急性低频感音神经性聋的探讨——对本病发病机理的再认识

The reseach of acute low frequency sensorineural hearing loss——The recognition of the pathogenesis of acute low-frequency sensorineural hearing loss

目的对急性低频感音神经性聋治疗效果进行研究,以探讨其发病机理。方法 159名急性低频感音神经性聋分为2组,分别采用改变咽鼓管功能及营养神经扩血管两种不同治疗方案进行治疗,研究不同治疗方法的治疗效果。结果二种方法均有良好的疗效,症状疗效评估和听力学疗效评估无统计学差异p(0.05)。结论急性低频感音性聋患者更多的应考虑是中耳病变导致的听力学检测低频骨导听阈上升的可能,同时也要警惕是否有内耳病变。

To study the theraputic effect and pathogenesis of acute low-frequency sensorineural hearing loss. 159 acute low-frequency sensorineural hearing loss patients participated in this study and divided into two groups, one group was received the treatment of improving eustachian tube function ,the other was received the treatment of vasodilator and neurotrophic,and we compared the effect of different methods. Both methods have good effect.There was no difference in clinical symptoms efficiency and hearing efficiency between two groups p(0.05). The pathogenesis of acute low-frequency sensorineural hearing loss should more consider the rising of low frequency conduction threshold caused by middle ear disease, but also to be alert to the inner ear disease.