突发性耳聋158例临床资料回顾性分析
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摘要
目的:探讨突发性耳聋的病因,以及影响突发性耳聋疗效的相关因素。方法:系统回顾了我科自2005年1月至2008年2月收治的158例(170耳)突发性耳聋患者的资料。结果:近期有上感史者达34.18%,微循环病变者达22.78%,有心理因素者占6.96%,表明突发性聋病因中病毒感染在首位;其次为血管性因素和心理因素;突聋的疗效与年龄、初诊时间、治疗前的听力程度、治疗前的听力曲线、伴发眩晕显著相关(P＜0.05);突聋的疗效与性别无关(P＞0.05);突聋的疗效与伴发耳鸣无关(P＞0.05)。结论:根据突发性聋病因,选择适应的治疗方案,提高疗效;年龄越大,疗效越差;就诊治疗越早,疗效越好;听力损失越重,疗效越差;仅有低频听力损失者听力疗效较好;伴有眩晕症状者,疗效差;性别、伴发耳鸣对突发性聋疗效影响不明显。
Objective:To explore pathogenic factor of sudden deafness and to study the factors influencing the effectiveness of treating sudden deafness.Method:A retrospective analysis was performed in 158cases(170ears) of sudden deafness patients from Jan.2005 to Feb.2008.Results:History of the upper respiratory tract infection reached 34.18%in 158cases before deafness,the percentage of dysfunction of microcirculation was 22.78%and the percentage of psychological factor was 6.96%,It is demonstration that viral infection was stood first on the list of the pathogenic factors of sudden deafness.dysfunction of microcirculation and psychological factor were posterior.The clinical curative effect of sudden deafness was closely associated with age,the onset time of disease and treatment in early times,the degree of hearing loss and the types of the audiometric results before treatment,vertigo(P＜0.05),however,not with the gender and tinnitus(P＞0.05). Conclusion:According to pathogenic factor of sudden deafness,we should choose adaptive program of treatment to improve clinical curative effect;The older the patients,the less the effectiveness,the less of the degree of sudden hearing loss with uprising configuration,the earlier treatment,the more effective the treatment can be, only low frequency of hearing loss of patients have,better treatment;vertigo have important influence on treatment;Tinnitus and gender have no significant influence on the curative effect of sudden deafness.
Objective:To explore pathogenic factor of sudden deafness and to study the factors influencing the effectiveness of treating sudden deafness.Method:A retrospective analysis was performed in 158cases(170ears) of sudden deafness patients from Jan.2005 to Feb.2008.Results:History of the upper respiratory tract infection reached 34.18%in 158cases before deafness,the percentage of dysfunction of microcirculation was 22.78%and the percentage of psychological factor was 6.96%,It is demonstration that viral infection was stood first on the list of the pathogenic factors of sudden deafness.dysfunction of microcirculation and psychological factor were posterior.The clinical curative effect of sudden deafness was closely associated with age,the onset time of disease and treatment in early times,the degree of hearing loss and the types of the audiometric results before treatment,vertigo(P＜0.05),however,not with the gender and tinnitus(P＞0.05). Conclusion:According to pathogenic factor of sudden deafness,we should choose adaptive program of treatment to improve clinical curative effect;The older the patients,the less the effectiveness,the less of the degree of sudden hearing loss with uprising configuration,the earlier treatment,the more effective the treatment can be, only low frequency of hearing loss of patients have,better treatment;vertigo have important influence on treatment;Tinnitus and gender have no significant influence on the curative effect of sudden deafness.
引文
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