突发性耳聋预后因素回归树分析  

Prognosis study for sudden deafness with regre-ssion tree analysis

作　　者：马芙蓉[1] 谢立峰[1] 赵一鸣[2] 

机构地区：[1]北京大学第三医院耳鼻咽喉科,北京100083 [2]北京大学第三医院流行病学教研室,北京100083

出　　处：《中国耳鼻咽喉头颈外科》2005年第9期577-579,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的对突发性耳聋临床病历进行回顾性分析,探讨影响预后的相关因素。方法对1999年1月～2002年5月收治的突发性耳聋患者158例,运用多因素树型分析软件—分类与回归树(classi fication and regression tresss,CART)进行分析影响预后的因素。结果发病后听力损失的程度、有无眩晕、从发病到治疗的时间间隔(即治疗的及时与否)是影响预后的三个主要因素。其他如年龄、心脑血管合并症、用药种类未能进入树型结构。结论突发性耳聋的预后与内耳受累程度、受损范围、治疗早晚有直接关系,早期治疗有助于听力的恢复。OBJECTIVE To investigate the correlation factors of the prognosis and therapeutic efficiency of sudden deafness. METHODS One hundred fifty eight patients with sudden deafness from 1999.1 to 2002.5 were studied with classification and regression trees （CART） analysis. RESULTS The results showed that the prognosis is correlated with the hearing levels, vertigo and illness duration, but the prognosis is not correlated with the age, sex, tinnitus, cardiac or cerebral vascular diseases and the medicine of the treatment. CONCLUSION The prognosis of sudden deafness related directly to coverage and extent of the damaged inner ear, sudden deafness should be treated as earlier as possible.

关 键 词：聋 突发性 预后 回归分析 突发性耳聋 预后因素 回归树分析 心脑血管合并症 早期治疗 听力损失 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]