돌발성 난청 환자에서 Lasix, 비타민, Carbogen 흡입 병합 요법의 치료 효과와 치료 시기에 따른 예후 인자의 분석

김훈; 양훈식; 서강욱; 홍영호; 김경수; 김희종

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자료유형: 학술저널

저자정보: 김훈 양훈식 서강욱 홍영호 김경수 김희종

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제2호

발행연도: 2005.1

수록면: 146 - 152 (7page)

이용수

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연구주제

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연구배경

🔬

연구방법

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연구결과

초록· 키워드

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Background and Objectives：Sudden sensorineural hearing loss generally refers to hearing losses of sensorineural origin, which have evolved over a period of a few hours to a few days. Therapy follows a polypragmatic approach based on the different theories of its origin. Therefore, drugs applied are mainly antiinflammatory, antiviral and vasoactive in nature. The likelihood of recovery is influenced by the shape of the audiogram, the age of the patients, and the presence or absence of vertigo. Very little information is available about the results of therapy for sudden sensorineural hearing loss with the delayed treatment. In this study, we evaluated the prognostic factors and therapeutic results of Lasix-Vitamin and carbogen inhalation therapy on sudden sensorineural hearing loss depending on the initiation time of treatment. Subjects and Method：We studied 167 cases of sudden sensorineural hearing loss, which were treated with Lasix-Vitamin and carbogen inhalation therapy at the Chung-Ang University Hospital from May 1990 to April 2004. In a retrospective chart review, we evaluated the prognostic factors and the results depending on different beginning time of treatment. Results：The therapeutic results showed that 90 cases (53.9%) gained hearing recovery. Patients who were treated within 7 days of onset showed recovery in 64 cases (76.2%), but 26 cases (31.3%) of the patients with who began treatment later than 8 days showed improvement of 15 dB or more in hearing threshold in pure tone audiometry. Among many prognostic factor, dizziness showed statistically significant correlation with the final result of hearing recovery in the delayed treatment group. Conclusion：The patients with sudden sensorineural hearing loss must be treated within 7 days, and dizziness is significant prognostic factor of patient with delayed treatment

#돌발성 난청·치료·예후인자. #Suden hearing loss· Treatment· Prognosis.

참고문헌 (20)

참고문헌 신청

/ / Interaction of kanamycin and

/ / Natural history of sudden sensorineural

/ 1944 / Sudden complete or partial loss of function of the octarus system in apparently normal person 32 : 407 ~ 29

/ 1972 / Ethacrynic acid induced hearing loss in guinea pigs 73 : 476 ~ 83

/ 1973 / Management of fluctuant hearing loss 97 : 118 ~ 24

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