急性低频感音神经性聋的预后相关因素研究  

Prognostic factors for acute low-frequency sensorineural hearing loss

作　　者：张进[1] 

机构地区：[1]江苏省东台市人民医院耳鼻喉科,224200

出　　处：《中国医师进修杂志》2012年第36期23-26,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析急性低频感音神经性聋（ALHL）患者的伴随症状以及影响预后的相关因素。方法对57例（67耳）ALHL患者听力损伤程度、眩晕情况、就诊时间等相关指标与治疗后疗效进行单因素和多因素Logistic逐步回归分析。结果57例（67耳）患者痊愈22例（24耳）、显效13例（14耳）、有效8例（9耳）、无效14例（20耳），总有效率75．4％（43/57）。单因素分析结果显示：年龄、就诊时间、听觉过敏、听力损伤程度和单双侧患病与预后有直接相关性（P〈0．05或〈0．01）。多因素Logistic逐步回归分析结果显示：年龄、就诊时间、听觉过敏、听力损伤程度和单双侧患病与预后有直接相关性（P〈0．05或〈0．01）。结论ALHL的预后与年龄、就诊时间、听觉过敏、听力损伤程度和单双侧患病有直接相关性，治疗期间降低或缩短该类因素的发生能够有效治疗本病。Objective To analyze the accompanied symptoms and prognostic factors for acute low-frequency sensorineural hearing loss （ALHL）. Methods Univariate analysis and multiple factors Logistic regression analysis were completed between degree of hearing loss, vertigo, treatment time etc and therapeutic effect in 57 ALHL patients （67 ears）. Results In 57 ALHL patients （67 ears）, 22 cases（24 ears） were cured, 13 cases （ 14 ears） were excellent,8 cases （9 ears） were effective,and 14 cases （20 ears） were ineffective,the total effective rate was 75.4% （43/57）. The results of univariate analysis showed that age, treatment time, hyperacusis, degree of hearing loss and unilateral or bilateral disease were correlated with prognosis （P〈 0.05 or 〈 0.01 ）. Multiple factors Logistic regression analysis showed that age,treatment time, hyperacusis, degree of hearing loss and unilateral and bilateral disease were directly correlated with prognosis （P 〈 0.05 or 〈 0.01 ）. Conclusions The prognosis of ALHL is directly correlated with age, treatment time, hyperacusis,degree of hearing loss and unilateral and bilateral disease, and to reduce or shorten the occurrence of such factors during treatment can treat the disease effectively.

关 键 词：聋 听觉丧失 感音神经性 预后 

分 类 号：R764[医药卫生—耳鼻咽喉科]