目的探讨椎动脉型颈椎病(VACS)合并特发性突聋患者高压氧(HBO)综合治疗的临床疗效。方法由VACS引起的椎基底动脉供血不足(VAI)并伴有特发性突聋患者59例,采用HBO结合药物治疗,为对照组;同类特发性突聋患者46例,在HBO治疗的基础上进行颈椎牵引治疗,为HBO综合治疗组。结果HBO综合治疗组与对照组治疗特发性突聋的总有效率分别为97.8%,91.5%(P>0.05),治愈率分别为62.5%,30.5%(P<0.01)。对两组痊愈者随访半年,HBO综合治疗组和对照组的复发率分别为6.7%,33.3%(P<0.05)。结论HBO是治疗特发性突聋的一种有效方法,结合针对病因的综合治疗,可以提高治愈率,减少复发。 Objective To investigate the clinical effects of hyperbaric oxygen (HBO) in patients with vertebral artery type cervical spondylosis (VACS) complicated idiopathic deafness. Methods Fifty-nine patients with vertebrobasilar insufficiency (VAI) accompanied by idiopathic sudden deafness caused by VACS were treated with HBO combined with drugs. The control group consisted of 46 patients with idiopathic sudden deafness On the cervical traction treatment for HBO comprehensive treatment group. Results The total effective rate of HBO combined treatment group and control group was 97.8% and 91.5% respectively (P> 0.05). The cure rates were 62.5% and 30.5% respectively (P <0.01). After six months of follow-up, the recurrence rates of HBO-treated and control groups were 6.7% and 33.3%, respectively (P <0.05). Conclusion HBO is an effective treatment for idiopathic sudden deafness. Combined with the comprehensive treatment of etiology, HBO can improve the cure rate and reduce recurrence.