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首页> 美国卫生研究院文献>International Archives of Otorhinolaryngology >Utility of Hyperbaric Oxygen Therapy for Acute Acoustic Trauma: 20 years Experience at the Japan Maritime Self-Defense Force Undersea Medical Center
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Utility of Hyperbaric Oxygen Therapy for Acute Acoustic Trauma: 20 years Experience at the Japan Maritime Self-Defense Force Undersea Medical Center

机译：高压氧疗法在急性声创伤中的应用：在日本海上自卫队海底医疗中心拥有20年的经验

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>Introduction  Acute acoustic trauma, which is a kind of sensorineural hearing loss, is caused by acoustic overstimulation. Hyperbaric oxygen therapy (HBOT) is reported to be effective against acute acoustic trauma. >Objective  We aimed to evaluate the efficacy of HBOT against acoustic hearing loss based on our 20 years of experience with such cases. >Methods  Patients who were treated with HBOT for acute acoustic trauma between April 1997 and August 2017 were evaluated in this study. Thirty-five patients with a mean age of 25.7 ± 9.2 (range: 16–48) years were included. Thirty-nine out of 70 ears (35 patients) were damaged. We investigated the initial level of hearing loss; the extent to which hearing recovered; subjective symptoms, such as tinnitus and aural fullness; and the treatment administered. >Results  The planned HBOT was completed in 37 of 39 ears. Twenty-six of the 37 ears (70.2%) displayed improved hearing, and 31 of the 37 ears (83.9%) exhibited symptom improvement. Twenty-three (76.7%) and 26 (86.7%) of the 30 ears treated with steroids demonstrated improvements in hearing and subjective symptoms, respectively. >Conclusion  A combination of HBOT and steroids should be considered as a treatment for acute acoustic trauma in cases involving symptoms such as tinnitus and aural fullness.
机译：>简介急性声损伤是一种过度的听觉刺激引起的感觉神经性听力损失。据报道，高压氧疗法（HBOT）可有效对抗急性声创伤。 >目的我们旨在根据我们20年来在此类病例中的经验来评估HBOT对听力丧失的疗效。 >方法本研究对1997年4月至2017年8月期间接受HBOT治疗的急性声创伤患者进行了评估。纳入平均年龄为25.7±±9.2岁（范围：16-48）的35例患者。 70只耳朵中有39只（35例）受损。我们调查了听力损失的初始水平；恢复听力的程度；主观症状，例如耳鸣和听觉充盈；并进行治疗。 >结果计划的HBOT在39只耳朵中的37只完成。 37耳中的26耳（70.2％）表现出听力改善，而37耳中的31耳（83.9％）表现出症状改善。用类固醇治疗的30只耳朵中有23只（76.7％）和26只（86.7％）分别表现出听觉和主观症状的改善。 >结论 in在涉及耳鸣和耳部充盈等症状的情况下，应考虑将HBOT和类固醇联合使用作为急性声创伤的治疗方法。

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