突发性耳聋预后的相关因素分析

目的探讨影响突发性耳聋预后的相关因素。方法回顾性分析92例（96耳）突发性耳聋患者的临床资料,所有患者给予改善内耳微循环、激素口服冲击、营养神经、高压氧治疗,观察临床疗效及影响预后的因素。结果 92例患者经系统治疗后,痊愈13例,显效9例,有效23例,无效47例,总有效率为48.9%（45/92）。单因素分析显示,与突发性耳聋预后相关的因素为发病至治疗的时程（χ2=10.745,P=0.03）及发病初听力（t=-2.150,P=0.034）。Logistic逐步回归分析显示,与突发性耳聋预后相关的独立因素是发病至治疗的时程（P=0.021）。结论从发病到治疗的时程是影响突发性耳聋预后的主要因素,发病时程在14 d内的患者预后较好。

Analysis of relevant factors on the prognosis of sudden deafness

Objective To investigate the relevant factors on the prognosis of sudden deafness. Methods The clinical data of 92 patients（96 ears） with sudden deafness were analyzed retrospectively.All patients were given to improve the inner ear microcirculation,hormone oral impact,nerve nutrition,hyperbaric oxygen therapy,the clinical curative effect and factors affecting the prognosis were observed. Results Through systemic treatment,13 cases got recovery,9 cases were excellence and 23 cases were effective,47 cases were ineffective,the total effective rate was 48.9%（45/92）.Univariate analysis showed that the factors related to the prognosis of sudden deafness were the time from onset to treatment（χ2= 10.745,P=0.03） and the initial hearing level（t=-2.150,P=0.034）.Logistic regression analysis showed that the independent factor related to the prognosis of sudden deafness was also the time from onset to treatment（P=0.021）. Conclusion The time from onset to treatment interval is the main factor affecting the prognosis of sudden deafness.The prognosis will be better when time from onset to treatment interval is less than 14 days.