突发性聋伴发眩晕的初步探讨  

The analysis of concomitant vertigo in idiopathic sudden deafness

作　　者：马鑫[1] 李蔷[1] 静媛媛[1] 余力生[1] 

机构地区：[1]北京大学人民医院耳鼻咽喉科,北京100044

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第19期883-885,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家"十一五"国家科技支撑计划课题(No:2007BAI18B13);国家自然科学基金主任专项基金(No:30840090)

摘　　要：目的:探讨突发性聋(突聋)伴发眩晕的病变类型及发病机制。方法:详细记录住院治疗的121例突聋患者性别、年龄、就诊时病程、听力损失情况、听力图类型、发病前后的眩晕情况及预后。按照中华医学会突聋多中心研究突聋分类,依照纯音测听图将突聋分为低频型、高频型、中频型、平坦型、全聋型5种类型,分别计算眩晕在不同类型突聋中的比例,并将各组的眩晕比例进行统计学分析。结果:121例患者中,伴发真性及假性眩晕的患者有45例(37.2%);高频型突聋、低频型突聋、平坦型突聋及全聋型突聋患者中眩晕的发生率分别为42.9%,47.1%,23.6%和51.4%;不同突聋类型眩晕的发生率采用卡方检验,分别两组进行卡方检验,低频组、高频组及全聋组眩晕的发生率没有差别,平坦组眩晕发生率较其他3组低(P<0.05)。121例患者中,伴发真性眩晕的患者有23例(19.0%);不同类型突聋之间眩晕的发生率没有差别。结论:通过对不同眩晕类型及不同听力学类型的突聋患者的病情分析,进一步验证了血管因素和病毒感染因素在不同突聋类型患者中的作用。通过对突聋伴眩晕患者眩晕情况的探讨,加深了对突聋的发病机制的认识,改进了耳源性眩晕的诊断治疗。Objective：Analyzing different types of concomitant vertigo in sudden deafness（SD）patients with different hearing loss types,exploring different pathogenesis of SD and concomitant vertigo.Method：The clinical data of 121SD cases during 2007.12～2009.4were retrospectively analyzed.Detailed information including age,sex,history and hearing level were recorded.According to the standard of China Medical Association,all patients were classified into five sub-groups based on audiogram types：low frenquency SD,high frenquency SD,flat frenquency SD and total SD.The proportion of vertigo in different SD typies were calculated and analyzed by statistical method.Result：Among all 121cases,45cases with concomitant vertigo,the proportion in differnt SD typies was 42.9%,47.1%,23.6%and 51.4%,respectively.By chi-square test,P0.05,the proportion in the flat type was statistically lower than that of the other types.23patients were diagnosed as true vertigo.The vertigo incidence in different SD types had no statistical difference.Conclusion：Vaso factor and viral infection played different roles in different SD types.Dicussing concomitant vertigo could help understand SD and otogenic vertigo.

关 键 词：听觉丧失 突发性 眩晕 病变分类 发病机制 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]