影響高壓氧治療突發性聾療效的因素分析

The efficacy and influencing factors of hyperbaric oxygen for sudden hearing loss

目的分析影響高壓氧治療突發性聾療效的相關因素。方法回顧性分析本院收治的接受高壓氧治療的突聾患者的臨床資料,據臨床療效差異分為有效組和無效組,對兩組一般資料進行比較,採用Logistic回歸方程分析治療效果的相關影響因素。結果治療有效組與治療無效組在年齡、發病到開始高壓氧治療時間、聽力損失程度、聽力損傷類型、伴有眩暈方面對比存在明顯差異(P<0.05)。年齡>60歲、發病至開始高壓氧治療>14d是導致突聾患者治療無效的危險因素(P<0.05)。結論高壓氧治療突聾效果顯著,可改善患者聽力功能,值得推廣,但高齡、發病至啟動高壓氧治療的時間是影響預後的重要因素。

Objective To analyze the therapeutic effects and prognostic factors of hyperbaric oxygen in patients with sudden hearing loss.Methods Patients with sudden hearing loss treated with hyperbaric oxygen were retrospectively analyzed and divided into an effective group and an ineffective group according to differences in therapeutic efficacy.The general data of the two groups were compared.Logistic regression analysis was used to evaluate the associations between therapeutic efficacy and factors.Results There were significant differences between the effective group and the invalid group in age,onset time to start hyperbaric oxygen therapy,degree of hearing loss,type of hearing loss and vertigo(P<0.05).Logistic regression equation analysis revealed that age>60 years and>14 days from onset to the start The effect of hyperbaric oxygen in the treatment of sudden hearing loss is important because it can improve hearing function and is worthy of clinical promotion.However,advanced age and the time from onset to initiation of hyperbaric oxygen therapy are important factors affecting patient prognosis.