116例突发性聋的临床诊治分析

Analysis of the Clinical Diagnosis and Treatment for 116 Cases with Sudden Deafness

目的探讨突发性聋患者的临床疗效及相关因素。方法回顾性分析整群选取的2012年5月—2015年4月该院诊治的116例突发性聋的临床资料,对患者的性别、年龄、就诊时间、听力曲线类型、伴发耳鸣及伴发高血压与临床疗效的关系进行统计学分析。结果 116例突发性聋患者,痊愈17例(14.66%),显效20例(17.24%),有效41例(35.34%),无效38例(32.76%),总有效率为67.24%。突发性聋的临床疗效与患者性别、伴发耳鸣及伴发高血压病无关(χ2=0.3408、2.2491、1.7516,P>0.05),但与患者就诊时间、听力曲线及年龄有关(χ2=11.6524、27.4650、13.2823,P<0.01)。结论就诊时间、听力曲线类型及发病年龄与突发性聋的预后有关;而性别、伴发耳鸣、伴发高血压病与预后无关,突发性聋的患者应尽早行诊治。

Objective To investigate the factors related to the clinical curative effect and prognosis of sudden deafness（SD）. Methods A retrospective analysis was conducted on the clinical data of 116 patients with SD admitted from May 2012 to April 2015. The correlation of gender, age, visiting time, hearing curve type, accompanying tinnitus and hypertension with the clinical effect was analyzed statistically. Results Of the 116 cases of sudden deafness, 17 cases were cured（14.66%）, the treatment was obviously effective in 20 cases（17.24%）, effective in 41 cases（35.34%）, invalid in 38 cases（32.76%）, the total effective rate was 67.24%. The result of statistic analysis showed that the patients＇ gender, accompanying tinnitus and hy-pertension had no influence on the curative effect of SD （χ2=0.3408, 2.2491, 1.7516, P〉0.05）, while the visiting time, hear-ing curve, age had influence on the curative effect of SD（χ2=11.6524, 27.4650, 13.2823, P〈0.01）. Conclusion The prognosis of SD is significantly correlated with the visiting time, hearing curve type and age of onset, while that is not related to gen-der, accompanying tinnitus and hypertension. The patients with SD should be diagnosed and treated as soon as possible.