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目的探讨中耳灌注和静脉给地塞米松治疗神经性耳鸣的疗效。方法选择住院患者52例72耳神经性耳鸣患者,随机分为两组,治疗组采取中耳灌注地塞米松法,对照组采取静脉给地塞米松法。两组患者同时应用改善微循环营养神经药物和抗焦虑药物治疗。所有患者均根据临床症状判定疗效。结果治疗组总有效率为85%,对照组总有效率为63%。结论中耳灌注给药较静脉给药治疗神经性耳鸣不良反应少,效果好。
Objective To investigate the curative effect of middle ear perfusion and intravenous dexamethasone on neurogenic tinnitus. Methods Fifty-two patients with neurological tinnitus of 72 cases were selected and randomly divided into two groups. The treatment group received middle ear perfusion with dexamethasone and the control group received intravenous dexamethasone. Two groups of patients at the same time the application of microcirculation to improve neurotrauma and anti-anxiety drug treatment. All patients according to clinical symptoms to determine the efficacy. Results The total effective rate was 85% in the treatment group and 63% in the control group. Conclusion Compared with intravenous administration, middle ear perfusion is effective in treating adverse reactions of neurological tinnitus.