中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
9期
1-4
,共4页
华娜%李宪华%尤宝红%姜涛
華娜%李憲華%尤寶紅%薑濤
화나%리헌화%우보홍%강도
聋%治疗结果%预后
聾%治療結果%預後
롱%치료결과%예후
Deafness%Treatment outcome%Prognosis
目的 探讨突发性耳聋患者的预后相关因素.方法 回顾性分析137例(149耳)突发性耳聋患者的临床资料.观察患者年龄、发病至就诊时间、听力损失类型、听力损失程度、是否伴发眩晕和耳鸣、是否伴发高血压和糖尿病与近期疗效的关系.结果 ＜ 45岁、45～ 59岁、＞59岁患者治疗总有效率分别为86.36％(38/44)、77.78％(56/72)、57.58％(19/33),＜45岁、45 ～ 59岁治疗总有效率与＞ 59岁比较差异有统计学意义(x2=8.128,P=0.004;x2=4.525,P=0.033).≤7 d、8～14d与≥15d就诊治疗总有效率分别为83.52％(76/91)、76.67％(23/30)、50.00％(14/28),≤7 d、8～14d就诊治疗总有效率与≥15d就诊治疗总有效率比较差异有统计学意义(x2=13.050,P=0.000;x2=4.459,P=0.035).低中频型、平坦型、全聋型、中高频型治疗总有效率分别为89.66％(52/58)、84.44％(38/45)、7/12、47.06％(16/34),低中频型、平坦型治疗总有效率分别与全聋型、中高频型比较差异有统计学意义(P＜0.05).听力损失轻度、中度、重度和极重度至全聋患者治疗总有效率分别为87.23％(41/47)、86.11％(31/36)、61.90％(13/21)、7/15,轻度、中度分别与重度和极重度至全聋比较差异有统计学意义(P＜0.05).伴发眩晕、高血压及糖尿病患者相对预后较差.结论 患者年龄、发病至就诊时间、听力损失类型、听力损失程度及是否伴发眩晕、高血压、糖尿病为突发性耳聋预后的相关因素,临床上可依据这些相关因素判断其预后.
目的 探討突髮性耳聾患者的預後相關因素.方法 迴顧性分析137例(149耳)突髮性耳聾患者的臨床資料.觀察患者年齡、髮病至就診時間、聽力損失類型、聽力損失程度、是否伴髮眩暈和耳鳴、是否伴髮高血壓和糖尿病與近期療效的關繫.結果 ＜ 45歲、45～ 59歲、＞59歲患者治療總有效率分彆為86.36％(38/44)、77.78％(56/72)、57.58％(19/33),＜45歲、45 ～ 59歲治療總有效率與＞ 59歲比較差異有統計學意義(x2=8.128,P=0.004;x2=4.525,P=0.033).≤7 d、8～14d與≥15d就診治療總有效率分彆為83.52％(76/91)、76.67％(23/30)、50.00％(14/28),≤7 d、8～14d就診治療總有效率與≥15d就診治療總有效率比較差異有統計學意義(x2=13.050,P=0.000;x2=4.459,P=0.035).低中頻型、平坦型、全聾型、中高頻型治療總有效率分彆為89.66％(52/58)、84.44％(38/45)、7/12、47.06％(16/34),低中頻型、平坦型治療總有效率分彆與全聾型、中高頻型比較差異有統計學意義(P＜0.05).聽力損失輕度、中度、重度和極重度至全聾患者治療總有效率分彆為87.23％(41/47)、86.11％(31/36)、61.90％(13/21)、7/15,輕度、中度分彆與重度和極重度至全聾比較差異有統計學意義(P＜0.05).伴髮眩暈、高血壓及糖尿病患者相對預後較差.結論 患者年齡、髮病至就診時間、聽力損失類型、聽力損失程度及是否伴髮眩暈、高血壓、糖尿病為突髮性耳聾預後的相關因素,臨床上可依據這些相關因素判斷其預後.
