失眠症状对突发性耳聋患者影响的临床分析

Clinical analysis of insomnia symptoms in patients with sudden deafness affect

目的总结并报告突聋伴随失眠症状患者167例,并探讨失眠症状的出现与突聋之间的关系。方法统计本科在2012—2014年共住院收治突发性耳聋患者167例,其中男性65例、女性102例,年龄21~84岁,平均年龄54.1岁。其中入院时主诉发病前1周内出现失眠症状者119例,占收住院突聋患者71.25%。对其中部分患者进行心理评估及心肺耦合分析（CPC）睡眠监测。结果约70%以上的突聋患者在发病前均出现了失眠症状,其多为劳累、工作压力大、紧张等精神因素导致。在给予改善睡眠药物治疗后,患者的临床症状改善明显。结论在突发性耳聋治疗过程中,针对失眠症状的治疗可改善患者对耳鸣及耳堵闷感的抱怨程度。

Objective To summarize and report on sudden sensorineural hearing loss of 167 patients who with symptoms of insomnia, and discuss the occurrence of symptoms of insomnia and the relationship between sudden sensorineural hearing loss. Methods statistics undergraduate from 2012 to 2014 in the hospital treated 167 cases of patients with sudden sensorineural hearing loss,among which 65 were male,female 102 cases,age from 21 to 84 years old. The average age of 54.1 years. Among them on the chief complaint within 1 week before the onset of symptoms of insomnia of 119 cases. 71.25% of the charge hospital- ized patients with sudden sensorineural hearing loss. And some of these patients psychological assessment and CPC sleep monito- ring. Results about more than 70% of the patients with sudden deafness occurred on the before the onset of insomnia, the more tired, working pressure, tension and other mental factors. To improve sleep after drug treatment, patients clinical symptoms im- proved significantly. Conclusion in the process of sudden deafness treatment, for the treatment of insomnia can be more active to improve patients complained of the wall of the ear tinnitus and stuffy feeling.