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目的:耳鸣是目前临床迫切需要解决的难题,笔者在临床治疗时应用耳聋胶囊具有较好疗效,故将此经验做以总结。方法:予30例病人治疗前纯音电测听检查后给耳聋胶囊(唐山景忠山药业有限公司,主要用药:龙胆、黄芩、栀子、地黄、九节菖蒲、当归、羚羊角、泽泻、甘草、川木通。主要功效:清肝泻火,利湿通窍)口服,每日二次,每次3粒,维生素B1片口服,每日三次,每次20mg,连续服用2周,观察耳鸣改善程度,疗程结束时复查电测听。治疗期间嘱病人噪声防护。结果:病例中服用药物1周耳鸣症状消失者占总数的23.3%;治疗8天耳鸣开始减退,2周症状消失者占26.6%;33.3%患者耳鸣有明显改善;16.6%的患者疗程结束后耳鸣不能改善(全部为在从业噪声工作10年以上者)。所有病人疗程结束后复查电测听提示1/3病人骨气导高频区较治疗前提高5dB,但感觉听力无改善。结论:病例中耳鸣治疗有效率83%,但听力无明显提高。治疗期间除少数病人服药后有胃肠道不适外未发现其他不良反应。清肝泻火,利湿通窍符合治疗该种耳鸣的证候,可以用于治疗噪声引起的耳聋。
Objective: Tinnitus is the urgent need to solve clinical problems, the author in the clinical treatment of deafness capsule has a good effect, so this experience to do to summarize. Methods: Before treatment, 30 patients were treated with pure tone electric sounding and hearing test. After deafness capsule (Tangshan Jingzhongshan Pharmaceutical Co., Ltd.), the main drugs were gentian, skullcap, gardenia, rehmanniae, iris, angelica, , Licorice, Chuanmutong. Main effects: Liver purging fire, dampness Tongqiao) oral, twice daily, each 3 capsules, vitamin B1 tablets orally, three times daily, each 20mg, taking two consecutive weeks of observation Tinnitus improvement, the end of the treatment review of electrical measurements. Instruct the patient during the treatment of noise protection. Results: Tinnitus disappeared in 1 week after treatment in 23.3% of the patients. Tinnitus began to decrease on the 8th day after treatment, 26.6% disappeared in 2 weeks, tinnitus was significantly improved in 33.3% of patients, tinnitus was found in 16.3% of patients after treatment Can not be improved (all for more than 10 years working in the noise). Review of all patients after the end of the course of electrical audiometry prompts 1/3 of patients with high-frequency bone conduction area than before treatment to improve 5dB, but no improvement in hearing. Conclusion: Tinnitus treatment in patients with effective rate of 83%, but no significant improvement in hearing. During treatment, except for a small number of patients with gastrointestinal discomfort after taking no other adverse reactions were found. Liver purging fire, dampness Tongqiao in line with the treatment of such tinnitus syndrome, can be used to treat noise caused by deafness.