Analyse The Prognosis Correlation Factors Of Sudden Deafness Patients Treated By Combination Of TCM And Western Medicine

Objective:The main topic of retrospective analyse the sudden deafness patients' who treated by combination of traditional Chinese medicine and Western medicine. We choose such factors which may be influence the patient' s prognosis from the data, forexample, patients' sex, age, blood-types, season, the beginning time of therapy, length of stay, hearing lose degree, audiogram, accompanying symptom,accompanying disease and so on, then carry out statistic analysis, discuss whether they affects the sudden deafness patients' prognosis or not. Expect to be able to provides the certain basis about treatment and prognosis' decision.Methods:According to the selection and exclusion criteria, the 175 examples, who total hospitalization in ENT department of Guang Dong province TCM hospital, treated by combination of TCM and Western medicine, from 2003 June to 2006 June, grouping them by different sex, age, blood-types, ill ear, season, audiogram, hearing lose degree, treat medicine, the beginning time of therapy, length of stay ,accompanying vertigo, tinnitus, hypertension, diabetes, cervical spondylosis,cerebral arteriosclerosis, abnormal blood-fat and so on. Then use the chi-square criterion and logistic multiple regression analysis to analyse the patients' data.Result:In total 175 examples patients (198ears) ,there are 89 male, 86 female, mean age is 48.16±16.67,14.31±8.01days in averagely time length of stay, 40 patients had cervical spondylosis, 54 patients had abnormal blood-fat, 24 patients had hypertensions, 8 had diabetes, 26 had cerebral arteriosclerosis, 70 patients had vertigo, 141 patients had tinnitus, 46 patients morbidity in spring, 45 in summer, 49 in autumn, and 35 in winter.The result of single factor analyses, the total effective rate is 57.7%,the 4 groups which uses different medicine have respectively efficiency: A group (Batroxobin),59.5%,B group(Batroxobin+Ligustrazine),70.3%,C group (Ginaton), 42.5%,D group (Kaishi),51.5%.The B group patients had the best prognosis.The other correlation factors of prognosis, such patients ' sex, age,blood-types, ill ear, morbidity season, length of stay, accompanying vertigo,tinnitus, hypertension, diabetes, cervical-spondylosis, cerebralarteriosclero sis etc. are pointed have not influence on patient' s prognosis(p＞0.05).The different medicine, beginning to cure time, audiogram, hearing lose degree,abnormal blood-fat would be connected with the prognosis(p＜0.05).In the logistics regression analysis, only the medicine, beginning to cure time, audiogram, have correlativity with patiens' prognosis(p＜0.05).Conclusions:The A group patients who use Batroxobin have the better curative effect then the other 3 groups. Early phase to see a doctor is helpful to patients recovering from the illness. The patients had ascensus type audiogram would have better prognosis then the other audiogram patients. Patients' sex, age, blood-types,ill ear, morbidity season, hearing lose degree, length of stay, accompanying vertigo, tinnitus, hypertension, diabetes, cervical spondylosis, cerebral arteriosclerosis, abnormal blood fat and so on, have not significant influence to patient' s prognosis(p＞0.05).