突发性聋的伴随症状对判断预后的价值  

Prognosis of Sudden Deafness With or Without Concurrent Signs

作　　者：吕晓飞[1] 李正廷[1] 王洵[1] 

机构地区：[1]首都医科大学附属红十字朝阳医院耳鼻咽喉科,北京100020

出　　处：《听力学及言语疾病杂志》2001年第2期99-99,110,共2页Journal of Audiology and Speech Pathology

摘　　要：目的 探讨突发性聋伴或不伴眩晕与耳鸣对判断预后的价值。方法 回顾性分析我科收治的 ２１７例突发性聋患者的临床资料。结果 突发性聋伴眩晕７８例，治疗有效率为５９．０％，不伴眩晕患者１３９例，治疗有效率为８７.７７％（Ｐ＜０.０５）；伴耳鸣１６７例，有效率７６．０５％；不伴耳鸣５０例，治疗有效率８２．０％（Ｐ＞０.０５）。结论 突发性聋不伴眩晕者预后较好，它对判断预后很有意义，耳鸣的有无对判断预后无明显价值。Objective To investigate the prognostic value of sudden deafness with or without vertigo and tinnitus. Methods A retrospective analysis was performed in 217 cases of sudden deafness. Results The effective rate of treatment was 59. 0% in 78 cases of sudden deafness with vertigo and the effective rate was 87.77%, 139 cases of sudden deafness without vertigo (P <0.05). The effective rate was 76.05% in 167 cases of sudden deafness with tinnitus, and the effective rate was 82.0% in 50 cases of sudden deafness without tinnitus( P> 0.05). Conclusion The prognosis of sudden deafness without vertigo is better than sudden deafness with vertigo, indicating vertigo is a good prognostic value of sudden deafness. The prognosis value of tinmitus is not clear.

关 键 词：突发性耳聋 眩晕 耳鸣 预后 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]