:

    ObjectiveTo explore the treatment of sudden deafness in puerperal women, which will accumulate the experience of treatment.MethodsTwo cases of puerperal sudden deafness were selected. The classification of deafness and the level of hearing loss were analyzed. The special period of the patients was fully taken into account. The two patients were treated with 2~3 weeks of shortterm weaning plus medication for the microcirculation of the inner ear. The methods of improving inner ear microcirculation, anticoagulation, nutritive nerve and oral glucocorticoid were used.ResultsSatisfactory therapeutic results were obtained in 2 patients. In case 1, the vertigo disappeared 7 days after drug withdrawal, and the hearing of the affected ear was improved by about 50 dB at each frequency. The second case was returned to the doctor 7 days after drug withdrawal, and the vertigo was basically relieved, the tinnitus was relieved, and the hearing of each frequency of the affected ear was improved by about 30 dB. Both patients resumed lactation 7 days after drug withdrawal, and their reexamination 1 month later showed normal neonatal development, stable hearing of the patients and no further decline.ConclusionsThe drug treatment of sudden deafness in pregnancy is mainly based on nutritional nerve, combined with improving circulation, scavenging free radicals, improving mood, adjusting sleep, etc. And the emphasis is on early treatment. It is recommended to feed milk for in the short term, and cut off breast milk during the medication period, and resume lactation one week after drug withdrawal, which will not cause neonatal malnutrition.

    参考文献
    相似文献
    引证文献
引用本文

王海燕,王天宇,梁才全,邹庆云,周梦夏,查旭东,蔡博宇,杜昱聪,刘环海.产褥期突发性耳聋的诊治经验[J].中国耳鼻咽喉颅底外科杂志,2020,26(5):570-572

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 在线发布日期: 2020-10-29
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