温度试验在单侧突发性耳聋评估中的临床应用价值  

Clinical Application Value of Caloric Test in Unilateral Sudden Deafness

作　　者：赵润予 陈晓平[1] 张燚[1] 周恩晖 Zhao Runyu;Chen Xiaoping;Zhang Yi;Zhou Enhui(Department of Otolaryngology Head and Neck Surgery,Shanghai Pudong New Area Gongli Hospital,Shanghai,200135,China)

机构地区：[1]上海市浦东新区公利医院,上海200135

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第5期107-110,共4页Chinese Medical Digest(Otorhinolaryngology)

基　　金：上海市医学重点专科项目(项目编号:ZK2019C06);浦东新区卫生系统医学人才培养计划(项目编号:PWRq2020-50);上海市浦东新区公利医院人才培养计划(项目编号:GLRq2020-01)。

摘　　要：目的探讨温度试验(caloric test,CT)在单侧突发性耳聋发病及预后中的应用价值。方法回顾性分析我科2020年1月-2020年12月收治的94例单侧突发性耳聋患者的CT结果及临床资料。结果CT异常率在单侧突发性耳聋伴眩晕和治疗无效的患者中显著增高。不同程度听力损失患者CT无明显差异(P>0.05),但CT异常趋势随听力损失程度加重而加重(P<0.01)。结论单侧突发性耳聋患者的眩晕症状与前庭功能检查结果密切相关,前庭功能异常的单侧突发性耳聋患者预后差,前庭功能损伤与听力损失的严重程度正相关。Objective To investigate the calinical application of caloric test(CT)in unilateral sudden deafness.Methods To analyze CT and clinical data of 94 patients admitted from January 2020 to December 2020.Results The abnormal rate of CT was statistically different between patients with and without vertigo,and between effective and ineffective treatment.No obvious difference was found between CT and degrees of hearing loss,however,the tendency of CT abnormal rate increased with degrees of hearing loss.Conclusion The vestibular dysfunction is related to vertigo symptom in unilateral sudden deafness,which also indicates poor prognosis.The vestibular dysfunction is positively related to severity of hearing loss.

关 键 词：突发性耳聋:温度试验 临床应用 

分 类 号：R76[医药卫生—耳鼻咽喉科]