목적 탐토돌발성이롱환자적예후상관인소.방법 회고성분석137례(149이)돌발성이롱환자적림상자료.관찰환자년령、발병지취진시간、은력손실류형、은력손실정도、시부반발현훈화이명、시부반발고혈압화당뇨병여근기료효적관계.결과 ＜ 45세、45～ 59세、＞59세환자치료총유효솔분별위86.36％(38/44)、77.78％(56/72)、57.58％(19/33),＜45세、45 ～ 59세치료총유효솔여＞ 59세비교차이유통계학의의(x2=8.128,P=0.004;x2=4.525,P=0.033).≤7 d、8～14d여≥15d취진치료총유효솔분별위83.52％(76/91)、76.67％(23/30)、50.00％(14/28),≤7 d、8～14d취진치료총유효솔여≥15d취진치료총유효솔비교차이유통계학의의(x2=13.050,P=0.000;x2=4.459,P=0.035).저중빈형、평탄형、전롱형、중고빈형치료총유효솔분별위89.66％(52/58)、84.44％(38/45)、7/12、47.06％(16/34),저중빈형、평탄형치료총유효솔분별여전롱형、중고빈형비교차이유통계학의의(P＜0.05).은력손실경도、중도、중도화겁중도지전롱환자치료총유효솔분별위87.23％(41/47)、86.11％(31/36)、61.90％(13/21)、7/15,경도、중도분별여중도화겁중도지전롱비교차이유통계학의의(P＜0.05).반발현훈、고혈압급당뇨병환자상대예후교차.결론 환자년령、발병지취진시간、은력손실류형、은력손실정도급시부반발현훈、고혈압、당뇨병위돌발성이롱예후적상관인소,림상상가의거저사상관인소판단기예후.
Objective To investigate the prognosis correlation factors of sudden hearing loss.Methods A retrospective analysis was performed in 137 cases (149 ears) of sudden hearing loss.The relationships between the age,prehospital delay time,type of hearing loss,degree of hearing loss,and whether with dizziness,tinnitus,diabetes mellitus,high blood pressure and therapeutic effect were observed.Results The total effective rates in ＜ 45 years,45-59 years and ＞ 59 years patients were 86.36％(38/44),77.78％ (56/72) and 57.58％ (19/33) respectively.There were statistical differences in the total effective rate between ＜ 45 years,45-59 years patients and ＞ 59 years patients (x2 =8.128,P =0.004; x2 =4.525,P =0.033).The total effective rates in patients who were treated ≤7 d,8-14 d and ≥ 15 d were 83.52％ (76/91),76.67％(23/30) and 50.00％(14/28) respectively.There were statistical differences in the total effective rate between patients who treated ≤7 d,8-14 d and patients who were treated ≥ 15 d (x2 =13.050,P =0.000; x2 =4.459,P =0.035).The total effective rates in low-mid frequency type,all frequency type,total deafness type and mid-high frequency type were 89.66％ (52/58),84.44％ (38/45),7/12,47.06％ (16/34) respectively.There were statistical differences in the total effective rate between low-mid frequency,all frequency type and total deafness type,mid-high frequency type (P ＜ 0.05).The total effective rates in hearing loss mild degree,middle degree,severe degree,extremely severe degree and total deafness were 87.23％ (41/47),86.11％ (31/36),61.90％ (13/21),7/15 respectively.There were statistical differences in the total effective rate between mild degree,middle degree and severe degree,extremely severe degree and total deafness (P ＜ 0.05).The hearing loss prognosis with the dizziness,diabetes mellitus,high blood pressure was worse.Conclusions It is considered that the age,prehospital delay time,type of hearing loss,degree of hearing loss,and whether with dizziness,high blood pressure,diabetes mellitus are related to the total effective rate.The prognosis of hearing loss can be estimated according to these correlation factors.
