低频型突聋伴耳闷胀感患者耳闷胀感特征及与突聋的关系  

Characteristics of ear fullness in patients with low frequency sudden deafness and their relationship

作　　者：周恩[1] 刘斌[1] 赵鹏[1] 黄雪琼[1] 袁铭昊 肖旭平[1] Zhou En;Liu Bin;Zhao Peng;Huang Xueqiong;Yuan Minghao;Xiao Xuping(Department of Otolaryngology Head and Neck Surgery, First Affiliated Hospital of Hunan Normal University(Hunan Provincial People's Hospital);Hunan Normal University School of Medicine, Changsha 410000,China)

机构地区：[1]湖南师范大学第一附属医院耳鼻咽喉-头颈外科(湖南省人民医院耳鼻咽喉-头颈外科) [2]湖南师范大学医学院,长沙410000

出　　处：《中华耳科学杂志》2017年第2期201-206,共6页Chinese Journal of Otology

摘　　要：目的探讨低频型突聋伴耳闷胀感患者耳闷胀感的临床特征、预后及与突聋的关系。方法收集单侧低频型突聋伴耳闷胀感患者35例,不伴耳闷胀感患者32例,进行听力学及影像学检查,对伴耳闷胀感患者进行耳闷胀感的VAS量表评分及主观分级。比较两组患者耳声发射、听性脑干诱发电位改变;观察耳闷胀感预后,分析耳闷胀感与突聋的关系。结果两组患者间耳声发射及脑干诱发电位结果无显著差异(χ2=1.486,1.029;P>0.05)。伴耳闷胀感患者耳闷胀感主观分级与听力下降程度呈正相关(r=0.344,P<0.05)。伴耳闷胀感组经治疗后听力恢复总有效率32/35(91.4%)略高于不伴耳闷胀感组总有效率27/32(84.4%),差异无统计学意义(χ2=0.791,P>0.05)。耳闷胀感恢复总有效率为31/35(88.6%),耳闷改善情况与听力下降改善情况存在相关性(χ2=9.891,P<0.05),pearson列联相关系数r=0.469,P<0.05。结论低频型突聋伴耳闷胀感患者耳闷程度与听力下降程度相关,听力损失越严重,耳闷胀感的主观分级越重;耳闷胀感预后较好,与听力恢复情况相关;伴耳闷胀感患者听力恢复效果可能略好于不伴耳闷胀感患者,有待进一步观察。Objective To report clinical features and prognosis of ear fullness sensation in and its relationshipwith low frequency sudden deafness.Methods Imaging and audiological data were obtained in35patients with unilaterallow frequency sudden hearing loss and ear fullness sensation and in32patients without ear fullness sensation.Moreover,VAS scale scores and subjective grading of ear fullness sensation were acquired in patients with aural fullness.Changes of otoacoustic emissions and auditory evoked potentials were compared between the two groups to investigateprognostic values of ear fullness and analyze its relationship with hearing loss.Results There was no significant differencebetween the two groups of patients with otoacoustic emissions and brainstem evoked potentials(χ2=1.486,1.029;P>0.05).Subjective grading of ear fullness was positively correlated with the degree of hearing loss(r=0.344,P<0.05).The total rate of hearing improvement following treatments in patients with ear fullness was91.4%(32/35),slightly higher than that in patients with no ear fullness(84.4%,27/32)(χ2=0.791,P>0.05).Ear fullness improved in31of the35patients(88.6%),and the improvement of ear fullness was related to improvement of hearing(χ2=9.891,P<0.05)(r=0.469,P<0.05).Conclusions The degree of hearing loss was positively correlated with the degree of ear fullnessin patients with low frequency sudden deafness when they also have sensation of ear fullness.The prognosis of ear fullnessis better than hearing loss,which is also related to hearing recovery.Hearing recovery in patients with aural fullnessappears to be slightly better than in patients without ear fullness,although further studies are needed.

关 键 词：突发性耳聋 耳闷胀感 主观分级 

分 类 号：R764[医药卫生—耳鼻咽喉科]