双耳先后发病突发性聋患者的临床特点分析

Analysis of Clinical Characteristics of Sequential Bilateral Sudden Sensorineural Hearing Loss

孙慧颖;张岩;顾文菁;于红;

1:吉林大学第一医院耳鼻咽喉-头颈外科

摘要

目的分析双耳先后发病突发性聋(突聋)患者的临床特点,提出可能的针对性预防措施。方法回顾性分析2015年12月至2018年3月收治的19例双耳先后发病(间隔时间>3 d)突聋患者的临床资料,包括性别、年龄、既往史、患耳侧别、听阈曲线类型、听力损失程度、发病时间、双耳发病的间隔时间及治疗效果,总结其临床特点,并与同期收治的单侧突聋患者比较。结果 19例双耳先后发病的突聋患者中,先发耳听阈曲线为全聋型10例(52.6%)、平坦型8例(42.1%)、高频下降型1例(5.3%),听力下降以重度和极重度聋为主;后发耳听阈曲线为平坦型15例(78.9%)、全聋型3例(15.8%)、低频下降型1例(5.3%),听力下降以中度和重度聋为主。双耳先后发病组平均年龄高于单侧发病组,治疗后有效率低于单侧发病组(P<0.05)。有高血压、糖尿病等慢性病史组出现对侧突聋的比例(56.5%,13/23)高于无慢性病史组(2.8%,6/214)(P<0.05)。结论先发耳听阈曲线为平坦型或全聋型者、听力损失程度为重度或极重度者,且有高脂血症、高血压、糖尿病等影响血流动力学的慢性疾病史的高龄单侧突聋患者,对侧耳再发突聋的可能性较大;降脂、降压、控制血糖等治疗可能有利于预防对侧耳再发突聋。

关键词

突发性聋;双耳先后发病;临床特点;预防

基金项目(Foundation):

吉林省科技厅国际科技合作项目（20170414054GH)

作者

孙慧颖;张岩;顾文菁;于红;

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