CAJ | 학술논문

目的：探讨突发性聋预后的影响因素，为临床治疗及预后判断提供依据。方法对我科收治的1196例（1247耳）突发性聋患者的临床资料进行回顾性分析，将性别、年龄、耳侧、伴发症状、就诊时间、听力损失程度、伴有的基础疾病各因素进行分组，均与预后行χ2检验或Spearman秩相关，将对预后有影响的的因素引入有序Logistic回归分析，得出影响突发性聋预后的相关因素。结果性别、耳侧、耳鸣、耳闷、高血压病、糖尿病、脑梗，各组内预后差异无统计学意义（p＞0.05），不同年龄、就诊时间、听力损失程度，是否伴有眩晕、颈椎病、血脂异常，其预后差异有统计学意义（p＜0.05）；而年龄、就诊时间、听力损失程度、眩晕与预后有相关性（p＜0.05）结论就诊时间越短，听力损失程度越轻，不伴眩晕，突聋预后越好，年龄对预后的影响有明显的阶段性。
목적：탐토돌발성롱예후적영향인소，위림상치료급예후판단제공의거。방법대아과수치적1196례（1247이）돌발성롱환자적림상자료진행회고성분석，장성별、년령、이측、반발증상、취진시간、은력손실정도、반유적기출질병각인소진행분조，균여예후행χ2검험혹Spearman질상관，장대예후유영향적적인소인입유서Logistic회귀분석，득출영향돌발성롱예후적상관인소。결과성별、이측、이명、이민、고혈압병、당뇨병、뇌경，각조내예후차이무통계학의의（p＞0.05），불동년령、취진시간、은력손실정도，시부반유현훈、경추병、혈지이상，기예후차이유통계학의의（p＜0.05）；이년령、취진시간、은력손실정도、현훈여예후유상관성（p＜0.05）결론취진시간월단，은력손실정도월경，불반현훈，돌롱예후월호，년령대예후적영향유명현적계단성。
Objective To study factors influencing prognosis in sudden deafness and provide guidance for clinical treat?ment. Methods Clinical data from 1196 cases (1247 ears) of sudden deafness treated in our department were reviewed and an?alyzed. Factors including sex, age, ear side, concurrent symptoms, treatment time, degree of hearing loss and comorbidities were screened for possible correlation to prognosis usingχ2 test and Spearman's rank test. Logistic regression analysis was used to fur?ther analyzed promising factors for their correlation to the prognosis of sudden deafness. Results Sex, ear side, tinnitus, aural fullness, co-existing hypertension, diabetes and cerebral infarction were not correlated to sudden deafness prognosis (p>0.05). Age, treatment time, degree of hearing loss, presence of vertigo, cervical spondylosis and dyslipidemia showed correlation to prognosis (p<0.05). Conclusion The prognosis of sudden deafness appears to be better if treatment time is shorter and hear?ing loss is less severe with no vertigo. Age has little influence on the prognosis of sudden deafness.