中重度及以上听力损失突聋患者伴或不伴眩晕/头晕对听力转归的影响研究  

Effect of sudden sensorineural hearing loss patients with or without dizziness/vertigo on auditory prognosis in patients with moderately severe hearing loss and above

作　　者：单长硕 吴萧男 谌国会 高云 王秋菊 SHAN Changshuo;WU Xiaonan;CHEN Guohui;GAO Yun;WANG Qiuju(Hearing and Speech Rehabilitation Institute,Binzhou Medical University,Yantai,264003,China;Department of Audiology and Vestibular Medicine,Senior Department of Otolaryngology Head and Neck Surgery,the Sixth Medical Center of Chinese PLA General Hospital)

机构地区：[1]滨州医学院听力与言语康复学专业,山东烟台264003 [2]中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳鼻咽喉内科

出　　处：《临床耳鼻咽喉头颈外科杂志》2025年第3期223-227,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家重点研发计划(No:2023YFC2508400);国家自然科学基金(No:82350005,82171130)。

摘　　要：目的:分析中重度及以上听力损失突聋患者眩晕/头晕的发生率,探讨眩晕/头晕对中重度及以上听力损失突聋患者听力转归的影响。方法:选取自2008年1月至2022年12月住院的697例单侧突聋患者,年龄18~60岁,PTA≥50 dB HL,且发病14 d内。依据突聋患者住院病历资料判定是否伴有眩晕/头晕,听力损失程度参考2021年WHO分级标准,分为中重度组、重度组、极重度组和全聋组,应用SPSS 22.0软件分析中重度及以上听力损失突聋患者伴有眩晕/头晕与未伴有眩晕/头晕听力转归的差异。结果:本研究分析697例单侧中重度至全聋突聋患者的临床数据,其中男382例,女315例,平均年龄(40.8±11.0)岁。中重度至全聋听力损失突聋患者伴有眩晕/头晕比例分别为18.4%、35.7%、47.9%和76.4%,中重度组、重度组、极重度组和全聋组比较,差异有统计学意义(P<0.001)。中重度至全聋听力损失突聋患者痊愈率分别为28.2%、25.2%、18.2%和1.9%,总有效率分别为72.8%、83.5%、86.7%和78.0%,中重度组、重度组、极重度组和全聋组在痊愈率(P<0.001)、显效率(P<0.001)、有效率(P=0.026)和无效率(P=0.022)差异均有统计学意义。伴眩晕/头晕突聋患者的痊愈率在中重度组、重度组、极重度组和全聋组与不伴眩晕/头晕突聋患者的痊愈率差异均有统计学意义(P<0.05),而总有效率仅在极重度组与不伴眩晕/头晕的突聋患者差异有统计学意义(P<0.05)。经住院治疗后,伴眩晕/头晕的突聋患者中,听力损失在中重度突聋患者的4000和8000 Hz,重度突聋患者2000~8000 Hz,极重度突聋患者500~8000 Hz,全聋患者2000~8000 Hz的最终听力阈值与不伴眩晕/头晕的患者差异有统计学意义(P<0.05)。结论:中重度及以上突聋患者的听力损失程度越高,伴发眩晕/头晕的比例越高。眩晕/头晕的突聋患者高频听力恢复较差,痊愈率显著低于不伴眩晕/头晕的患者。Objective To analyze the incidence and impact on the auditory prognosis of vertigo/dizziness in sudden sensorineural hearing loss patients with moderately severe hearing loss and above.Methods Clinical data of patients with unilateral sudden sensorineural hearing loss hospitalized from January 2008 to December 2022,aged 18-60 years,PTA≥50 dB HL,and within 14 days of onset were selected.Based on the clinical records of sudden sensorineural hearing loss patients,we determined whether they were accompanied by vertigo/dizziness.The degree of hearing loss is referenced to the 2021 WHO grading criteria and divided into the moderately severe,severe,profound,and total deafness groups.The SPSS 22.0 software was applied to analyze the difference in the auditory prognosis between sudden sensorineural hearing loss patients with moderately severe hearing loss and above who have dizziness/vertigo and those who do not.Results A total of 697 patients with moderately severe hearing loss and above were collected,including 382 males and 315 females,with an average age of(40.8±11.0)years.The proportions of sudden sensorineural hearing loss patients with dizziness/vertigo among those with moderately severe to total deafness hearing loss were 18.4%,35.7%,47.9%,and 76.4%respectively.Compared to the moderately severe,severe,profound,and total deafness groups,the difference was statistically significant(P<0.001).The complete recovery rates of sudden sensorineural hearing loss patients with moderately severe to total deafness hearing loss were 28.2%,25.2%,18.2%,and 1.9%respectively,and the total effective rates were 72.8%,83.5%,86.7%,and 78.0%respectively.There were statistically significant differences in complete recovery rate(P<0.001),significant efficiency rate(P<0.001),effective rate(P=0.026),and no recovery rate(P=0.022)among the moderately severe,severe,profound,and total deafness groups.The differences in complete recovery between sudden sensorineural hearing loss patients with and without vertigo/dizziness were statistically s

关 键 词：突发性聋 眩晕 头晕 听力损失程度 预后 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]