|
|
Meta-analysis of Clinical Efficacy of Methylprednisolone Sodium Succinate for Sudden Deafness by Retroauricular Injection |
LIU Wen, HUANG Xiao-que |
Department of Otolaryngology,Chong Gang General Hospital,Chongqing,400080,China |
|
|
Abstract 【Objective】To evaluate the efficacy of retroauricular injection of methylprednisolone sodium succinate in the treatment of sudden deafness. 【Methods】Pubmed, Medline, CNKI, CBM, Weipu and Wanfang databases were retrieved electronically. Literatures that met the inclusion criteria were collected and data were extracted. RevMan 5.3 was used for meta-analysis. 【Results】14 literatures were included. Meta analysis showed that on the basis of routine treatment, the curative effect of retroauricular injection group was better than that of systemic hormone group, with RR (95% CI) of 1.29 (1.19, 1.40); the curative effect of retroauricular injection group was better than that of routine treatment except systemic hormone, with RR (95% CI) of 1.34 (1.10, 1.64); and the effect of systemic glucocorticoid therapy was better than that of systemic hormone therapy for sudden deafness. After injection of methylprednisolone sodium succinate, the curative effect was higher than that of the conventional treatment group, its RR (95% CI) was 1.13 (1.02, 1.26). 【Conclusion】Retroauricular injection of methylprednisolone sodium succinate is effective in the treatment of sudden deafness, which is worthy of promotion in clinical practice.
|
Received: 30 July 2018
|
|
|
|
|
[1] Stachler RJ,Chandrasekhar SS,Archer SM,et al.Clinical practice guideline:sudden hearing loss[J].Otolaryngol Head Neck Surg,2012,146(3 Suppl):S1-S35. [2] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.突发性耳聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447. [3] 詹俊杰,孙佳,张爱华,等.耳后注射甲泼尼龙琥珀酸钠辅助治疗突发性耳聋疗效观察[J].黑龙江医药科学,2014,37(4):79. [4] 陶静,王小飞,丁莉.耳后注射甲泼尼龙琥珀酸钠治疗突发性耳聋的临床疗效[J].中国现代医生,2017,55(4):71-73. [5] 易涛,范周洪.耳后注射甲泼尼龙琥珀酸钠治疗突发性耳聋的临床疗效[J].临床合理用药,2016,9(5C):72-73. [6] 张永强.耳后注射甲强龙治疗突发性耳聋的疗效观察[J].中国医药指南,2015,13(28):161. [7] 赵伟.甲泼尼龙耳后注射对突发性耳聋治疗的疗效分析[J].北方医药,13(3):46-47. [8] 刘艳娟,姜学钧,李军.甲泼尼龙耳后注射对突发性耳聋治疗的疗效分析[J].中国医药指南,2014,12(34):139-140. [9] 班正锋.甲泼尼龙琥珀酸钠耳后注射治疗突发性耳聋的疗效观察[J].医学临床研究,2017,34(1):171-173. [10]刘晓蓉.甲泼尼龙琥珀酸钠耳后注射治疗突发性耳聋的临床效果观察[J].临床合理用药,2016,9(12):77. [11]吴真.甲强龙耳后注射对突发性耳聋的疗效分析[J].临床医药文献杂志,2017,4(64):12552. [12]田小娟.甲强龙四种不同给药途径治疗突发性耳聋疗效比较[J].药物与临床,2017,26(2):180-181. [13]高宝玉,邵长宝,史春和,等.乳突骨膜下注射甲泼尼龙琥珀酸钠治疗突发性耳聋的临床疗效[J].陕西医学杂志,2014,43(8):1097-1098. [14]张运波,杨艺全,习国平,等.乳突骨膜下注射甲泼尼龙琥珀酸钠治疗突发性耳聋[J].听力学及言语疾病杂志,2012,20(4):375-376. [15]潘跃彬.糖皮质激素不同给药途径治疗突发性耳聋临床观察[D].贵阳:贵阳医学院,2013. [16]陈金霞,张庆翔,李光飞,等.注射用甲泼尼龙琥珀酸钠耳后注射治疗突发性耳聋[J].中国耳鼻咽喉头颈外科,2014,21(12):640-642. [17]王晓明,温丽慧,吕忠.耳后注射甲泼尼龙琥珀酸钠与地塞米松治疗平坦型突发性耳聋的对比研究[J].中国耳鼻咽喉头颈外科杂志,2017,24(1):28-30. [18]静媛媛,余力生,马鑫,等.耳后注射甲强龙治疗难治性突发性耳聋疗效分析[J].中华耳科学杂志,2014,12(3):452-454. [19]许鹏,赵群,王英力,等.耳后注射甲泼尼龙对全聋型突发性耳聋疗效分析[J].兰州大学学报(医学版),2017,43(1):56-59. [20]吴思恩,李清明,黄素红.耳后注射甲基泼尼松龙治疗低中频下降型突发性耳聋的疗效观察[J].临床耳鼻咽喉头颈外科杂志,2015,29(10):928-930. [21]高妍,王春利,郑艳.耳后注射联合口服激素治疗平坦下降型突发性耳聋的临床疗效分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(21):1639-1641. [22]董瑞.糖皮质激素不同给药途径治疗突发性耳聋的疗效分析[D].山西:山西医科大学,2015. |
[1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(9): 1809-1810. |
|
|
|
|