突发性耳聋预后的多因素分析

目的：探讨突发性耳聋发病时间、年龄、是否伴发眩晕、耳聋类型对疗效的影响。方法：对听力损失程度、病程长短、发病年龄不同以及有无伴随眩晕和各种听力曲线类型的110例突发性耳聋患者,治疗上以扩张周围血管、神经营养药为主,辅助以吸氧治疗,观察上述因素与疗效的关系。结果：病程小于3d内就治的轻中重度耳聋患者有效率92.1%;起病3-7d就治者有效率为86.3%;7d-1月就治者有效率为46.4%。从年龄上看,45岁之内者有效率83.3%;46-60岁者有效率70.0%;大于60岁以上者有效率33.3%。伴有眩晕者有效率42.8%;不伴眩晕者有效率86.5%。听力曲线平坦型的有效率73.8%,上升型的有效率100%,下降型的有效率62.9%,全聋型有效率27.8%,其他型的有效率66.7%。结论：突发性耳聋的疗效与开始治疗时间成正比,越早疗效越好、反之越差。中青年患者治疗效果佳。不伴眩晕的突发性耳聋患者疗效明显好于伴眩晕者。听力曲线呈上升型的预后较好,全聋型预后最差。

Analysis of the Influencing Factors of the Idiopathic Sudden Sensorineural Hearing Loss

Objective： To investigate the influencing factors of the idiopathic sudden sensorineural hearing loss.Method：110 patients who are of different ages and courses of disease without other diseases vasodilator to recovery circulation,while providing the medicine which can protect cells and stimulate regeneration,together with the adjuvant therapies such as oxygen uptake.After a few days＇s treatment,to a pure tone audiometry and an acoustic immittance measurement,then compare with the original results before the treatment.Observe the different effects on the treatment.Result：The RR of those who has course of disease less than three days was 92.1%,while those who of more than three days and less than a week was 86.3%;while those who of more than a week and less than a month was 46.4%.The RR of those who is younger than 45 was 83.3%,while older than 60 was 33.3%.The RR of those who has dizziness was 42.8%,while no dizziness was 85.8%.The RR of those who has ascend hearing dragram is 100%,the RR of those who has level hearing dragram was 73.8%,the RR of those who has decline hearing dragram was 62.9%,while those who has no hearing was 27.8%.Conclusion：The therapeutic of the idiopathic sudden sensorineural hearing loss is closely related to the course of disease,age,concomitant symptom and the type of the hearing loss.