影响突发性聋预后相关因素的研究现状

发布时间：2018-09-18 22:02

【摘要】：突发性聋是耳科常见的急症之一,如果治疗不及时可导致永久性听力损失,给患者造成很大痛苦。由于病因及发病机制不明,影响突发性聋预后的相关因素多年来一直倍受学者关注。近年来随着社会节奏的加快突聋发病率有逐年上升和年轻化的趋势。其临床表现多样,影响预后因素较多,且存在自愈倾向。已有大量研究证实年龄、病程、听力损失程度、听力曲线类型等因素均与突聋的预后密切相关。目前在治疗上主要强调的是治疗的时间性,治疗越早效果越好。突发性聋可以在各个年龄阶段发病,年龄可能在突发性聋的预后中起着重要的作用,不同年龄阶段的患者可能具有不同的治疗效果。国内外根据听力曲线类型将突聋分型,认为不同类型突聋发病机制不同且预后也存在显著差异。突发性聋患者普遍存在不同程度及种类的心理健康问题,不良情绪和应激心理反应直接影响到患者的预后。对影响突发性聋预后相关因素的研究具有重要的临床和社会意义。本文将各种影响因素整理分析做一综述。
[Abstract]:Sudden deafness is one of the most common emergencies in otology. If not treated in time, it can cause permanent hearing loss and cause great suffering to patients. As the etiology and pathogenesis of sudden deafness are unknown, the factors related to the prognosis of sudden deafness have been concerned by scholars for many years. In recent years, with the acceleration of social rhythm, the incidence of sudden deafness has been rising year by year and younger. Its clinical manifestation is diverse, the influence prognostic factor is many, and has the self-healing tendency. Many studies have confirmed that age, course of disease, degree of hearing loss and type of hearing curve are closely related to prognosis of sudden deafness. At present, the main emphasis in treatment is the timeliness of treatment, the earlier the treatment, the better. Sudden deafness can occur at different age stages. Age may play an important role in the prognosis of sudden deafness. Patients with different ages may have different therapeutic effects. According to the type of hearing curve, it is considered that different types of sudden deafness have different pathogenesis and different prognosis. Mental health problems are common in patients with sudden deafness. Adverse emotions and stress psychological reactions directly affect the prognosis of patients. It has important clinical and social significance to study the prognostic factors of sudden deafness. In this paper, the influence factors are summarized.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764.437

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