| 钱怡 钟时勋 胡国华 康厚墉 黄开来 陈弢.双侧突发性耳聋疗效的影响因素分析[J].,2014,14(29):5675-5679 |
| 双侧突发性耳聋疗效的影响因素分析 |
| Analysis of the Influencing Factors of Therapeutic Effect of Sudden BilateralSensorineural Hearing Loss |
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| DOI： |
| 中文关键词: 双侧 突发性耳聋 听觉丧失 耳鸣 临床疗效 |
| 英文关键词: Bilateral Sudden sensorineural Hearing loss Tinnitus Therapeutic effect |
| 基金项目:国家临床重点专科建设项目经费（卫办医政函[2012]649 号） |
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| 中文摘要: |
| 目的：探讨影响双侧突发性耳聋疗效的因素。方法：回顾性分析2011 年2 月至2013 年5月我科收治的24例(48 耳)双侧突
发性耳聋的病例资料。其中，男性18 例(75.0%)，女性6 例(25.0%)。年龄14-72 岁，平均年龄49.3 岁。按照听力曲线分型，低中频
下降型0 耳(0.0%)，中高频下降型16 耳(33.3%)，平坦型18 耳(27.5%)，全聋型14 耳(29.2%)。分析和比较具有不同听力曲线分型、
伴发症状、年龄、伴发疾病、听力损失程度、发病至干预时间的双侧突发性耳聋患者总有效率的差异。结果：具有不同听力曲线类
型、发病至干预时间、听力损失程度以及是否伴有高血压、糖尿病、高血脂、眩晕症状的双侧突发性耳聋患者的总有效率比较差异
均无统计学意义(P>0.05)。伴发耳鸣的双侧突发性聋患者治疗总有效率显著高于不伴发耳鸣患者，差异有统计学意义(P<0.05)。年
龄≤ 60 岁的双侧突发性耳聋患者的治疗总有效率显著高于年龄>60 岁者(P<0.05)。结论：伴发耳鸣、年龄小于60 岁的双侧突发性
耳聋患者的治疗效果相对较好，而听力曲线类型、听力损失程度、发病至干预时间、是否伴发眩晕症状与其治疗效果均无关。 |
| 英文摘要: |
| Objective:To investigate the influencing factors of therapeutic effect of sudden bilateral sensorineural hearing loss.Methods:24 cases(48 ears) with sudden bilateral sensorineural hearing loss admitted in our department fromFebruary 2011 to May 2013
were retrospectively analyzed. 24 patients (48 ears) were recruited including 18 male cases (75.0%) and 6 female cases (25.0%). The
average age was 49.3 years. The patients were divided into 4 types according to their audiometric curve: No one was acute sensorineural
hearing loss(SNHL) in low tone frequencies, 16 ears were acute SNHL in high tone frequencies(33.3%), 18 ears were acute SNHL in all
frequencies (PTA≤ 80 dB HL)(27.5%) and 14 ears were profound SNHL in all frequencies (PTA≥ 81 dB HL)(29.2%). The therapeutic
effects of different types of audiometric curve, accompanied symptoms, ages, accompanied diseases, degree of hearing loss and interval
from onset to intervention were analyzed.Results:There was no significant difference in the curative rate among different types, interval
from onset to intervention, accompanied diseases, with and without vertigo of patients with sudden bilateral sensorineural hearing loss
(P>0.05). However, the efficacy of patients with tinnitus or age>60 years old were significantly higher(P<0.05).Conclusion:The patients
of sudden bilateral sensorineural hearing loss who accompanied with tinnitus and was less than 60 years old had better prognosis, the
prognosis of sudden bilateral sensorineural hearing loss was not related to the type of audiometric curve, degree of hearing loss, interval
fromonset to intervention, and accompanied with vertigo. |
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