低频型突聋伴耳闷胀感患者耳闷胀感特征及与突聋的关系

发布时间：2018-05-06 10:48

本文选题：突发性耳聋 + 耳闷胀感　；参考：《中华耳科学杂志》2017年02期

【摘要】：目的探讨低频型突聋伴耳闷胀感患者耳闷胀感的临床特征、预后及与突聋的关系。方法收集单侧低频型突聋伴耳闷胀感患者35例,不伴耳闷胀感患者32例,进行听力学及影像学检查,对伴耳闷胀感患者进行耳闷胀感的VAS量表评分及主观分级。比较两组患者耳声发射、听性脑干诱发电位改变;观察耳闷胀感预后,分析耳闷胀感与突聋的关系。结果两组患者间耳声发射及脑干诱发电位结果无显著差异(χ2=1.486,1.029;P0.05)。伴耳闷胀感患者耳闷胀感主观分级与听力下降程度呈正相关(r=0.344,P0.05)。伴耳闷胀感组经治疗后听力恢复总有效率32/35(91.4%)略高于不伴耳闷胀感组总有效率27/32(84.4%),差异无统计学意义(χ2=0.791,P0.05)。耳闷胀感恢复总有效率为31/35(88.6%),耳闷改善情况与听力下降改善情况存在相关性(χ2=9.891,P0.05),pearson列联相关系数r=0.469,P0.05。结论低频型突聋伴耳闷胀感患者耳闷程度与听力下降程度相关,听力损失越严重,耳闷胀感的主观分级越重;耳闷胀感预后较好,与听力恢复情况相关;伴耳闷胀感患者听力恢复效果可能略好于不伴耳闷胀感患者,有待进一步观察。
[Abstract]:Objective to investigate the clinical features, prognosis and relationship between sudden deafness and sudden deafness in patients with low frequency sudden deafness. Methods 35 cases of unilateral low-frequency sudden deafness with ear distention and 32 cases without auricular distention were examined by audiology and imaging. The VAS scale and subjective grade of auricular distention were evaluated in patients with auricular distention. To compare the changes of auditory brainstem evoked potential (BAEP) and otoacoustic emission (OAE), to observe the prognosis of auricular distention, and to analyze the relationship between auricular distention and sudden deafness. Results there was no significant difference in otoacoustic emissions and brainstem evoked potentials between the two groups (蠂 ~ 2 1.486 ~ 1.029 P 0.05). There was a positive correlation between the subjective grade of ear distention and the degree of hearing loss in patients with ear distention. The total effective rate of hearing recovery after treatment in the group with ear distention was 32 / 35 / 91.4), which was slightly higher than that in the group without auricular distention (27 / 32) and 84.4% (蠂 ~ 20.791g / P 0.05), and there was no significant difference between the two groups (蠂 ~ (2) 0.791g / P _ (0.05). The total effective rate of recovery of ear distention was 31 / 35 / 88. 6. There was a correlation between the improvement of ear tightness and the improvement of hearing loss (蠂 2 9.89 1 P 0.05 Pearson correlation coefficient r = 0.469 P 0.05). Conclusion the degree of hearing loss is related to the degree of hearing loss in patients with low frequency sudden deafness associated with ear distention, the more serious the hearing loss, the more severe the subjective classification of ear distention, the better the prognosis of ear distention is, and the more relevant to the recovery of hearing. The effect of hearing recovery in patients with auricular distension may be better than that in patients without auricular distension, which needs further observation.
【作者单位】：湖南师范大学第一附属医院耳鼻咽喉-头颈外科(湖南省人民医院耳鼻咽喉-头颈外科);湖南师范大学医学院;
【分类号】：R764.43

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