耳鼻咽喉科展望
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
当科における突発性難聴の治療成績について
後藤 治典馬場 廣太郎森 朗子島田 均古内 一郎新井 寧子
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1988 年 31 巻 Supplement4 号 p. 391-396

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The clinical data from 111 patients with sudden deafness who had visited in our clinic from 1982 to 1987 were selected in our study.
The number of patients tended to increase in recent years.
In these patients, the highest incidense was in fifth decade. There is no difference in sex distinction and side of ear.
The patients were divided into 4 groups. The first group was treated with traditional drugs with steroid, Vitamine B12 and ATP. The second group was treated with Lasix (Furosemide). The third group was treated with Prostaglandin E1 (PGE1). The fourth group was treated with Acyclovir (ACV).
The rate of efficacy in the traditional method group was 41.7%, in Lasix-ATP method group was 55.3%, in PGE1 method group was 44.0%, inACV method group was 57.1%, but there were no significant difference in the rate of efficacy in these 4 groups.
The Lasix-ATP therapy was effective for the cases of so-called scaling out, long time of the onset and old patients.
The ACV therapy was effective for the cases of so-called scaling out, early time of the onset and young patients. It is suggested that sudden deafness was probably caused by viral infection in the case of so-called scaling out and young patients.

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