老年突发性耳聋近期疗效临床分析

Clinical analysis of short-term efficacy in senile sudden deafness

目的:分析老年突发性耳聋患者药物治疗的近期疗效。方法:将突发性耳聋患者依据年龄分为老年组(年龄≥60岁,70例)和对照组(年龄<60岁,70例),7 d一疗程,复查纯音测听结果,比较治疗前后听力改善情况。结果:老年组患者治疗前后患耳言语频率平均听阈提高,差异有统计学意义(P<0.05);老年组突聋患者发病时间(≤7 d)治疗有效率为61.76%,老年组(发病时间>7 d)治疗有效率为38.89%,差异有统计学意义(P<0.05),老年性突聋患者总有效率为49.9%;老年突发性耳聋患者在中度耳聋以下(听阈<55 dB)有效率52%,对照组有效率84.62%,差异有统计学意义(P<0.05),而在中重度耳聋患者治疗率差异无统计学意义。结论:病程对于老年突发性耳聋患者预后有重要的影响,尽早的改善末梢血管微循环障碍,可以明显的改善预后;老年突聋患者的预后比年轻患者差。

Objective：To analysis the short-term medicinal treating effects in senile sudden deafness. Method： According the age,The sudden deafness patients were divided into two groups, older age-group（age≥60, a total of 70 cases）, control group（age〈60, a total of 70 cases）, period of treatment was 7 days, the result of pure tone test were reviewed, compared the improvement before and after treatment. Result： After treatment, the average hearing threshold of the older age-patients was improved, There was statistical difference（P〈0.05） ; effective rate of the senile sudden deafness patients （disease tim ≤7 days） was 61.76% ,（disease time〉7 days） was 38.89G, There was statistical difference （P 〈 0. 05） ; the total effective rate of the senile sudden deafness patients was 49.9 %;the senile sudden deafness patients which following moderate deafness（hearing thresholdS55 dB）, effec- tive rate was 52%, control group was 84.62%, There was statistical difference（P〈0.05） ,but there was no sig- nificant difference in the patients with severe hearing loss. Conclusion：The Course of disease has important signifi- cance for the prognosis of the senile sudden deafness patients, As soon as possible to improve peripheral vascular microcirculation, the prognosis could be improve conspicuously;the prognosis of the senile sudden deafness patients were worse than the young patients.