影响急性低频感音神经性聋的预后相关因素分析  

Analysis of prognostic factors on acute low-tone sensorineural deafness

作　　者：阳光[1] 罗燕云[1] 黄鹏[1] 姚行齐[1] 王秋菊[2] 

机构地区：[1]解放军广州军区武汉总医院耳鼻喉科,湖北武汉430070 [2]中南大学湘雅二医院耳鼻喉科,湖南长沙410000

出　　处：《临床军医杂志》2013年第5期511-512,515,共3页Clinical Journal of Medical Officers

基　　金：国际自然科学基金(81100716)

摘　　要：目的探讨影响急性低频感音神经性聋(ALHL)的预后相关因素。方法对我院收治的79例(95耳)ALHL患者采用单因素方法分析、Logistic回归分析等统计学方法,分析影响ALHL预后的相关因素。结果 79例(95耳)患者治愈33例(40耳)、显效20例(24耳)、有效12例(14耳)、无效14例(17耳),有效率为82.3%。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相关检测指标和预后有相关性。多因素Logistic回归分析结果表明:年龄、就诊时间、听觉过敏、听力损伤程度和单双侧患病相关检测指标和预后有直接相关性。结论急性低频感音神经性聋的预后与年龄、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产生有益影响。Objective To explore the prognostic factors related to acute low-frequency sensorineural hearing loss （ALHL）. Methods A total of 79 patients （95 ears） with ALHL were studied via single factor analysis, logistic regression analysis and other statistical methods so as that the factors affecting their prognosis would be found out. Results Of the 79 patients （95 ears）, 33 （40 ears） were cured, 20 （24 ears） reached clearly effectiveness, 12 （ 14 ears） reached ordinarily effective, and 14 （ 17 ears） reached inef- fectiveness. The total efficiency was 82.3%. The univariate analysis showed that age, treatment time, hyperacusis, hearing loss degree and unilateral or bilateral prevalence was of relevance with ALHL patients＇ prognosis. Logistic regression analysis had the same outcomes as univariate analysis. Conclusion The factors such as age, treatment time, hyperacusis, hearing loss degree and unilateral or bilateral prevalence may be relevant with the prognosis of ALHL patients. Reducing the occurrence of the factors helps to improve their clinical efficacy.

关 键 词：急性低频感音神经性聋 影响因素 

分 类 号：R764.431[医药卫生—耳鼻咽喉科]