不同年龄及不同类型突发性耳聋患者近期疗效观察  

Short Term Outcomes in Sudden Sensorineural Hearing Loss among Different Ages and Audiological Types

作　　者：王英歌[1] 张榕[1] 许元腾[1] 陈国郝[1] 林少莲[1] 林有辉[1] 叶胜难[1] 

机构地区：[1]福建医科大学附属第一医院耳鼻咽喉科,福州350005

出　　处：《中华耳科学杂志》2012年第3期364-367,共4页Chinese Journal of Otology

摘　　要：目的探讨不同年龄组突发性耳聋患者的听力损失类型及近期疗效。方法 366例(380耳)突发性耳聋患者按年龄分为三组:儿童组≤14岁(12例,12耳),青中年组15～59岁(296例,309耳);老年组≥60岁(58例,59耳)。比较不同年龄组及不同听力损失类型患者的近期临床疗效。结果突发性耳聋患者的总有效率为71.32%。儿童组、青中年组及老年组治疗的有效率分别为58.33%(7/12)、72.82%(225/309)、66.10%(39/59),差异无统计学意义。低中频、中高频、平坦及全聋型治疗效果,差异有统计学意义。结论不同年龄突发性耳聋患者的临床疗效无明显差异,低中频的疗效最好,平坦型及全聋型其次,中高频的疗效最差,临床上可依据听力损失类型预估预后。Objective To investigate treatment results in patients of different ages with sudden sensorineural hearing loss of different audiology patterns. Methods Treatment outcomes in relation to age and audiometric pattern were reviewed in 366 patients （380 ears） with sudden sensorineural hearing loss who were divided into three age groups： ≤14 years （12 pa- tients,12 ears）,,15-59 years （296 patients,309 ears） and ≥60 years （58 patients,59 ears）. Result The total response rate was 71.32%. Effective rates in the three groups were 58.33% （7/12）, 72.82% （225/309） and 66.10% （39/59） respectively and the differences were not statistically significant. Low-mid frequency hearing loss responded best totreatment, followed by all-fre-quency hearing loss, whereas mid-high frequency hearing loss yielded poorest response. The differences were statistically significant. Conclusion Treatment efficacy in sudden sensorineural hearing loss is not affected by age It does however appear to be affected by audiometric patterns of hearing loss, which can be used to predict prognosis.

关 键 词：突发性耳聋 不同听力类型 近期疗效 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]