251例突发性聋预后相关因素的疗效分析

发布时间：2018-01-16 22:05

本文关键词：251例突发性聋预后相关因素的疗效分析　出处：《中国中西医结合耳鼻咽喉科杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的探讨突发性耳聋患者的临床疗效及预后相关因素。方法回顾性分析251例(261耳)突发性耳聋患者的临床资料,应用统计学方法对患者的性别、年龄、发病至就诊时间、耳鸣、眩晕、听力损失程度及听力损失曲线类型进行分析,观察其各因素与突发性耳聋近期疗效的相关性。结果 251例(261耳)突发性耳聋患者中,痊愈53耳(20.31%),显效27耳(10.34%),有效82耳(31.42%),无效99耳(37.93%),总有效率为62.07%.突发性耳聋的疗效与患者性别、耳鸣无关(P0.05),与患者就诊时间,听力损失程度及听力损失曲线类型、年龄、伴发眩晕有关;在发病7d内就诊、听力损失轻中度、听力损失曲线类型为上升型、凹陷型及不伴眩晕的患者预后较好。结论发病至就诊时间、听力损失曲线类型及损失程度、患者年龄、伴发眩晕与突发性耳聋的预后有一定的相关性,而性别、伴发耳鸣与预后无明显相关性。
[Abstract]:Objective to investigate the clinical efficacy and prognostic factors of sudden deafness. Methods the clinical data of 251 patients with sudden deafness were analyzed retrospectively. Age, time from onset to visit, tinnitus, vertigo, degree of hearing loss and type of hearing loss curve were analyzed. Results among 251 patients with sudden deafness, 53 ears (20.31 ears) were cured. The total effective rate was 62.07. The total effective rate was 62.07. The effect of sudden deafness was related to the sex of the patients. Tinnitus was not related to the patient's visit time, hearing loss, type of hearing loss curve, age, accompanied by vertigo. Within 7 days of onset, the hearing loss was mild to moderate, the type of hearing loss curve was ascending, the depression type and the patients without vertigo had a better prognosis. Conclusion from onset to visit, the type and degree of hearing loss curve are good. Age, vertigo associated with sudden deafness were associated with prognosis, but gender, tinnitus and prognosis were not significantly correlated.
【作者单位】：广东省中医院耳鼻咽喉科;
【分类号】：R764.437
【正文快照】： 突发性聋是指突然发生的原因不明的感音神经性听力损失,多发生于数分钟、数小时或3d内,至少在相连的2个频率听力下降20d B以上[1],是耳鼻咽喉科常见急诊病之一。近年其发病率有逐年增加的趋势,且患者日趋年轻化,突发性聋的病因及发病机制并不十分清楚,其治疗方案呈现出综合性

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