影响突发性耳聋治疗效果的相关因素分析  

Analysis on the related factors affecting prognosis of sudden deafness

作　　者：马俊[1] 严仁纯 伍丽娟[1] 胡恒[1] 伍春霞[1] 刘少峰[1] 

机构地区：[1]皖南医学院附属弋矶山医院耳鼻咽喉头颈外科,安徽芜湖241001

出　　处：《皖南医学院学报》2015年第4期341-343,共3页Journal of Wannan Medical College

摘　　要：目的:探讨影响突发性耳聋治疗效果的相关因素。方法:回顾性分析246例突发性耳聋患者的临床资料。结果:246例患者经10 d系统治疗后,痊愈19例,显效及有效118例,总有效率为55.69%。单因素Logistic分析显示,高龄(≥60岁)(OR=2.308)、发病时间长(OR=1.843)、双侧患病(OR=2.447)、有合并症的发生(OR=2.068)及听力分型差(OR=5.943)是影响突发性耳聋患者预后的危险因素。多因素非条件Logistic逐步回归分析显示,高龄(≥60岁)(OR=1.737)、发病时间长(OR=1.898)及听力分型差(OR=5.511)是影响突发性耳聋患者预后的危险因素。结论:突发性耳聋的病因不明,治疗原则无特异性。经多因素非条件Logistic逐步回归分析显示高龄(≥60岁)、发病时间长和听力分型差是影响突发性耳聋患者预后的危险因素,对于此类患者预后不佳,医患对此应有合理预期。Objective：To investigate the relevant factors affecting the treatment outcomes for sudden deafness .Methods：The clinical data were reviewed in 246 patients with sudden deafness.Results：In systematic treatment for 10 day,19 cases were cured,and 118 were excellent and effective recovery.Total ef-fective rate was 55.69%.Univariate logistic analysis showed that the factors affecting prognosis of sudden deafness were associated with age（≥60 years, OR=2.38）,long course of disease（OR=1.843）,bilaterally involved ears（OR=2.447）,presence of comorbidity（OR=2.068） and poor types of hear-ing impairments（OR =5.943）.Non conditional logistic stepwise regression analysis of multiple factors showed that the older age （≥60 years,OR =1.73）,long course of disease（OR=1.898） and poor types of hearing loss（OR=5.511） were risk factors for the recovery of this condition.Conclusion：Sudden deafness remains still unclear in its etiology,and has no specific treatment strategy.Stepwise logistic regression analysis suggests that the adverse factors for prognosis of sudden deafness are associated with older age,long course of disease and poor types of hearing impairments.For such conditions, both the patients and doctors should have reasonable expectation .

关 键 词：突发性耳聋 治疗效果 相关因素 

分 类 号：R764[医药卫生—耳鼻咽喉科]