突发性聋不同听力曲线类型的临床特征及疗效分析  

Characteristics and curative effect analysis of sudden sensorineural hearing loss inpatients with different audiometric curve

作　　者：陈平[1] 唐安洲[1] 郑明华[1] 黄东红[1] 吴正规[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉头颈外科,南宁530021

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第22期1043-1046,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广西壮族自治区卫生厅重点课题(No:200837);广西壮族自治区卫生厅资助项目(No:Z2008116)

摘　　要：目的:分析突发性聋不同听力曲线类型住院患者的临床特征及疗效,为突发性聋的诊治工作提供参考。方法:回顾性分析1 033例突发性聋住院患者的资料,比较其性别、耳侧、不同年龄段、伴发耳鸣眩晕情况、听力损失程度以及疗效在不同听力曲线类型的分布特点。结果:突发性聋患者以平坦型居多(27.24%),峰谷型最少(5.94%);性别分布:男女比例为1.3∶1.0,其中上升型女性比率较下降型、平坦型、全聋型多(P<0.01)。耳侧分布:平坦型双耳发病者较上升型多(P<0.01)。年龄分布:平坦型在≥60岁年龄段的分布显著高于上升型(P<0.01)。全聋型与其他各型、下降型与上升型相比,眩晕的发生率存在统计学差异(P<0.01)。峰谷型的耳鸣发生率高于平坦型(P<0.01)。听力损失程度分布:全聋型在极重度聋的分布显著高于其它各型(P<0.01),平坦型在重度聋的分布明显高于其它各型(P<0.01)。治疗总有效率为51.01%,上升型、峰谷形的总有效率较下降型、平坦型、全聋型好(P<0.01);全聋型的总有效率较其他各型差(P<0.01)。结论:突发性聋患者不同听力曲线的特征及疗效各不相同,其中平坦型最多,峰谷型最少;疗效以上升型和峰谷型最好,全聋型最差,听力损失程度及有否伴发眩晕和疗效密切相关。Objective：To analyze characteristics and curative effect of sudden sensorineural hearing loss（SSHL） inpatients with different audiometric curve and provide the reference for the diagnosis and treatment of SSHL.Method：Retrospective analyze of 1 033 cases of SSHL inpatients,compare the gender,the ears,the ages,with or without tinnitus and vertigo,hearing loss degree and the efficacy of distribution characteristics in different audiometric curves.Result：Inpatients with SSHL are mostly flat（27.24%）,peak valley at least（5.94%）;Gender distribution： male to female ratio was 1.3∶1,audiometric curve for the rise type more than the decline type and flat type and completely deafness type（P0.01） in female.The ears distribution： the flat type more than increase type（P0.01） in double eras SSHL.The age distribution： the flat type more than 60 years of age was significantly higher than that rising type（P0.01）.Completely deafness type compared with the other types,the decline type compared with the rise type,the incidence of vertigo was significantly different（P0.01）.Peak valley type with tinnitus was higher than the flat type.Degree of hearing loss distribution： completely deaf type in the very severe hearing loss was significantly higher than other types（P0.01）,flat type in severe hearing loss was significantly higher than other types（P0.01）.The total effective rate was 51.01%.Rise type,peak valley type were more efficient than other types（P0.01）;completely deafness type was less efficient than other types（P0.01）.Conclusion：The characteristics and curative effect are different in SSHL inpatients with different audiometric curves.Flat type was the most,peak valley type was the least.The curative effect of rise type and peak valley type are the best,completely deafness type is the worst.The degree of hearing loss and whether associated with vertigo is closely related in efficacy.

关 键 词：聋 突发性 相关因素 听力曲线 疗效 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]