儿童突发性聋患者的预后分析

发布时间：2018-01-23 13:09

本文关键词： 突发性聋儿童预后　出处：《临床耳鼻咽喉头颈外科杂志》2015年22期 　论文类型：期刊论文

【摘要】：目的:分析儿童突发性聋患者的疗效及影响突发性聋预后的相关因素,以指导临床诊断和治疗。方法:本文选取2010-11-2015-05期间在解放军总医院耳内科住院治疗的0~18岁有较完整临床资料的101例(113耳)儿童突发性聋患者的资料,对其治疗效果进行回顾性研究,分析儿童突发性聋患者的性别、初诊时间、听力损失程度、是否伴发眩晕、耳鸣等相关因素对预后的影响。结果:101例(113耳)儿童突发性聋患者中,男60耳,女53耳;单耳发病89耳,双耳发病24耳;发病至就诊时间1~183d,平均(18.5±22.1)d。8耳(7.1%)为轻度听力损失,7耳(6.2%)为中度听力损失,27耳(23.9%)为重度听力损失,71耳(62.8%)为极重度听力损失。伴发耳鸣症状者88耳(77.9%),伴发眩晕症状者62耳(54.9%)。经系统治疗后痊愈11耳(9.7%),总有效率为36.3%。对儿童突发性聋的相关因素进行统计学分析,其中听力损失程度,初诊时间,性别,侧别对疗效的影响有统计学意义(P0.05)。结论:儿童突发性聋患儿一般听力损失重;但经积极及时的治疗后,仍有好转甚至痊愈的可能。初诊时间越短、听力损失程度越轻者疗效较好;单侧聋患者较双侧聋患者疗效好;女性患者较男性患者疗效好。是否伴发耳鸣、眩晕,ABR及DPOAE是否引出对儿童突发性聋的预后无明显的影响。
[Abstract]:Objective: to analyze the curative effect of children with sudden deafness and the related factors influencing prognosis of sudden deafness. To guide clinical diagnosis and treatment. Methods: 101 cases with complete clinical data from 0 to 18 years old who were hospitalized in Department of Ophthalmology, General Hospital of PLA during 2010-11-2015-05 were selected (. (113 ears) data of children with sudden deafness. A retrospective study was conducted to analyze the gender, the time of initial diagnosis, the degree of hearing loss and whether vertigo was associated with sudden hearing loss in children with sudden deafness. Results among 101 children with sudden deafness, 60 ears were male and 53 ears were female. 89 ears were monaural and 24 ears were binaural. The average time from onset to visit was 18.5 卤22.1d.8 ears (7.1d). The average hearing loss was mild hearing loss (7 ears) and moderate hearing loss (6.2d). 27 ears with 23. 9) (71 ears with severe hearing loss 62.8) and 88 ears with tinnitus symptoms were 77.9). In 62 ears with vertigo symptoms, 11 ears were cured by systematic therapy, and the total effective rate was 36.3.The related factors of sudden deafness in children were analyzed statistically. Among them, the degree of hearing loss, the time of first visit, the sex, the side difference have the statistical significance to the curative effect P0.050.Conclusion: the children with sudden deafness generally have heavy hearing loss. However, after active and timely treatment, there is still a possibility of improvement or even recovery. The shorter the first visit, the less the degree of hearing loss. The curative effect of unilateral deafness was better than that of bilateral deafness. The prognosis of sudden deafness in children with tinnitus, vertigo and DPOAE was not significantly affected.
【作者单位】：解放军总医院解放军耳鼻咽喉研究所耳内科;昆明医科大学昆明总医院临床医院耳鼻咽喉科;
【基金】：国家重大科学研究计划项目(No:2014CB943001) 国家自然基金重大国际合作项目(No:81120108009) 全军“十二五”重点项目(No:BWS11J026)联合资助
【分类号】：R764.437
【正文快照】： 儿童突发性聋(children sudden sensorineuralhearing loss,CSSNHL)是指年龄在18岁以内的儿童突然发生的、原因不明的感音神经性听力损失〔1〕。CSSNHL患者发病年龄低,病情重,幼儿不能准确表达症状,并且单侧耳聋时家长也较难发现,易延误就诊,错过最佳的诊疗时机,故CSSNHL患者

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