突发性聋164例治疗效果分析  

The treatment effects analysis of 164 patients with sudden sensorineural hearing loss

作　　者：张伟[1] 谢雯[1] 徐红[1] 刘月辉[1] 

机构地区：[1]南昌大学第二附属医院耳鼻咽喉科,南昌330006

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第10期912-914,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨突发性聋的有效治疗方案及影响其预后的因素。方法:回顾性分析164例突发性聋患者的临床资料及随访结果,所有患者给予静脉滴注扩血管、神经营养药物治疗及口服泼尼松治疗,并行患耳地塞米松鼓室内注药。将所有患者分为低频听力下降型、中频听力下降型、高频听力下降型、全频听力下降型及全聋型组。在治疗前和治疗后3个月行纯音听阈测试,比较所有患者及不同组患者治疗前及治疗后受损频率的气导平均听力及各个频率气导听力。分析性别、年龄、病程、听力曲线类型、治疗前受损频率听力水平、伴或不伴眩晕与预后的关系。结果:所有患者平均听力及全频率平均听力均有所改善,治疗有效率达46.3%,低频听力改善优于高频听力。其中年龄、病程、听力曲线类型、治疗前受损频率听力水平、伴或不伴眩晕是影响其预后的独立因素。结论:突发性聋患者在常规治疗的基础上行口服及鼓室内注入糖皮质激素安全有效,其预后与年龄、病程、听力曲线类型、治疗前受损频率听力水平、伴或不伴眩晕密切相关。Objective： To explore the effective treatment of sudden sensorineural hearing loss and factors af- fecting its prognosis. Method： The clinical data and follow-up results of 164 patients with sudden sensorineural hearing loss were analyzed retrospectively. All the 164 patients were given intravenous vasodilator, neurotrophic drugs treatment, oral prednisone treatment,and intratympanic dexamethasone injection . All patients were divided into low frequency hearing loss type, intermediate frequency hearing loss, high frequency hearing loss,all frequency hearing loss and total deafness group. Pure tone hearing threshold test were performed before and 3 months after treatment. All patients and different groups were compared before and after treatment damage frequency of aver- age air conduction and various frequency air conduction hearing. Analysis of gender, age, process and hearing curve type, frequency hearing of impaired before treatment, the symptoms with or without vertigo. Result： All the patients＇ hearing improved after treatment. The treatment efficiency was 46.3%, and low frequency hearing im- provements were better than the high frequency hearing. Including age, process, frequency hearing of impaired before treatment, with or without vertigo is independent factors influencing its prognosis. Conclusion：Based on the regular treatment,oral and intratympanic injection glucocorticoid therapy are safe and effective for sudden hearing loss,The prognosis and age, course, impaired hearing before curve type, treatment frequency hearing level is closely related, with or without vertigo.

关 键 词：聋 突发性 地塞米松 治疗 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]