突发性聋患者耳鸣临床特征及其疗效的相关因素分析

发布时间：2018-03-06 22:17

本文选题：聋　切入点：突发性　出处：《广西医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：通过探讨突发性聋伴耳鸣患者的临床特征、与突发性聋疗效的关系,以及影响耳鸣疗效的相关因素,为突发性聋伴耳鸣患者的临床诊治及预后判断提供依据。方法：前瞻性分析2011年1月～12月在我院耳鼻咽喉头颈外科住院治疗的突发性聋患者。制定病例纳入和排除标准,分别于治疗前后予患者完成耳鸣调查表,选取符合条件的80例(84耳)患者做为研究对象。比较突发性聋伴耳鸣患者的一般情况、耳鸣程度和性别、年龄、耳侧、听力损失程度、听力曲线类型的关系；分析突发性聋疗效与有无耳鸣及耳鸣程度的关系；比较突发性聋伴耳鸣患者耳鸣疗效与性别、年龄、耳侧、听力损失程度、听力曲线类型、耳鸣程度、突发性聋疗效、干预时间的关系。结果：80例突发性聋患者中87.5%伴耳鸣；其中70例突发性聋伴耳鸣患者的男女比例为1.59：1,中位年龄43岁,发病至干预时间平均为9.6±11.1天；48.6%患者耳鸣与听力下降同时发生,41.4%耳鸣先于听力下降发生；经比较突发性聋伴耳鸣患者的性别、年龄、耳侧、听力损失程度、听力曲线类型在不同程度耳鸣患者中的分布无统计学差异(P0.05)；突发性聋的总有效率为64.3%,其疗效与是否伴耳鸣及耳鸣的程度均无统计学意义(P0.05)；突发性聋伴耳鸣患者的耳鸣总有效率为74.3%,经比较突发性聋伴耳鸣患者的耳鸣疗效与性别、年龄、耳侧、干预时间、耳鸣程度、耳鸣与听力下降发生时间先后的关系均无统计学意义(P0.05)；耳鸣疗效与听力损失程度、听力曲线类型、突发性聋疗效有关(P0.05)。其中轻度听力损失、上升型、突发性聋疗效为痊愈者耳鸣疗效较好,极重度听力损失、全聋型、突发性聋疗效为无效者耳鸣疗效较差。结论：突发性聋患者中伴耳鸣的发病率较高且突发性聋即使痊愈后仍有部分患者有耳鸣；突发性聋患者的耳鸣程度与性别、年龄、耳侧、听力损失程度、听力曲线类型无关；突发性聋的疗效与有无耳鸣及耳鸣程度无关；突发性聋患者中耳鸣的总有效率为74.3%,耳鸣疗效与性别、年龄、耳侧、干预时间、耳鸣程度、耳鸣与听力下降发生先后无关；轻度听力损失、上升型、突发性聋疗效痊愈者耳鸣疗效较好,极重度听力损失、全聋型、突聋疗效为无效者耳鸣疗效较差。
[Abstract]:Objective: to explore the clinical characteristics of sudden deafness with tinnitus and its relationship with the curative effect of sudden deafness, as well as the related factors affecting the curative effect of tinnitus, so as to provide the basis for the clinical diagnosis, treatment and prognosis of the patients with sudden deafness and tinnitus. Methods: from January 2011 to December, the patients with sudden deafness who were hospitalized in our hospital for otolaryngology and head and neck surgery were analyzed prospectively. The inclusion and exclusion criteria were established, and the tinnitus questionnaire was completed before and after treatment. 80 patients with sudden deafness associated with tinnitus were selected as subjects. The relationship between tinnitus degree and sex, age, side of ear, degree of hearing loss and type of hearing curve were compared. To analyze the relationship between the curative effect of sudden deafness and tinnitus and the degree of tinnitus, to compare the curative effect of tinnitus with sex, age, ear side, degree of hearing loss, type of hearing curve, degree of tinnitus and curative effect of sudden deafness in patients with sudden deafness. The relationship between intervention time. Results among 80 cases of sudden deafness, 87.5% cases were associated with tinnitus, and 70 cases of sudden deafness with tinnitus had a male to female ratio of 1.59: 1, with a median age of 43 years. The average time from onset to intervention was 9.6 卤11.1 days and 48.6% of the patients had tinnitus and hearing loss at the same time, 41.4% of the patients with sudden deafness accompanied with tinnitus had sex, age, side of ear and degree of hearing loss. There was no statistical difference in the distribution of hearing curve type in patients with tinnitus of different degrees (P 0.05), and the total effective rate of sudden deafness was 64.3%. There was no significant difference between the curative effect and the degree of tinnitus and tinnitus in patients with sudden deafness and tinnitus (P 0.05). The total effective rate of tinnitus was 74.3. The curative effect and sex of tinnitus in patients with sudden deafness and tinnitus were compared. Age, ear side, intervention time, tinnitus degree, tinnitus and hearing loss time had no statistical significance (P 0.05); tinnitus curative effect and hearing loss degree, hearing curve type, sudden deafness curative effect were related to P 0.05. The curative effect of ascending type, sudden deafness was better in cured patients, severe hearing loss, total deafness and ineffective sudden deafness, the curative effect of tinnitus was poor. Conclusion: the incidence of tinnitus in patients with sudden deafness is high and some patients still have tinnitus even after recovery, and the degree of tinnitus in sudden deafness patients is not related to sex, age, ear side, degree of hearing loss and type of hearing curve. The curative effect of sudden deafness was not related to tinnitus and the degree of tinnitus, the total effective rate of tinnitus in sudden deafness patients was 74.3. The curative effect of tinnitus was not related to sex, age, ear side, intervention time, tinnitus degree, tinnitus and hearing loss. The effect of tinnitus was better in patients with mild hearing loss, ascending hearing loss and sudden deafness, but poor in patients with extremely severe hearing loss, total deafness and sudden deafness.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R764

【引证文献】