| 张盟思 赵景波 欧文静 杨晓珊 王宁宁 张洪召.住院耳聋患者临床流行病学特征及疗效分析[J].,2016,16(1):91-94 |
| 住院耳聋患者临床流行病学特征及疗效分析 |
| Clinical Epidemiologic Feature and Curative Effect Analysis of HospitalizedHearing Loss Patients |
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| DOI： |
| 中文关键词: 耳聋 临床流行病学特征 疗效 |
| 英文关键词: Hearing loss Clinical epidemiology features Curative effect |
| 基金项目:黑龙江省教育厅科学技术研究项目（12531335） |
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| 中文摘要: |
| 目的：描述住院耳聋患者的临床流行病学特征及治疗效果。方法：采用描述流行病学方法，收集哈尔滨医科大学附属第二医
院耳鼻喉科2010 年1 月-2012 年12 月收治的748 例耳聋患者的临床资料进行统计学分析。结果：748 例耳聋患者中，男性394
例（52.67 %），女性354 例（47.33 %），P=0.7391，不同年龄段性别构成无统计学差异；单耳发病占75.40 %，双耳发病占24.60 %，10
岁以下及70 岁以上的患者双侧耳聋较多；听力损失程度构成由高到低依次为：极重度199 例(30.99 %)、重度139 例(21.65 %)、中
重度100 例(15.58 %)、轻度95 例(14.80 %)、中度80 例(12.46 %)及语频正常29 例(4.52 %)，10 岁以下较其他各年龄段发生极重度
听力损失较多；伴发高血压者93 例(12.43 %)、糖尿病者56 例(7.49 %)、冠心病者48例(6.42 %)、脑血管疾病者31 例(4.14 %)；治愈
145 例（19.38 %），好转547 例（73.13 %），未治愈45 例（6.02 %），总有效率为92.51 %。结论：耳聋发病以突发性耳聋为主，年龄
30-69 岁居多，单侧耳聋较双侧耳聋发病多，而儿童双耳发病较多，年龄小、听力损失程度轻者预后较好，听力损失严重且预后较
差。 |
| 英文摘要: |
| Objective:To describe the epidemiologic feature and curative effect of hearing loss patients.Methods:Using the discriptive
epidemiological method, clinical files of 748 hearing loss patients admitted by 2nd affiliated hospital of Harbin Medical University
between January 2010 and December 2012 were collected and analyzed.Results:There were 394（52.67 %）male and 354（47.33 %）female
in the 748 hearing loss patients. The age composition of gender showed no significant difference (P=0.7391). The proportion of single
ear disease was 75.40%and the proportion of both ears was 24.60 %. The proportion of both sides in the patients below 10 and above 70
years old was higher. The patients of different hearing loss degree could be divided into (from high to low) 199 extremely severe cases
(30.99 %), 139 severe cases(21.65 %), 100 moderately severe cases(15.58 %), 95 mild cases(14.80 %), 80 moderate cases(12.46 %) and
29 normal cases (4.52 %). The proportion of extremely severe cases was higher in patients below 10 than in other age groups. Patients
with complications included 93 hypertension cases (12.43 %), 56 diabetes cases (7.49 %), 48 coronary heart disease cases (6.42 %), 31
cerebrovascular disease(4.14 %). The results of clinical observation showed 145 cured cases(19.38 %), 547 improved cases(73.13 %) and
45 uncured ease (6.02 %), and the total effective rate was 92.51 %.Conclusion:Sudden deafness was most common in hearing loss patients
and its peak onset age was among 30 to 69. Incidence of unilateral hearing loss was higher than bilateral hearing loss. The prognosis
of young and mild cases was better but children commonly suffered frombilateral and severe hearing loss and had a terrible prognosis. |
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