急性低频感音神经性听力损失临床分析

徐鸥;路虹;李晓明;刘砚星;王团;

1:河北医科大学第二医院耳鼻咽喉科

2:石家庄白求恩国际和平医院耳鼻咽喉头颈外科

3:河北医科大学药理系

摘要
目的探讨急性低频感音神经性听力损失(acute low-frequency sensorineural hearing loss,ALHL)的发病特点、听力学特征及治疗方法。方法回顾性分析47例ALHL患者的临床症状、体征、听力学检查及随访结果。结果 47例ALHL患者平均发病年龄为36.91±10.18岁,女性24例(51.06%),男性23例(48.94%)。单耳发病43例(91.49%,43/47),31例(65.96%)患者伴耳鸣,10例(21.28%)伴耳闷。全部患者纯音听阈均表现为低频听力下降,鼓室导抗图均为A型,ABR均正常。经脱水剂或利尿剂及类固醇激素等治疗后总有效率为85.11%(40/47),1例自愈。随访4~25个月,37例无复发(90.24%,37/41),4例复发(9.76%,4/41)。结论 ALHL一般单耳发病,中青年居多,伴随症状以耳鸣最为常见,其次是耳闷;听力学检测主要提示耳蜗受累;脱水剂或利尿剂及类固醇激素疗效显著;该病有复发的可能,应加强随访。
关键词
低频;感音神经性听力损失;听阈
基金项目(Foundation):
作者
徐鸥;路虹;李晓明;刘砚星;王团;
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低频感音神经性听力损失听阈

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徐鸥路虹李晓明刘砚星王团