CAJ | 학술논문

目的：分析突发性聋患者的前庭功能。方法436例突发性聋患者分为伴眩晕和不伴眩晕组，伴眩晕组147例中轻-中重度听力损失75例，其中上升型听阈曲线28例，平坦型26例，下降型21例；重度及以上听力损失72例；不伴眩晕组289例中轻-中重度听力损失157例，其中听阈曲线上升型36例，平坦型57例，下降型64例；重度及以上听力损失132例。对两组患者分别通过视频眼震电图检测前庭功能。结果伴眩晕组同侧前庭功能下降123例（83．67％，123／147），其中轻-中重度听力损失51例，重度及以上听力损失72例；不伴眩晕组同侧前庭功能下降165例（57．09％，165／289），其中轻-中重度听力损失45例，重度及以上听力损失120例。35例伴眩晕患者伴发良性阵发性位置性眩晕，其中28例（80％，28／35）前庭功能下降。结论突发性聋伴眩晕者前庭功能明显下降，不伴眩晕者同样可存在前庭功能损伤，且听力损失越严重，前庭功能下降的可能性越大。
목적：분석돌발성롱환자적전정공능。방법436례돌발성롱환자분위반현훈화불반현훈조，반현훈조147례중경-중중도은력손실75례，기중상승형은역곡선28례，평탄형26례，하강형21례；중도급이상은력손실72례；불반현훈조289례중경-중중도은력손실157례，기중은역곡선상승형36례，평탄형57례，하강형64례；중도급이상은력손실132례。대량조환자분별통과시빈안진전도검측전정공능。결과반현훈조동측전정공능하강123례（83．67％，123／147），기중경-중중도은력손실51례，중도급이상은력손실72례；불반현훈조동측전정공능하강165례（57．09％，165／289），기중경-중중도은력손실45례，중도급이상은력손실120례。35례반현훈환자반발량성진발성위치성현훈，기중28례（80％，28／35）전정공능하강。결론돌발성롱반현훈자전정공능명현하강，불반현훈자동양가존재전정공능손상，차은력손실월엄중，전정공능하강적가능성월대。
Objective To study the vestibular function in patients with sudden deafness .Methods Retrospec-tive analysis of 436 cases of patients with sudden deafness ,being divided into two groups according to whether the merger of vertigo .147 cases with vertigo group ,75 cases of which were mild to moderately severe hearing loss .In-clud the rise type of 28 cases ,26 cases of flat type ,21cases of decline type .72 cases of which were severe hearing loss .In 289 cases without vertigo ,157 cases had mild moderate and severe hearing loss .Includ the rise type of 36 cases ,57 cases of flat type ,64 cases of decline type .One hundred and thirty two cases of which were severe hearing loss .Use video electronystagmogram (VNG) to test the vestibular function .Process the data with SPSS 13 .0 soft-ware .Results One hundred and twenty three(83 .7% )cases of the vertigo group suffered from vestibular function decline ,with 51 cases of mild to moderately severe hearing loss ,72 cases of severe and above .165 (57 .1% )cases of the without vertigo group suffered from vestibular function decline .There were 45 cases of mild to moderately se-vere hearing loss ,120 cases of severe and above .35 patients with vertigo patients with BPPV ,28 cases of which happened within 1 week in sudden deafness occured and 80% of which were vestibular function decline .Conclusion Patients with sudden deafness with vertigo suffered from vestibular function damage .Patients with sudden deafness without vertigo also suffered from vestibular function damage .And the more serious the hearing loss ,the higher the vestibular function decline opportunities .