青年突发性耳聋的临床分析  

Clinical analysis of sudden sensorineural hearing loss in high school and undergraduate students

作　　者：乔秀艳[1] 惠莲[1] 姜学钧[1] 

机构地区：[1]中国医科大学附属第一医院耳鼻咽喉科,辽宁沈阳110001

出　　处：《中国医科大学学报》2005年第4期353-354,共2页Journal of China Medical University

摘　　要：目的:探讨青年突发性耳聋的临床特点、疗效及影响预后的因素。方法:对51例(63耳)在校高中和大学生突聋患者进行临床观察和分析。结果:男女患者构成比约为4∶1。约l/4患者发病前有较明确的病毒感染史。发病时伴眩晕、耳鸣者分别占41.2%及66.7%。初诊时纯音听力曲线全聋型占52.4%、下降型占23.8%,平坦或上升型占23.8%。总体疗效为痊愈占4.8%,显效占14.3%,有效占33.3%,总有效率为52.4%。3种治疗药物(类固醇激素,前列地尔,金纳多)的显效率无统计学差异(P>0.05)。影响预后的因素中,性别、初诊时听力损失程度、4kHz听阈能否测出及纯音听力曲线类型与预后有关,而眩晕和耳鸣对预后的影响不显著。结论:青年突聋基本符合文献报道的一般性规律,但仍具有自身的某些特点。Objective： To study the clinical characteristics,effectiveness of treatment, and main factors affecting the prognosis of sudden sensorineural hearing loss in high school and undergraduate students. Methods：Sixty three ears of 51 high school and undergraduate students with sudden sensorineural hearing loss were retrospectively analyzed. Results： The female-to-male ratio was 1 ： 4. About 1/4 of the patients had history of virus infection. The total effective rate of treatment was 52.4%. No significant difference in the effectiveness of treatment were found among the 3 different drugs， An association was found between the prognosis and the sex, the type of primary audiogram, and the degree of hearing loss. The threshold of hearing at 4000 Hz was valuable to judge the prognosis. The influence of the dizziness and tinnitus on the prognosis was not remarkable. Conclusion ：The clinical characteristics of sudden sensorineural hearing loss in high school and undergraduate students are similar to those in middle-age and old people， but specific to some extent。

关 键 词：突发性耳聋 高中生 大学生 临床分析 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]