代谢综合征对突发性聋患者听力预后的影响

The Effects of Metabolic Syndrome on the Prognosis of Sudden Sensorineural Hearing Loss

段钰瑾;李大红;钟文伟;冯雅江;赵云峰;

1:湛江中心人民医院耳鼻咽喉头颈外科

摘要

目的探讨代谢综合征(metabolic syndrome, MS)对突发性聋(突聋)患者听力预后的影响。方法以178例突聋患者为研究对象,根据是否合并MS分为MS组(70例)和非MS组(108例),通过单因素及多因素分析分析性别、年龄、病程、初诊听阈值、高血压病、糖尿病、体重指数(BMI)、高脂血症对突聋患者听力预后的影响。结果 MS组患者的BMI、收缩压、舒张压、甘油三酯、空腹血糖水平高于非MS组,而高密度脂蛋白水平低于非MS组,差异均有统计学意义(均为P<0.05);治疗后,MS组中痊愈率和显效率分别为7.14%和8.57%,低于非MS组(分别为20.37%和29.63%),MS组中的无效率为51.43%,高于非MS组(25.00%)(P<0.05);多因素分析结果显示MS、糖尿病和高脂血症为突聋患者听力预后的不利因素,初诊听阈值越高、病程越长,听力预后越差。结论合并MS的突聋患者听力预后差;就诊时听力损失程度轻、病程短及无伴发糖尿病和高脂血症的患者预后较好。

关键词

代谢综合征;突发性聋;多因素分析;预后

基金项目(Foundation):

作者

段钰瑾;李大红;钟文伟;冯雅江;赵云峰;

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