单侧低中频下降型突发性聋预后相关因素分析

发布时间：2018-07-03 09:43

本文选题：听觉丧失 + 低频　；参考：《中华耳科学杂志》2014年04期

【摘要】：目的评估单侧低中频下降型突发性聋的相关因素对预后的影响。方法由2005~2013年入院的单侧低中频下降型突发性聋109例,均给以改善微循环加激素静点及其他对症治疗。患者按照性别、发病年龄、病程、听力损失程度、高频听力是否损伤、伴有糖尿病,高脂血症等因素分组,分析各因素与疗效(有效,无效)的相关性。先行单因素分析,可能影响疗效的因素再行logistic线性回归分析。结果在此次研究中,单侧低中频下降型突发性聋总有效率为73.4%(80/109),治愈率71.6%(78/109)。无效率为26.6%(29/109),患者性别、病程、听力损失程度、高频听力是否损伤、高脂血症,血粘稠度对疗效无明显影响;发病年龄和伴有糖尿病对疗效产生影响。结论年龄大于50岁、空腹血糖≥7.0mmol的单侧低中频下降型突发性聋患者疗效差。
[Abstract]:Objective to evaluate the effect of related factors on the prognosis of unilateral low and medium frequency descending sudden deafness. Methods 109 cases of single side low and medium frequency descending sudden deafness were admitted to the hospital in 2005~2013 years. All of them were given the improvement of microcirculation plus hormone static point and other symptomatic treatment. The correlation of factors such as diabetes and hyperlipidemia was grouped, and the correlation between the factors and efficacy (effective, ineffective) was analyzed. Single factor analysis and logistic linear regression analysis could affect the factors that might affect the effect. In this study, the total effective rate of unilateral low and medium frequency descending type of sudden deafness was 73.4% (80/109), and the cure rate was 71.6% (78/109). The rate was 26.6% (29/109). The sex, course of the disease, the degree of hearing loss, high frequency hearing loss, hyperlipidemia, and blood viscosity had no significant effect on the curative effect. The age of onset and diabetes had an effect on the curative effect. Conclusion the curative effect of the one side lower middle frequency descending type of sudden deafness aged more than 50 years old and the fasting blood glucose more than 7.0mmol was poor.
【作者单位】：河北省唐山市协和医院耳鼻咽喉头颈外科;河北省唐山市第二医院;河北省唐山市乐亭县医院;
【分类号】：R764

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