心理及其它因素对突发性耳聋患者预后的影响
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摘要
目的:探讨突发性耳聋患者预后的相关因素,尤其是心理因素对预后的影响。方法:收集167例患者(170耳)的完整资料,对性别、年龄、就诊时间、听力损失程度、听力曲线类型、有无伴发眩晕及心理因素进行统计学分析,采用x2检验判定与预后的相关性。结果:患者的性别、听力曲线类型与预后无相关性,P>0.05;患者的就诊时间、听力损失程度、眩晕及心理因素与疾病预后相关,P<0.05。结论:突发性耳聋患者的预后与多种因素相关,心理因素作为一个可变因素应引起临床医师的重视。
Objective: To discuss effects of relevant factors,especially mental factor on prognosis of sudden deafness. Methods: The full data of 167 cases with sudden deafness were collected. The statistic analysis was performed on the factors of sex,age,visiting time,degree of hearing loss,auditory curve type,dizziness and mental state,and their relations with prognosis were judged by x2 test. Results: The factors of age and auditory curve type were not correlated with prognosis( P > 0. 05); while the visiting time,degree of hearing loss,dizziness and mental state were revealed as statistically significant factors( P < 0. 05). Conclusions: The prognosis of sudden deafness is related with many factors. As a transformable factor,the mental factor should arise clinical doctor's recognition.
Objective: To discuss effects of relevant factors,especially mental factor on prognosis of sudden deafness. Methods: The full data of 167 cases with sudden deafness were collected. The statistic analysis was performed on the factors of sex,age,visiting time,degree of hearing loss,auditory curve type,dizziness and mental state,and their relations with prognosis were judged by x2 test. Results: The factors of age and auditory curve type were not correlated with prognosis( P > 0. 05); while the visiting time,degree of hearing loss,dizziness and mental state were revealed as statistically significant factors( P < 0. 05). Conclusions: The prognosis of sudden deafness is related with many factors. As a transformable factor,the mental factor should arise clinical doctor's recognition.
引文
[1]中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.突发性聋的诊断和治疗指南[J].中华耳鼻咽喉头颈外科杂志,2006,41:325.
[2]黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998:714-716.
[3]刘慧茹.突发性耳聋预后的相关因素分析[J].中国当代医药,2014,6:34-36.
[4]崔冬月.影响突发性耳聋预后的相关因素探讨[J].现代中西医结合杂志,2011,21:2627-2629.
[5]季念英,王金泉.突发性耳聋的病因研究进展[J].济宁医学院学报,2006,29:87-89.
[6]贾月芝,李勇,汪子伟.心理因素对突发性耳聋发病的影响[J].中华耳鼻咽喉头颈外科杂志,2007,42(6):464.
[7]李心天.医学心理学[M].北京:人民卫生出版社,1994:48.
[8]张毅,纪维刚,尚建平.突发性聋的听力图型与听力转归关系的探讨[J].听力学及言语疾病杂志,2000,8(2):109-110.
[2]黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998:714-716.
[3]刘慧茹.突发性耳聋预后的相关因素分析[J].中国当代医药,2014,6:34-36.
[4]崔冬月.影响突发性耳聋预后的相关因素探讨[J].现代中西医结合杂志,2011,21:2627-2629.
[5]季念英,王金泉.突发性耳聋的病因研究进展[J].济宁医学院学报,2006,29:87-89.
[6]贾月芝,李勇,汪子伟.心理因素对突发性耳聋发病的影响[J].中华耳鼻咽喉头颈外科杂志,2007,42(6):464.
[7]李心天.医学心理学[M].北京:人民卫生出版社,1994:48.
[8]张毅,纪维刚,尚建平.突发性聋的听力图型与听力转归关系的探讨[J].听力学及言语疾病杂志,2000,8(2):109-110.