突发性聋伴眩晕患者临床特点分析  

The clinical characteristics of idiopathic sudden sensorineural hearing loss with vertigo

作　　者：唐俊翔[1] 刘博[2,3] 陈秀伍[2,3] 段金萍[2] 赵小燕[2,3] 左丽静[1] 

机构地区：[1]首都医科大学,北京100069 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室(首都医科大学),北京100730 [3]北京市耳鼻咽喉科研究所,北京100005

出　　处：《中国耳鼻咽喉头颈外科》2010年第10期507-510,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金："十一五"国家科技支撑计划课题(2007BAI18B13);中华医学会临床医学科研专项资金(07030480056)联合资助

摘　　要：目的分析突发性聋伴眩晕患者的临床资料,了解突发性聋伴眩晕患者听力损伤与前庭损伤之间的关系。方法 180例突发性聋患者分为突发性聋伴眩晕组和不伴眩晕组,对患者的年龄、性别、纯音听力测试、耳蜗电图以及前庭功能等临床资料进行分析,总结突发性聋伴眩晕患者听力和前庭损伤的发病规律。结果 180例突发性聋患者,年龄分布11～76岁,中位年龄45.00岁,其中男性106例(58.89%),女性74例(41.11%),男女性别比为1.43:1。①突发性聋伴眩晕的发生率为38.33%,女性患者中伴眩晕组(50.72%)明显高于不伴眩晕组(35.14%);②听力曲线特点为全聋型曲线(38.67%)明显高于其他类型,听力损失程度以极重度聋(62.67%)为主;③66例伴眩晕的患者行前庭功能检查,58例(87.88%)出现外半规管功能下降,3例(4.55%)有优势偏向等中枢指标异常,5例(7.58%)功能正常,患者出现听力损失与前庭功能同侧损伤的发生率为65.15%,两者具有统计学一致性,不同性别间异常率无差异;④伴眩晕组合并有慢性病(高血压、高血脂、糖尿病和颈椎病)者33.33%,不伴眩晕组合并慢性病者28.83%,两组无统计学差异。结论伴眩晕的突发性聋发生率较高,约占1/3;听力损失以极重度聋为主且以全聋型听力曲线居多;耳蜗功能与前庭功能多同时受累,同侧损伤者占2/3。OBJECTIVE To analyze the clinical characteristics of idiopathic sudden sensorineural hearing loss with vertigo and to infer the relation between hearing function and vestibular function.METHODS One hundred and eighty patients with ISSHL in Beijing Tongren Hospital was devided into vertigo group and without vertigo group.Characteristics of age,gender,pure tone audiometry,electrocochleogram and vestibular function test results of them were analyzed.RESULTS The incidence of dizziness or vertigo was 38.33% in ISSHL patients,more in female.Total hearing loss was the main form of hearing loss,most of them were profound hearing loss.The distribution of vestibular function results of 66 patients with vertigo was unilateral hypofunction in 58 patients（87.88%）,normal in 5 patients（7.58%）,abnormal CNS index in 3 patients（4.55%）.The vestibular function abnormal condition accord with the hearing loss,the abnormal rate was no difference in gender.The incidence of chronic disease in patients with vertigo（33.33%） is slightly higher than those without vertigo（28.83%）,but there was no statistical difference.CONCLUSION Vertigo arise in 1/3 of ISSHL patients.Profound hearing loss is the main form of hearing loss,and most of them are total hearing loss type.Both the vestibular function and the cochlear function are impaired in most of the ISSHL patients.

关 键 词：听觉丧失 突发性 眩晕 前庭功能试验 

分 类 号：R764[医药卫生—耳鼻咽喉科]