言语分辨率在突发性聋疗效评估中的作用

The role of word recognition score in outcomes assessment of idiopathic sudden sensorineural hearing loss

目的:研究言语分辨率(WRS)在突发性聋(ISSNHL)患者治疗过程中的变化情况,探讨其在突聋疗效评估中的作用。方法:回顾性分析四川大学华西医院听力中心在治疗前后纯音听阈无改变、WRS有改变的37例突聋患者的临床资料,对治疗前后的WRS及其测试声强度进行统计学比较。结果:37例(37耳)突聋患者治疗后的言语分辨率较治疗前显著提高(P<0.01),且与患者自觉听力改善结果一致。结论:在突聋患者治疗过程中,尤其纯音听阈未改善者,应关注WRS这一指标,以指导后续治疗。

Objective：To investigate the change of word recognition score（WRS）during the treatment of patients with idiopathic sudden sensorineural hearing loss（ISSNHL）and explore the role of WRS in outcomes assessment of ISSNHL.Method：Thirty-seven patients diagnosed with ISSNHL,whose pure-tone average（PTA）has no change but WRS has improved after treatment,were analyzed retrospectively.The WRS and the test intensity for WRS of pre-treatment and those of post-treatment were compared statistically.Result：There is statistical significance between WRS of post-treatment and that of pre-treatment（P〈0.01）.The increase of WRS score is consistent with improvement of symptom in these patients.Conclusion：More attention needs to be paid to WRS during treatment of ISSNHL patients,especially those whose PTA has no improvement but patients feel better about their hearing,and WRS could be an important factor in terms of outcome assessment during treatment of ISSNHL patients for the further treatment.