运动后突发性聋患者的临床特征及高压氧疗效

Clinical characteristics of patients with sudden deafness after exercise and therapeutic effect of hyperbaric oxygen on them

目的分析运动后突发性聋(突聋)患者的临床特征及高压氧(HBO)疗效。方法选取2009年3-6月、2012年2月至2022年3月在高压氧科治疗的35例(41耳)主诉运动后突聋患者为研究对象,根据听力曲线的类型是否为全聋进一步分为全聋组(13例,13耳)和非全聋组(22例,28耳),分析2组患者的临床特征及HBO治疗效果。结果全聋组患者的男女比例、平均年龄、眩晕发生率、既往突聋病史、HBO治疗后总有效率与非全聋组差异无统计学意义(P>0.05)。全聋组无双侧发病,非全聋组双侧发病率27.27%。全聋组动脉硬化因素伴发率69.23%、运动强度大及合并其他诱因比率61.54%,非全聋组动脉硬化因素伴发率50%、运动强度大及合并其他诱因比率18.18%,2组比较差异均有统计学意义(P<0.05)。全聋组HBO综合治疗后无痊愈患者,非全聋组痊愈率52.38%,2组比较差异有统计学意义(P<0.01)。结论运动后突聋全聋患者均为单侧发病,眩晕比例高,运动强度大及合并其他诱因比率高,治疗效果差。治疗时间延长可以提高治疗有效率。

Objective To analyze the clinical characteristics of patients with sudden deafness after exercise and the therapeutic effect of hyperbaric oxygen(HBO)therapy on them.Methods A total of 35 patients(41 ears)who complained of sudden deafness after exercise and received hyperbaric oxygen therapy from March 2009 to June 2009 and from February 2012 to March 2022 were taken as research subjects.Based on the type of audiogram,they were further divided into total deafness group(13 cases,13 ears)and non-total deafness group(22 cases,28 ears).The clinical characteristics and HBO treatment effects on the patients of the two groups were analyzed.Results There was no statistically significant difference between the total deafness group and the non-total deafness group in male-to-female ratio,mean age,vertigo incidence,history of sudden deafness,and total effective rate after HBO treatment(P>0.05).The total deafness group had no bilateral incidence,while the non-total deafness group had a bilateral incidence of 27.27%.In the total deafness group,the incidence of being complicated with arteriosclerosis factors was 69.23%,and the proportion of high exercise intensity combined with other inducing factors was 61.54%;while those in the non-total deafness group were 50%and 18.18%,respectively;all the differences between the two groups were statistically significant(P<0.05).After HBO intervention,there was no cured patient in the total deafness group,while the cure rate in the non-total deafness group was 52.38%,with a statistically significant difference(P<0.01).Conclusions Patients with total sudden deafness after exercise all got unilateral deafness,and a high incidence of vertigo,and they were exposed to a high proportion of high exercise intensity combined with other inducing factors,resulting in poor treatment outcomes.Extending the treatment duration can improve the treatment effectiveness.