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突发性耳聋伴眩晕的临床分析
引用本文:赵海,王志远,鞠建宝. 突发性耳聋伴眩晕的临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 2021, 27(3): 269-271
作者姓名:赵海  王志远  鞠建宝
作者单位:青岛市市立医院 耳鼻咽喉头颈外科, 山东 青岛 266000;青岛大学附属医院 耳鼻咽喉头颈外科, 山东 青岛 266000
基金项目:山东省自然科学基金(ZR2013HM024)。
摘    要:目的 探讨突发性耳聋(简称突聋)伴良性阵发性位置性眩晕(BPPV)或突聋伴眩晕综合征(非BP-PV)与突聋不伴眩晕的临床特征及疗效.方法 选取2018年1月-2019年12月收治的400例突聋患者,根据是否伴有眩晕症状,分为突聋伴眩晕组(163例)和突聋不伴眩晕组(237例)两组.163例突聋伴眩晕组患者进一步分为突聋...

关 键 词:突发性耳聋  良性阵发性位置性眩晕  眩晕综合征  临床分析
收稿时间:2020-06-16

Clinical analysis of sudden hearing loss with vertigo
ZHAO Hai,WANG Zhiyuan,JU Jianbao. Clinical analysis of sudden hearing loss with vertigo[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2021, 27(3): 269-271
Authors:ZHAO Hai  WANG Zhiyuan  JU Jianbao
Affiliation:Department of Otorhinolaryngology Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao 266000, China; Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Abstract:Objective To investigate the clinical features and efficacy of sudden hearing loss with vertigo including benign paroxysmal positional vertigo (BPPV) or non-BPPV and sudden hearing loss without vertigo. Methods From Jan 2018 to Dec 2019, 400 patients with sudden hearing loss were enrolled. They were divided into two groups according to whether accompanied by vertigo or not, 163 cases belonged to the group with vertigo and 237 without vertigo. The group with vertigo was further subdivided into BPPV group and vertigo syndrome (non-BPPV) group. All patients had pure audiometry, acoustic conductance, otoacoustic emission examination. Classification therapy was adopted according to different hearing curves and the hearing effects of different groups were recorded and compared. Results The difference of effective rate between the BPPV group and non-BPPV group was statistically insignificant (P>0.05). The effective rate of the group without vertigo was significantly higher than those of the BPPV group and the non-BPPV group (both P<0.05). Conclusion The hearing effect of sudden hearing loss with BPPV is similar to that of sudden hearing loss with vertigo syndrome (non-BPPV). Vertigo is one of the key factors affecting the hearing efficacy and prognosis.
Keywords:Sudden hearing loss  Benign paroxysmal positional vertigo  Vertigo syndrome  Clinical analysis
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