16例双侧突发性耳聋患者临床特征与治疗效果分析  

Clinical Characteristics and Therapeutic Effect of 16 Patients with Bilateral Sudden Deafness

作　　者：陈果[1] 

机构地区：[1]四川简阳市人民医院耳鼻喉科,四川眉山641400

出　　处：《医学临床研究》2017年第8期1521-1522,1526,共3页Journal of Clinical Research

摘　　要：【目的】探讨双侧突发性耳聋临床特征与治疗效果分析。【方法】回顾性分析本院2014年1～12月入院的16例双侧突发性耳聋患者的临床资料，根据患者不同听力曲线类型给予不同治疗方案。【结果】16例患者中，伴有耳鸣的7例：治愈4例，显效1例，有效1例，无效1例，总有效率85．7％；未伴有耳鸣的患者9例：治愈3例，显效1例，有效2例，无效3例，总有效率为55．6％。60岁及以下患者5例：治愈4例，无效1例，总有效率80％；60岁以上患者11例，治愈3例，显效2例，有效3例，无效3例，总有效率为72．7％。伴耳鸣及年龄≤60岁的双侧突发性聋患者治疗总有效率高于不伴发耳鸣患者，但差异无统计学意义（P〉0.05）。【结论】双侧突发性耳聋是一种困扰大部分人类的病因复杂的疾病，其临床特征比较复杂，须针对不同类型听力曲线采取分型治疗。[Objective]To investigate the clinical characteristics and therapeutic effect of bilateral sudden deafness. [Methods]The clinical data of 16 patients with bilateral sudden deafness admitted to our hospital in 2014 were analyzed retrospectively. [Results]Among the 16 patients, there were 7 patients with tinnitus in which 4 cases were cured, 1 case was markedly effective, 1 case was effective and 1 case was ineffective. The total effective rate was 85.7%. The remaining 9 patients who were not associated with tinnitus included 3 cases were cured, 1 case was markedly effective, 2 cases were effective and 3 cases were ineffective, the total effec- tive rate was 55.6%. Of the 16 patients, 5 patients were under 60 years old. Among these, 4 cases were cured, 1 case was ineffective and the total effective rate was 80%. The remaining 11 cases were over 60 years old which included 3 cases that were cured, 2 cases that were markedly effective, 3 cases that were effective and 3 cases that were ineffective the total effective rate was 72.7%. The total effective rate of patients with tinnitus and age ≤ 60 years seemed higher than of those who were not associated with tinnitus, but the differ- ence was not statistically significant （ P 〉0.05）.[Conclusion]Bilateral sudden deafness is a complicated disease afflicting many people. Its clinical features are complicated. It is necessary to adopt different treatment methods for different types of hearing curves.

关 键 词：听觉丧失 突发性/治疗 耳鸣 听力学 回顾性研究 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]