摘要
目的探讨影响突发性聋患者耳鸣疗效的相关因素,为突发性聋伴耳鸣患者的临床诊治及预后判断提供依据。方法前瞻性分析比较117例突发性聋患者中符合入组条件的70例(74耳)突发性聋伴耳鸣患者的耳鸣疗效与性别、耳别、年龄、听力损失程度、听力曲线类型、耳鸣严重程度、听力损失疗效的关系。结果本组117例突发性聋患者中102例伴耳鸣(87.18%,102/117),其中,70例(74耳)入组对象中治疗后听力损失(耳)的总有效率为66.22%(49/74),耳鸣的总有效率为74.32%(55/74)。耳鸣疗效在不同性别、耳别、年龄、耳鸣程度患者之间的差异均无统计学意义(P>0.05);极重度聋、全聋型者的耳鸣总有效率明显低于其他各程度听力损失及各听力曲线类型者(P<0.01),听力损失疗效为无效者的耳鸣总有效率明显低于听力损失疗效为痊愈、显效、有效者(P<0.01)。结论伴耳鸣的突发性聋患者耳鸣疗效略好于其听力损失疗效,耳鸣疗效与性别、耳别、年龄、耳鸣程度无关;极重度听力损失、全聋型患者、听力损失治疗无效者的耳鸣疗效较差。
Objective To provide the theoretic basis for clinical diagnosis, treatment and prognosis of sudden deafness patients, we investigated the related factors which might influence treatment effects on tinnitus of sudden deafness patients. Methods A prospective analysis was used to compare the relationship among the treatment effects of tinnitus for 70 patients with sudden deafness, such as genders, ears, ages, degrees of hearing lose, degrees of tinnitus and audiometric configurations. Results Tinnitus was detected in 87, 18% in 70 patients with sudden deafness, and the total effective rate of sudden deafness and tinnitus Was 66.22% and 74.32%, respectively. The statistical analysis has shown that the treatment effects of tinnitus were not related to genders, ears, ages, and degrees of tinnitus （P〉0.05）. Comparing the tinnitus patients with various degrees of hearing lose and various audiometric curves, the total therapeutical rate was less in profound deafness and complete deafness patients with tinnitus（P〈 0.01）. The total treatment effects of tinnitus in refractory sudden deafness patients was less than the patients who had recovery, remarkable therapeutic effects and therapeutic effects（P〈0.01）. Conclusion The treatment effects on tinnitus in sudden deafness patients were more noticeable than that of sudden deafness. The treatment effects of tinnitus were not related to genders, ears, ages, and degrees of tinnitus. It was worse in the patients suffering profound deafness, complete deafness and refractory sudden deafness.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2013年第1期37-40,共4页
Journal of Audiology and Speech Pathology
基金
广西壮族自治区卫生厅重点课题(200837)
广西壮族自治区卫生厅资助项目(Z2008116)
广西中医药管理局资助项目(gzzc1139)
关键词
突发性聋
耳鸣
听力曲线
疗效
Sudden deafness
Tinnitus
Audiometric curve
Curative effect
