影响突发性聋疗效的相关因素研究  

Analysis of prognostic factors for sudden sensorineural hearing loss

作　　者：王平[1] 盛迎涛[1] 张小云[1] 

机构地区：[1]浙江省杭州市萧山区第一人民医院耳鼻咽喉科,311200

出　　处：《中国中西医结合耳鼻咽喉科杂志》2013年第6期410-412,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨突发性聋预后的相关因素，指导其预后判断。方法回顾性分析2007年10月-2012年7月710例（748耳）突发性聋患者，应用有序Logistic回归分析，筛选与突发性聋预后相关的因素，对于有统计学意义的因素用非参数检验再次验证，以指导预后分析。结果年龄、病程、伴眩晕症状、治疗前耳聋程度、伴糖尿病与疗效有相关性；性别、耳聋侧别、伴高血压与疗效无相关性，病程长短与疗效有统计学意义（P〉0．05）；不伴眩晕的患者治疗有效率要明显高于伴眩晕的患者（P〈0．05）；糖尿病患者与非糖尿病患者的有效率比较有统计学意义（P〈0．05）；初诊听阈程度与疗效差异有统计学意义（P〈0．05）。结论影响突发性聋预后的因素有年龄、病程、伴发症状、伴糖尿病、治疗前耳聋稃彦．Objective To analysis the prognostic factors of the sudden sensorineural hearing loss（SHL）, and to predict the prognosis of patient with SHL precisely. Method 710 cases （748 ears） with SHL were reviewed retrospectively during October 2007 to July 2012. Possible influence factors were analyzed with logistic stepwise regression to investigate the correlation with prognosis. All verified influence factors were analyzed with non-parametric statistics. Result The prognosis of SHL related to age, the trouble time before treatment, concurrent vertigo, diabetes, degree of hearing loss, but not to gender, trouble ear and hypertension. With increasing of age, the prognosis of SHL becomes poor. Less time elapsed before treatment and the result became better. Compared with patients suffer from vertigo, patients without vertigo obtain a better outcome （P〈0.05）. Furthermore, about comparison with the low, midst, severe and profound hearing loss, statistical different exists. Conclusion The factor of age, the course before treatment, concurrent vertigo, diabetes, degree of hearing loss are correlated with prognosis of SHL.

关 键 词：聋 突发性 预后 

分 类 号：R764[医药卫生—耳鼻咽喉科]