突发性耳聋患者疗效的相关影响因素研究

Study on the Related Factors Affecting the Efficacy of Sudden Deafness

目的探讨突发性耳聋患者疗效的相关影响因素。方法采用回顾性方法 ,整群选取2013年1月—2014年10月该院收治入选的163例突发性耳聋患者的临床资料,通过一系列的治疗,分析突发性耳聋疗效与患者年龄、病情程度、治疗时间、是否伴发眩晕和基础性疾病等因素的关系。结果经过一段时间的治疗,8~19、20~39、40~59、60~77岁患者的治疗总有效率分别为80.00%、75.0%、68.63%、39.53%,发现年龄大的患者治疗效果明显低于年龄小的患者（P〈0.05）,差异具有统计学意义;初诊时间≤15 d初诊时间〉15 d患者的治疗总有效率分别为71.43%、34.29%,早期接受治疗的患者疗效明显优于晚期接受治疗的患者（P〈0.05）,差异有统计学意义;听力损失程度轻中度、重度、极重度患者的治疗总有效率分别为80.0%、61.29%、52.17%,轻中度听力损失、重度听力损失和极重度听力损失的疗效,P〈0.05差异具有统计学意义;伴有眩晕患者治疗有效率为41.51%明显低于无眩晕患者74.41%的治疗总有效率。结论了解突发性耳聋疗效的相关因素,有利于提高治疗效果和预后质量。

Objective To investigate the related factors affecting the curative effect of sudden deafness. Methods Using the retro-spective method, selected 163 cases of sudden deafness inpatients clinical data from January 2013 to October 2014, through a se-ries of treatment, the relationship of the following factors on curative effect of sudden deafness were analyzed, such as patient age, severity of disease, treatment time, whether associated with vertigo, and basic disease, etc. Results After a period of treatment, the Total effective rate of 8~19 year-old, 20~39 year-old, 40~59 year-old, 60~77 year-old patients respectively was 80%, 75%, 68.63%, 39.53%, and the results showed that the treatment effect of aged patients was significantly lower than that of the patients with younger age （P〈0.05）, the difference was statistically significant; the total effective rate for newly diagnosed patients with ≤15d and 〉15d was 71.43% and 34.29% respectively, patients with early treatment were significantly better than patients with ad-vanced treatment （P〈0.05） , the difference was statistically significant;the total effective rate for patients with hearing loss in mild moderate, severe and extremely severe degree was 80%, 61.29%, 52.17%respectively, and treatment effect was significantly differ-ent（P〈0.05）, the difference was statistically significant; vertigo patients treatment effective rate was 41.51%, significantly higher than that of patients without vertigo, 74.41% in the total efficiency. Conclusion To understand related factors of the effect to sud-den deafness is conducive to improve the treatment effect and prognosis quality.