不同听力曲线类型儿童突发性感音神经性聋预后差异及影响因素分析  

Prognostic Difference and Influencing Factors of SSNHL in Children with Different Types of Hearing Curve

作　　者：曹咏梅[1] 冯娟娟 余爵波 CAO Yong-mei;FENG Juan-juan;YU Jue-bo

机构地区：[1]扬州友好医院耳内科,扬州225000 [2]扬州大学附属医院耳鼻咽喉头颈外科,扬州225000

出　　处：《中国听力语言康复科学杂志》2025年第2期161-164,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的 探究不同听力曲线类型儿童突发性感音神经性聋(sudden sensorineural hearing loss,SSNHL)预后差异及影响因素。方法 选取2017年1月至2022年1月在扬州友好区院接受治疗的突发性感音神经性聋儿童102例,按照《突发性聋诊断和治疗指南》将其分为低频下降型、高频下降型、平坦型、全聋型,比较治疗效果差异,并分析影响患儿预后的因素。结果 102例患者中,低频下降型占比约14.70%;高频下降型占比约5.88%;平坦型占比约30.39%;全聋型占比约49.02%。低频下降型、高频下降型、平坦型、全聋型儿童间的治疗效果存在差异,且低频下降型儿童的治疗有效率显著高于高频下降、平坦型和全聋型(P<0.05),高频下降型、平坦型儿童的治疗有效率显著高于全聋型(P<0.05),但高频下降型和平坦型儿童的治疗有效率比较无差异(P>0.05)。经单因素分析,预后良好组和预后不良组在听力损失程度、有无眩晕、耳闷、耳石性眩晕、受凉史等方面存在显著差异(P<0.05),但在性别、年龄、受损侧别、发病及治疗时间、有无耳鸣方面无统计学差异(P>0.05)。经多因素分析可知,听力损伤程度、耳闷、耳石性眩晕、受凉史均会影响患儿的预后结果(P<0.05)。结论 不同听力曲线类型突发性感音神经性聋患儿预后效果存在差异,低频下降型患儿预后较好,听力损伤程度、耳闷、耳石性眩晕以及受凉史等会对其预后产生影响。Objective To investigate of Prognostic Differences and Influencing Factors in Children with Sudden Sensorineural Hearing Loss(SSNHL)Based on Different Audiogram Types Methods A total of 102 children with sudden sensory nerve deafness who received treatment in our hospital from January 2017 to January 2022 were selected and divided into low-frequency decreasing type(n=15),high-frequency decreasing type(n=6),flat type(n=31)and total deafness type(n=50)according to the Guidelines for Diagnosis and Treatment of sudden deafness formulated by the Chinese Medical Association.The therapeutic effects were compared.The general data were collected and the factors influencing the prognosis were analyzed.Results Among the 102 patients,15 cases were diagnosed as low frequency descending type,accounting for 14.70%;6 cases were diagnosed as high-frequency descending type,accounting for 5.88%;31 cases were diagnosed as flat type,accounting for 30.39%.50 cases were diagnosed as total deafness,accounting for 49.02%.There were differences in the therapeutic effects among children with low frequency decreasing type,high frequency decreasing type,flat type and total deafness,The therapeutic effects of children with low frequency decreasing type was higher than that of children with high frequency decreasing type,flat type and total deafness type,while the therapeutic effects of children with high frequency decreasing type and flat type was higher than that of total deafness type(P<0.05).However,there was no difference in treatment effectiveness between high-frequency descending type and flat type children(P>0.05).By univariate analysis,there were differences in the degrees of hearing loss,dizziness,ear boredom,otolitic vertigo,and history of cold between the good prognosis group and the poor prognosis group(P<0.05),but there were no statistically significant differences in genders,ages,damaged sides,time from onset to treatment,and tinnitus(P>0.05).Multivariate analysis showed that the degree of hearing impairment,ear boredom,otolitho

关 键 词：听力曲线类型 突发性感音神经性聋 儿童 预后 影响因素 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]