突发性聋临床特点与疗效的相关性分析

Correlation analysis of clinical characteristics and curative effect of sudden deafness

目的探讨突发性聋临床特点与疗效的相关性。方法选取2019年1月至2021年12月因单侧突发性聋在新疆军区总医院北京路医疗区耳鼻咽喉头颈外科住院治疗的189例患者,对不同临床因素与疗效的相关性进行分析。结果突发性聋患者的治疗总有效率为62.4%;不同初诊时间患者的治疗总有效率比较,差异具有统计学意义(P<0.05)。不同治疗时间、发病年龄、听力损失程度、患耳侧别、性别及是否合并耳鸣、眩晕、慢性病患者的治疗总有效率比较,差异无统计学意义(P>0.05)。低频下降型与高频下降型、低频下降型与平坦下降型患者的治疗总有效率比较,差异具有统计学意义(P<0.05)。结论影响突发性聋疗效的因素错综复杂,可能与初诊时间、听阈曲线类型等因素相关,与性别、治疗时间、发病侧别、听力损失程度以及是否伴随耳鸣、眩晕、慢性病等无关。早期、规范、综合治疗对于突发性聋非常重要,对于合并慢性病的老年非高频下降型突发性聋患者,如能早期诊治、有效地控制基础疾病,也可获得良好的治疗效果。

Objective To explore the correlation of clinical characteristics and curative effect of sudden deafness.Methods A total of 189 patients with unilateral sudden deafness who were hospitalized in the otolaryngology head and neck surgery department,Beijing Road Medical District,Xinjiang Military Region General Hospital from January 2019 to December 2021 were selected.The correlation between different clinical factors and efficacy was analyzed.Results The total effective rate of treatment in sudden deafness patients was 62.4%;there was statistically significant difference in the total effective rate of treatment in patients with different initial diagnosis time(P<0.05).There were no significant differences in the total effective rate of treatment among patients with different treatment time,age of onset,degree of hearing loss,affected ear side,gender and whether they were combined with tinnitus,vertigo and chronic diseases(P>0.05).There were statistically significant differences in the total effective rate of treatment between low-frequency descending type and high-frequency descending type,low-frequency descending type and flat descending type(P<0.05).Conclusion The factors affecting the efficacy of sudden deafness are complex,which may be related to factors such as the initial diagnosis time and the type of hearing threshold curve,but not to gender,treatment time,side of onset,degree of hearing loss,and whether it is accompanied by tinnitus,dizziness,chronic diseases.Early,standardized and comprehensive treatment is very important for sudden deafness.For elderly patients with non-high-frequency descending sudden deafness with chronic diseases,early diagnosis and treatment and effective control of underlying diseases can also achieve good treatment results.