儿童青少年突发性聋的临床分析及近期疗效观察  

Clinical Characteristics and Short Term Treatment Outcomes of Sudden Sensorineural Hearing Loss in Adolescents

作　　者：毕静[1] 周智英[1] 蒋艾[1] 莫薇[1] 付勇[1] BI Jing;ZHOU Zhiying;JIANG Ai;MO Wei;FU Yong(Department of Otolaryngology Head and Neck Surgery,Affiliated Children's Hospital,Zhejiang University School of Medicine)

机构地区：[1]浙江大学医学院附属儿童医院耳鼻咽喉头颈外科

出　　处：《中华耳科学杂志》2018年第1期42-47,共6页Chinese Journal of Otology

基　　金：浙江省卫生厅面上项目(2018KY452)~~

摘　　要：目的通过分析儿童青少年突发性聋患者住院资料,总结儿童青少年突发性聋的临床特征及治疗方式,为临床工作提供指导;方法选取2014年2月-2017年7月住院治疗并有完整资料的5~18岁的突发性聋患者46例(48耳),按年龄及体重给予糖皮质激素、改善内耳微循环药物、营养神经药物等综合治疗,评价治疗后第7天、14天及30天效果;按听力损失程度、年龄、性别、就诊时间、伴发症状(眩晕/耳鸣)等影响因素进行分组并对组间疗效进行比较。结果 46例(48耳)患者中,男21例(22耳),女25例(26耳),年龄5~18岁,单耳发病44例,双耳发病2例,4耳(8.3%)例为轻度听力损失,9耳(18.8%)为中度听力损失,15耳(31.3%)为重度听力损失,20耳(41.7%)为极重度听力损失,伴发眩晕症状1例(29.2%),伴发耳鸣症状21耳(43.8%);综合治疗后痊愈5耳(10.4%),总有效率(37.5%);就诊时间小于1周、年龄小于12岁、听力损失程度轻、伴有耳鸣症状者治疗效果较好(P<0.05);结论儿童青少年突发性聋多为一侧重度以上听力损失,及早给予系统综合的治疗能提高该病的近期治愈率;Objective To report clinical features and treatment results of sudden sensorineural hearing loss in adolescents.Methods Forty six 5-18 years old patients(48 ears)with sudden deafness who were admitted to the Affiliated Children's Hospital,Zhejiang University School of Medicine,during February 2014-July 2017 with complete clinical data were included.Age and body weight appropriate comprehensive treatments,including glucocorticoids,microcirculation improving drugs and nerve nourishing agents,were administered and therapeutic effects were evaluated on days 7,14 and 30 after treatment.Patients were grouped based on hearing loss severity,age,sex,disease duration and symptoms(vertigo/tinnitus,etc),and treatment outcomes were compared among groups.Results Of the 46 patients,22 were male and 26 were female.Age ranged from 5 to 18 years.Hearing loss involved single ear in 44 patients and bilaterally in 2 patients.Hearing loss was mild in 4 ears(8.3%),moderate in 9 ears(18.8%),severe in 15 ears(31.3%)and profound in 20 ears(41.7%).Vertigo was seen in 14 patients(29.2%),and tinnitus in 21 ears(43.8%).Following treatment,complete hearing recovery was seen in 5 ears(10.4%),while the total effective rate was 37.5%.Treatment outcomes were better in patients with disease duration less than 1 week,younger than 12 years,mild hearing loss and presence of tinnitus(P<0.05).Conclusion Sudden sensorineural hearing loss in adolescent presents mostly as one side severe hearing loss.Early comprehensive treatment can improve short-term outcomes.

关 键 词：突发性聋 儿童 疗效 

分 类 号：R764[医药卫生—耳鼻咽喉科]