双侧突发性聋患者临床特征与疗效分析

Clinical Characteristics and Curative Effect of Patients with Bilateral Sudden Sensorineural Hearing Loss

周裔翠;潘春晨;管锐瑞;孙敬武;

1:中国科学技术大学附属第一医院耳鼻咽喉头颈外科

摘要
目的探讨双侧突发性聋患者的临床特征及治疗效果。方法回顾性分析2016年1月至2018年6月确诊并接受住院治疗的31例(62耳)双侧突发性聋患者的临床资料,其中伴有高血压病患者11例,糖尿病患者8例,冠心病患者2例,脑梗塞患者6例,分析临床表现、听力损失特点、疗效及可能影响因素等。结果本组双侧突聋患者占同期所有突聋患者的7.91%(31/392);62耳中,中度听力损失耳占41.94%(26/62),重度及极重度听力损失耳占48.39%(30/62)。62耳治疗后5耳治愈,4耳显效,12耳有效,41耳无效,总有效率33.87%(21/62);双耳同时发病24例,总有效率29.17%(14/48耳);双耳先后发病7例,总有效率50.00%(7/14耳);伴糖尿病者总有效率(6.25%)明显低于不伴糖尿病者(43.48%)。结论双侧突发性聋发病率低,疗效较差,双耳同时发病者较先后发病者预后差,伴糖尿病者疗效差。
关键词
突发性聋;双侧;临床特征;治疗
基金项目(Foundation):
国家自然科学基金(81800911);; 安徽省自然科学基金(1808085QH248)资助
作者
周裔翠;潘春晨;管锐瑞;孙敬武;
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