| 星狀神經節阻斷療法對突發性耳聾有顯著效果 |
| 陳俊峰醫師專區 - 星狀神經節阻斷療法 |
| 週五, 04 六月 2010 00:52 |
 Effectiveness of Stellate Ganglion Block for Sudden Deafness
Time Differences of a Start of Stellate Ganglion Block Hikaru MIYAMOTO*1, Keiko SUZUKI*1, Shinsuke HAMAGUCHI*1, Yukio MIDORIKAWA*1, Yasuhisa OKUDA*1, Toshimitsu KITAJIMA*1, Koutarou BABA*2 *1 First Department of Anesthesiology, Dokkyo University School of Medicine
The prognosis of sudden deafness depends on the time duration from the onset to the treatment. Otolaryngologists suggest that the prognosis is poorer if the treatment is started 9 days after the onset. We examined the effectiveness of stellate ganglion block (SGB) for sudden deafness according to the time differences of a start of SGB. Ninety-one patients scheduled to undergo SGB were divided into two groups : those who were receiving SGB within 8 days of onset, and those who were receiving SGB 9 days after the onset. Treatment was effective in 68.8 % of the 16 patients who underwent SGB within 8 days of the onset, and in 69.3% of the 75 patients who underwent SGB 9 days after the onset. There was no statistically significant difference between them. Furthermore, we divided the latter 75 patients into two groups : those who were receiving SGB within three weeks of the onset and three weeks after the onset. Treatment was effective in 76.9% of the patients who underwent SGB within 3 weeks of onset, and in 52.2% of the 23 patients who underwent SGB 3 weeks after onset. A statistically significant difference between them was found. We conclude that SGB should be performed within three weeks of the onset of sudden deafness. The Journal of the Japan Society of Pain Clinicians (JJSPC) Vol. 4 No. 2, 1997
sudden deafness: 突發性耳聾 stellate ganglion block:星狀神經節阻斷療法 |