Clinical curative effect of sulfotanshinone sodium injection for treatment of patients with sudden deafness / 中国中西医结合急救杂志

ABSTRACT

Objective To explore the mechanism of sulfotanshinone sodium injection in treatment of patients with sudden deafness (SD).Methods Sixty patients with SD admitted to the Department of Otorhinolaryngology of Wuxi Traditional Chinese and Western Medicine Hospital from January to December 2016 were enrolled, and they were randomly divided into a study group and a control group (each 30 cases). The same basic treatment was given in the two groups, the patients in the study group were treated with sulfotanshinone sodium 40 mg intravenous (IV) drip, while the patients in the control group were treated with vinpocetine sodium chloride 20 mg IV drip, once a day for consecutive 14 days to complete a therapeutic course, and two courses were carried out in bothgroups. Before and after treatment, the changes of hearing threshold, indexes of hemorheology and immune function were compared between the patients in the two groups, and the clinical efficacy and adverse reactions in the two groups were observed.Results After treatment, the hearing threshold, hemorheology indexes, immune function index of CD8+ were significantly lower than those before treatment, while the CD3+, CD4+, CD4+/CD8+ ratio were significantly higher than those before treatment in the two groups, and the above changes of indexes were more obvious in the study group than those in the control group hearing [threshold (dB) 16.63±2.04 vs. 17.15±1.88, plasma viscosity (PV, mPa·s) 1.27±0.14 vs. 1.31±0.11, whole blood middle shearing viscosity (mPa·s) 4.77±0.33 vs. 4.95±0.28, whole blood high shearing viscosity (mPa·s) 3.86±0.25 vs. 4.00±0.31, erythrocyte aggregation index (EAI) 1.57±0.29 vs. 1.72±0.34, CD3+ 0.70±0.05 vs. 0.64±0.05, CD4+ 0.43±0.04 vs 0.37±0.03, CD8+ 0.32±0.04 vs. 0.34±0.03, CD4+/CD8+ 1.36±0.32 vs. 1.18±0.27]; the degree of whole blood low shearing viscosity (mPa·s 6.72±0.80 vs. 7.01±1.13) and hematocrit (HCT 0.38±0.04 vs. 0.40±0.03) decreasing weremore significant in the control group than those in the study group. The total effective rate was higher in study group than that in the control group [86.67% (26/30) vs. 83.33% (25/30)], but the difference between the two groups was not statistically significant (P > 0.05); the incidence of adverse reactions in the study group was markedly lower than that in the control group [3.33% (1/30) vs. 20.00% (6/30),P < 0.05].Conclusions Sulfot anshinone sodium injection can effectively enhance the SD patients' hearing, and improve their hemorheology indexes and immune function; the therapeutic results of sulfotanshinone sodium injection in safety and improvement in immune function are superior to those of vinpocetine sodium chloride injection.