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摘要: 目的:研究鼠神经生长因子(NGF)辅助治疗突发性聋的临床疗效。方法:回顾性分析115例突发性聋患者,对照组采取常规治疗,采用改善微循环与激素冲击治疗,同时辅予能量合剂、口服甲钴胺营养神经治疗;NGF组在常规治疗的基础上辅予NGF肌注治疗;疗程均为14 d,比较2组总有效率。根据影响疗效的因素如年龄、病程以及治疗前PTA水平分成亚组进一步进行分析,比较各亚组的总有效率。结果:①NGF组总有效率显著高于对照组;②不论年龄大小,NGF组的疗效均显著高于对照组;③初诊时间在7 d以内的、治疗前PTA ≤ 60 dBHL的患者中,NGF组的有效率均显著高于对照组,而初诊时间为7 d以上的、治疗前PTA>60 dBHL的患者采用NGF治疗疗效并不优于传统治疗方法。结论:NGF可显著提高病程较短、治疗前PTA较低的突发性聋患者的显效率。对于这一部份人群可积极推广NGF的辅助治疗。对于病程较长且治疗前PTA较高的患者则不主张推广使用NGF的辅助治疗,而NGF治疗的选择不应考虑年龄的因素。Abstract: Objective: To study the clinical efficacy of mouse nerve growth factor (NGF) in the treatment of sudden deafness. Method: A retrospective analysis was performed on 115 cases of hospitalized patients who were suffered from sudden deafness. Patients were divided into two groups according to treatment medicine. Control group:patients were treated with intravenous vasodilators,energy mixture,steroid pulse therapy,and methylcobalamin neurotrophic therapy. NGF group:intramuscular NGF treatment was added on the basis of conventional therapy mentioned above. Both treatments lasted 14 days, the total efficiency were compared. Patients were further divided into sub-groups according to age, duration and the level of pre-treatment PTA, and the treatment efficiency was further compared. By SPSS 11.0 statistical analysis, a P<0.05 was considered as statistical significant difference. Result: ① The total efficiency of NGF group was significantly higher than control group. ② Regard of age, the efficiency of NGF treatment group was significantly higher than control group. ③ For the patients whose duration were less than 7 d, or the PTA ≤ 60 dBHL, the efficiency of NGF group were significantly higher. For the patients whose duration were more than 7 d, or the PTA>60 dBHL, the efficiency of NGF therapy was not superior to the traditional treatment. Conclusion: NGF can significantly improve the symptom of patients with short duration or low PTA. For this kind of patients, NGF adjuvant therapy should be recommended.For the patients with longer duration and higher level of PTA, NGF therapy is not advocated.NGF treatment should not be in consideration of the age.
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Key words:
- mouse nerve growth factor /
- sudden deafness /
- clinical efficacy
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