青少年突发性聋(附33例临床分析)  

Sudden deafness in juveniles:Clinical analysis of 33 cases

作　　者：蓝新海[1] 唐安洲[1] 李杰恩[1] 谭颂华[1] 

机构地区：[1]广西医科大学第一临床学院耳鼻喉科,530021

出　　处：《广西医学》2002年第7期954-956,共3页Guangxi Medical Journal

摘　　要：目的 :探讨青少年突发性聋的病因、临床特点、疗效及影响预后的因素。方法 :对 1981～ 2 0 0 0年的 33例 (4 9耳 ) 18岁以下青少年突发性耳聋的临床资料进行分析。结果 :男女患者构成比约为 1 5∶1,约一半的患者发病前有较明确的上呼吸道感染史。初诊时两耳同时发病占 48 5 % ,伴眩晕者占 14 3% ;0 2 5～ 4kHz频率平均听力损失中重度 (>6 0dB)占 77 6 % ,听力曲线全聋型占 5 7 1% ,下降型占 2 2 4%。总体疗效为痊愈 2 2 4% ,显效 8 2 % ,有效 2 2 4% ,总有效率 5 3 1%。结论 :青少年突发性耳聋较少见 ,在影响预后的因素中 ,发病前有无感冒史 ,初诊时听力损失程度、纯音听力曲线类型及开始治疗时间与预后有关 ,而性别、单双耳发病及眩晕对预后的影响不明显。基本符合文献报道的一般性规律 ,但亦有自身的特点。Objective:To study the cause,clinical characteristics,treatment efficacy and the main factors affetcting the prognosis of sudden deafness in juveniles.Method:Clinical data of thirty-three cases(49 ears)about juvenile with sudden deafness were reviewed between 1981 and 2000.Results:The number of male cases is as about 1 5 times as that of female cases,nearly half of the cases had a history of virus infection.Among them 48 5% were simultaneous bilateral ears,14 3% vertigo,77 6% the serious hearing threshold levels of both speech and high frequencies,57 1% the over type of primary audiogram.The total effective rate was 53 1%.Conclusion:The sudden deafness in juveniles is rare disease;The prognosis is related with the history of virus infection,the hearing threshold levels of both speech and high frequencies,the type of primary audiogram,the time of beginning treatment,but not with the sex,singular or bilateral and the vertigo.Some aspects of sudden deafness in juvenile were similiar to that in adult,however,there are also some special charactristics about it.

关 键 词：突发性聋 青少年 预后 病因 治疗 临床分析 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]