CAJ | 학술논문

目的:对比双耳突发性聋与单耳突发性聋的临床特点及治疗效果的异同.方法:回顾性分析480例突发性聋患者,将其分为单耳组(440例)和双耳组(40例),对2组的临床特点及疗效进行比较.结果:与单耳突发性聋比较,双耳突发性聋更多见于糖尿病、高脂血症患者,并且年龄越大,发生双耳突发性聋的可能性越大.在双耳组中 28耳治疗有效,有效率为35%;单耳组中228耳治疗有效,有效率为56.4%,两者差异有统计学意义.结论:双耳突发性聋和单耳突发性聋可能具有不同的病理生理机制和预后,从临床上认识两者间的异同,有助于治疗方案的制定和预后的评估.
목적:대비쌍이돌발성롱여단이돌발성롱적림상특점급치료효과적이동.방법:회고성분석480례돌발성롱환자,장기분위단이조(440례)화쌍이조(40례),대2조적림상특점급료효진행비교.결과:여단이돌발성롱비교,쌍이돌발성롱경다견우당뇨병、고지혈증환자,병차년령월대,발생쌍이돌발성롱적가능성월대.재쌍이조중 28이치료유효,유효솔위35%;단이조중228이치료유효,유효솔위56.4%,량자차이유통계학의의.결론:쌍이돌발성롱화단이돌발성롱가능구유불동적병리생리궤제화예후,종림상상인식량자간적이동,유조우치료방안적제정화예후적평고.
Objective:To analyze the clinical characteristics and treatment effect between bilateral(bi-)and unilateral(uni-) sudden sensorineural hearing loss(SSNHL).Method:Four hundred and eighty cases of SSNHL were retrospective study,which were divided into two groups of bi-SSNHL(n=40) and uni-SSNHL(n=440).Clinical characteristics and treatment effects were compared of the two groups.Result:The incidence rate of bi-SSNHL was 8.3 percent and uni-SSNHL was 91.7 percent of all patients with SSNHL. Bi-SSNHL occurs more commonly in patients of old age, diabetes mellitus, and lipid panes abnormalities compared to uni-SSNHL. Twenty-eight ears in the bi-SSNHL group showed hearing recovery (35%),compared with 56.4 percent of patients with uni-SSNHL.Conclusion:Bi-SSNHL and uni-SSNHL may have a completely different clinical characteristics and treatment effect,that implies a different pathophysiology and prognosis. Recognition their different clinical characteristics and treatment effect between bilateral and unilateral SSNHL can help in counseling and managing the patients and correctly evaluate the prognosis.