何婷婷 卢坚 吴树浓 李柏滋 邹健华

摘 要 目的：观察利多卡因耳后注射治疗突发性聋伴耳鸣对患者听力及预后的影响。方法：选取2018年3月至2020年3月在我院进行治疗的98例突发性聋伴耳鸣患者，依据随机数字表法平均分为两组，对照组（n=49）进行常规血液流变学治疗，观察组（n=49例）在对照组治疗方案基础上进行利多卡因耳后注射。对比分析两组治疗前和治疗10 d后的纯音听阈值均值（PTA）、耳鸣评价量表（TEQ）评分，并评价两组疗效。结果：两组治疗前的PTA 水平和TEQ评分对比，差异均无统计学意义（P>0.05）；治疗10 d后，两组的PTA水平和TEQ评分均显著下降，且观察组下降幅度显著大于对照组（P<0.05）。治疗10 d后，观察组的总有效率显著高于对照组（P<0.05）。结论：应用利多卡因耳后注射治疗突发性聋伴耳鸣，利于患者的听力水平改善，可缓解耳鸣等临床症状，提高治疗效果。

关键词 突发性聋 耳鸣 利多卡因 耳后注射 听力

中图分类号：R971.2； R764.4 文献标志码：B 文章编号：1006-1533（2021）03-0024-03

Effect of retroauricular injection of lidocaine on hearing and prognosis in patients with sudden deafness and tinnitus

HE Tingting*， LU Jian， WU Shunong， LI Baizi， ZOU Jianhua

（Department of Otolaryngology， the Peoples Hospital of Jiangmen City， Guangdong Jiangmen 529000， China）

ABSTRACT Objective： To observe the effect of retroauricular injection of lidocaine on hearing and prognosis of patients with sudden deafness and tinnitus. Methods： A total of 98 patients with sudden deafness and tinnitus who were treated in our hospital from March， 2018 to March， 2020 were randomly divided into two groups. The control group （n=49） was treated with routine hemorheology treatment， and the observation group （n=49） was treated with retroauricular injection of lidocaine on the basis of the treatment plan of the control group. The mean value of pure tone hearing threshold - pure tone average （PTA） and Tinnitus Evaluation Questionnaire （TEQ） scores before and 10 days after treatment were compared between the two groups. And the curative effect of the two groups was evaluated. Results： There was no significant difference in PTA level and TEQ score between the two groups before treatment （P>0.05）. After 10 days of treatment， the PTA level and TEQ score of the two groups decreased significantly， and the decrease of the observation group was significantly greater than that of the control group （P<0.05）. After 10 days of treatment， the total effective rate of the observation group was significantly higher than that of the control group （P<0.05）. Conclusion： The application of retroauricular injection of lidocaine in the treatment of sudden deafness with tinnitus can improve the hearing level of patients， relieve the clinical symptoms such as tinnitus， and improve the therapeutic effect.

KEY WORDS sudden deafness； tinnitus； lidocaine； retroauricular injection； hearing

突發性聋（sudden hearing loss，SHL），简称“突聋”，是指突然发生的、原因不明的感音神经性听力损失。其主要临床表现为听力下降同时伴有耳鸣、耳闷塞感、眩晕、恶心、呕吐等症状。其发病急，进展快，由于发病位置的特殊性，会给患者社交等方面造成较大影响，从而导致不良情绪的发生，严重者很有可能造成抑郁等症状。其疗效与就诊时间密切相关，因此早期有效的治疗至关重要[1]。利多卡因对神经性耳聋及耳鸣的辅助治疗作用经过了一定的临床验证，本文进一步研究了利多卡因耳后注射治疗突发性聋伴耳鸣对患者听力及预后的影响，现报告如下。

1 资料与方法

1.1 一般资料

选取我院2018年3月至2020年3月进行治疗的98例突发性耳聋伴耳鸣患者，依据随机数字表法分为对照组（n=49例）与观察组（n=49例）。对照……