陈晓剑　杨蓓蓓

[摘要] 目的 研究分析感音神经性耳聋的相关致病因素及中西医结合治疗的疗效。 方法 回顾性分析2010年1月～2012年1月入院治疗的感音神经性耳聋的224例患者的临床资料，并对耳聋的危险因素进行分析。将其按照治疗方法分为对照组和实验组各112例。其中对照组应用西医药物和激素治疗，实验组在对照组基础上应用中西医结合治疗。比较两组患者的临床疗效及生活质量改善情况。 结果 造成感音神经性耳聋的主要原因有内耳病毒感染（20.10%）、累及听觉传导通路的炎症（17.84%）、听神经病（14.73%）、年龄相关性耳聋（14.29%）。实验组痊愈54例（48.21%），总有效率93.43%，复发10例（8.93%）；对照组痊愈22例（19.64%），总有效率84.82%，复发21例（18.75%）。实验组的生活质量好于对照组。 结论 应用中西医结合治疗感音神经性耳聋具有良好的疗效，且患者的生活质量明显提高。

[关键词] 感音神经性耳聋；相关因素；中西医结合治疗

[中图分类号] R764.43 [文献标识码] B [文章编号] 1673-9701（2014）12-0082-03

[Abstract] Objective To study the sensorineural deafness related pathogenic factors and the effect of combining traditional Chinese and western medicine treatment. Methods Retrospectively analyzed the clinical data of 224 cases with sensorineural deafness at hospital from January 2010 to January 2012. According to the treatment method， the patients were divided into control group and experimental group of 112 cases each. The control group applied western medicine and hormone treatment， and the experimental group combined therapy of traditional Chinese medicine based on the control group. The therapeutic effect and quality of life after treatment between the two groups of patients were compared. Results The cause sensorineural deafness was the main reason of the inner ear virus infection（20.10%）， accumulated auditory pathway inflammation （17.84%）， listen to neuropathy（14.73%）， age-related deafness（14.29%）. The recovery 54 cases （48.31%）， the total effective rate 93.43%， recurrence 10 cases （8.93%）； Control group healed 22 cases （19.64%）， the total effective rate 84.82%， recurrence 21 cases（18.75%）. The quality of life of the experimental group was better than that of the control group. Conclusion The application of combining traditional Chinese and western medicine treatment of sensorineural deafness has good curative effect， and obviously improves the quality of life of the patients.

[Key words] Sensorineural deafness； Related factors； Combining traditional Chinese and western medicine treatment

感音神经性耳聋患者的内耳听觉神经和听觉中枢神经产生病变，导致听力减退，严重者甚至出现听力消失[1]。当引起病变的原因为毛细胞病变时，患者会出现重振现象，当患者的听神经和相应的传导路径出现病变时，患者的语言辨别率会出现下降[2]。本文分析了导致感音神经性耳聋的相关因素，并采用中西医结合的治疗方案予以治疗，现报道如下。

1 资料与方法

1.1 一般资料

回顾性分析2010年1月～2012年1月入院治疗的突发性耳聋的224例患者的临床资料，所有患者均采用中华医学会制定的耳鼻喉科中突发性耳聋诊断标准确诊为感音性耳聋[3]。……