CAJ | 학술논문

目的：探讨突发性聋预后的相关因素，指导其预后判断。方法回顾性分析2007年10月～2012年7月710例(748耳)突发性聋患者，应用有序Logistic回归分析，筛选与突发性聋预后相关的因素，对于有统计学意义的因素用非参数检验再次验证，以指导预后分析。结果年龄、病程、伴眩晕症状、治疗前耳聋程度、伴糖尿病与疗效有相关性；性别、耳聋侧别、伴高血压与疗效无相关性；病程长短与疗效有统计学意义(P>0.05)；不伴眩晕的患者治疗有效率要明显高于伴眩晕的患者(P﹤0.05)；糖尿病患者与非糖尿病患者的有效率比较有统计学意义(P﹤0.05)；初诊听阈程度与疗效差异有统计学意义(P﹤0.05)。结论影响突发性聋预后的因素有年龄、病程、伴发症状、伴糖尿病、治疗前耳聋程度。
목적：탐토돌발성롱예후적상관인소，지도기예후판단。방법회고성분석2007년10월～2012년7월710례(748이)돌발성롱환자，응용유서Logistic회귀분석，사선여돌발성롱예후상관적인소，대우유통계학의의적인소용비삼수검험재차험증，이지도예후분석。결과년령、병정、반현훈증상、치료전이롱정도、반당뇨병여료효유상관성；성별、이롱측별、반고혈압여료효무상관성；병정장단여료효유통계학의의(P>0.05)；불반현훈적환자치료유효솔요명현고우반현훈적환자(P﹤0.05)；당뇨병환자여비당뇨병환자적유효솔비교유통계학의의(P﹤0.05)；초진은역정도여료효차이유통계학의의(P﹤0.05)。결론영향돌발성롱예후적인소유년령、병정、반발증상、반당뇨병、치료전이롱정도。
Objective To analysis the prognostic factors of the sudden sensorineural hearing loss(SHL), and to predict the prognosis of patient with SHL precisely. Method 710 cases (748 ears) with SHL were reviewed retrospectively during October 2007 to July 2012. Possible influence factors were analyzed with logistic stepwise regression to investigate the correlation with prognosis.All verified influence factors were analyzed with non-parametric statistics. Result The prognosis of SHL related to age, the trouble time before treatment,concurrent vertigo, diabetes,degree of hearing loss, but not to gender, trouble ear and hypertension. With increasing of age,the prognosis of SHL becomes poor. Less time elapsed before treatment and the result became better. Compared with patients suffer from vertigo, patients without vertigo obtain a better outcome (P﹤0.05). Furthermore, about comparison with the low, midst, severe and profound hearing loss, statistical different exists. Conclusion The factor of age, the course before treatment, concurrent vertigo, diabetes, degree of hearing loss are correlated with prognosis of SHL.