突发性耳聋预后及复发的相关因素分析

发布时间：2018-11-03 13:00

【摘要】：目的:探讨影响突聋预后及其复发的相关因素。方法:收集于2013年1月至2014年4月因突发性耳聋就诊的538例患者,其中25例复发患者,分别从年龄、性别、伴随症状、基础疾病、发病至治疗时间、突聋分型及首次治疗效果分析复发突聋的治疗效果及复发的相关因素。结果:25例复发患者中,总有效率明显低于首次发病的总有效率,且有24例为同侧耳复发,1例为双侧耳复发;是否伴耳鸣或(和)耳闷、性别对首发突聋治疗效果无明显影响;性别、伴耳鸣或(和)耳闷对复发突聋治疗疗效无影响;伴基础疾病、34岁、伴眩晕或(和)头晕、发病至治疗时间及突聋分型在首发突聋治疗中对疗效有影响,。各型复发率差异有显著意义,低频型复发率较高,但治疗效果较好。结论:复发性突聋的疗效受多种因素影响。复发的突发性耳聋治疗效果差,预后不佳,且一般发生在同侧耳。
[Abstract]:Objective: to investigate the related factors influencing prognosis and recurrence of sudden deafness. Methods: from January 2013 to April 2014, 538 patients with sudden deafness, including 25 patients with recurrent deafness, including age, sex, associated symptoms, underlying diseases, onset and treatment time, were collected. Classification and first treatment of sudden deafness the treatment effect of recurrent sudden deafness and the related factors of recurrence were analyzed. Results: the total effective rate of 25 recurrent patients was significantly lower than that of the first onset, and there were 24 cases of ipsilateral ear recurrence and 1 case of double lateral ear recurrence. Whether or not tinnitus or (and) ear tightness, sex had no significant effect on the treatment of first-onset sudden deafness, gender, tinnitus or / and ear stuffy had no effect on the treatment of recurrent sudden deafness. Basic disease, 34 years old, with vertigo or / and dizziness, onset to treatment time and type of sudden deafness in the first treatment of sudden deafness have an impact on the curative effect. The recurrence rate of low frequency type was higher, but the effect of treatment was better. Conclusion: the curative effect of recurrent sudden deafness is affected by many factors. Recurrent sudden deafness has poor therapeutic effect and poor prognosis, and usually occurs in the same lateral ear.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R764.437

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