突发性耳聋老年患者临床治疗效果的影响因素分析  

Analysis of Influencing Factors of Clinical Treatment Effect in Elderly Patients with Sudden Deafness

作　　者：李兴程 雷一波[1] 石硕[1] 陈蓓[1] Li Xingcheng;Lei Yibo;Shi Shuo;Chen Bei(Department of Otolaryngology,No.1 Affiliated Hospital of Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院耳鼻喉医院耳科,郑州450052

出　　处：《数理医药学杂志》2020年第12期1766-1768,共3页Journal of Mathematical Medicine

摘　　要：目的:探讨突发性耳聋老年患者临床治疗效果的影响因素。方法:回顾性分析2018年3月~2020年2月某院收治的96例老年突发性耳聋患者临床资料,分析老年突发性耳聋患者临床治疗效果的影响因素。结果:96例老年突发性耳聋患者治疗总有效率为66.67%(64/96),其中无效32例,有效29例,显效19例,痊愈16例;治疗无效组眩晕、病程≥7d、听力曲线全聋型、颈动脉超声异常、前庭功能检查异常比例高于治疗有效组(P<0.05);两组性别、年龄、耳鸣、听力损失程度、病程和听力曲线平坦下降型、中高频下降型、低中频下降型比例相比无明显差异(P>0.05);Logistic回归分析显示,眩晕、听力曲线全聋型、病程≥7d、颈动脉超声异常、前庭功能检查异常是影响老年突发性耳聋患者临床治疗效果的独立危险因素(P<0.05且OR≥1)。结论:眩晕、听力曲线全聋型、病程≥7d、颈动脉超声异常、前庭功能检查异常是影响老年突发性耳聋患者临床治疗效果的独立危险因素,临床需加以重视。Objective:To explore the influencing factors of clinical treatment effect in elderly patients with sudden deafness.Methods:The clinical data of 96 elderly patients with sudden deafness admitted to a hospital from March 2018 to February 2020 were retrospectively analyzed,and the influencing factors of the clinical treatment effect in elderly patients with sudden deafness were analyzed.Results:The total effective rate of treatment for 96 patients with sudden deafness in the elderly was 66.67%(64/96),of which 32 were ineffective,29 were effective,19 were markedly effective,and 16 were cured;The proportion of vertigo,course≥7d,hearing curve total deafness,abnormal carotid artery ultrasound,abnormal vestibular function examination was higher than that of effective group(P<0.05);The proportion of gender,age,tinnitus,degree of hearing loss,course of disease and the proportion of flat decline of hearing curve,high frequency decline type,low and medium frequency decline type were not significantly different between the two groups(P>0.05);Logistic regression analysis showed that vertigo,hearing curve,total deafness type,course≥7d,abnormal carotid ultrasound and abnormal vestibular function were independent risk factors affecting the clinical treatment effect of elderly patients with sudden deafness(P<0.05 and OR≥1).Conclusion:Vertigo,hearing curve deafness,course≥7d,abnormal carotid ultrasound,abnormal vestibular function test are independent risk factors that affect the clinical treatment of elderly patients with sudden deafness.

关 键 词：突发性耳聋 影响因素 临床治疗效果 前庭功能 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]