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首页> 中文期刊> 《中国耳鼻咽喉颅底外科杂志》 >儿童及成人突发性聋预后的对比分析

儿童及成人突发性聋预后的对比分析

         
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摘要

Objective To comparatively analyze the prognostic factors in sudden sensorineural hearing loss between children and adults and provide guidance for clinical treatment and prognosis evaluation.Methods Clinical data of 237 patients (258 ears) with sudden sensorineural hearing loss treated in our department from Jan 2008 to Oct 2016 were analyzed retrospectively.Of them,26 were pediatric patients (29 ears) (pediatric group) and 211 were adults (229 ears) (adult group).Univariate and multivariate analyses were used to examine factors associated with prognosis (patients' age,gender,ear side,treatment onset,initial hearing threshold,audiogram configuration,presence of tinnitus,vertigo and ear fullness) in the pediatric group and adult group respectively,and the differences between the two groups were compared.Results Pediatric patients accounted for 11.0％ of total cases of sudden sensorineural hearing loss.The average hearing threshold (88.7 ± 15.8) dB of the pediatric group was higher than that of the adult group [(72.5 ± 24.7) dB,(P ＜ 0.05)].For the audiogram configuration,total deafness type comprised 69.0％ in pediatric group,which was higher than that in adult group (44.5 ％) (P ＜ 0.05).After positive treatment,the overall recovery rates of the pediatric and the adult group were 51.7％ and 45.4％ respectively,and the difference was statistically insignificant (P ＞ 0.05).Multivariate analysis showed that vertigo,initial hearing threshold had significant influence on prognosis in the pediatric group while onset of treatment,vertigo and initial hearing threshold had significant influence on prognosis of the adult group.Conclusions Hearing impairment in children with sudden sensorineural hearing loss is more severe than that in adults,but the difference of overall recovery rate after treatment between them is statistically insignificant.Less hearing impairment and absence of vertigo are favorable factors for recovery in pediatric and adult patients.Earlier treatment leads to favorable outcomes in adults.Patients' age,gender,ear side,concurrence of tinnitus and ear fullness has insignificant influence on the prognosis in both groups.%目的 对比分析儿童及成人突发性聋预后的相关因素,为临床实践及患者预后评估提供依据.方法 回顾性分析2008年1月～2016年12月住院治疗的237例(258耳)突发性聋患者的临床资料,其中儿童突发性聋患者(儿童组)26例(29耳),成人突发性聋患者(成人组)211例(229耳),采用单因素及多因素分析的方法对比分析两组突发性聋患者的年龄、性别、耳侧、初诊时间、就诊听阈、听力曲线、有否伴有耳鸣、眩晕及耳闷等因素对预后的影响.结果 儿童突发性聋患者人数占总人数的11.0％;儿童组就诊听阈平均为(88.7±15.8)dB,高于成人组[(71.8±23.6)dB,(P＜0.05)];儿童组听力曲线为全聋型的占69.0％,高于成人组(44.5％,P＜0.05);经治疗后,儿童组的总体有效率为51.7％,成人组总体有效率为45.4％,两者差异无统计学意义(P＞0.05).对儿童组预后的相关因素分析显示就诊听阈及伴发眩晕对疗效的影响具有统计学意义(P＜0.05);成人组中,初诊时间、就诊听阈及伴发眩晕对疗效的影响具有统计学意义(P＜0.05).结论 儿童突发性聋患者就诊时听力损失较成人重,但治疗后两者总体有效率无明显差异(P＞0.05);儿童及成人突发性聋患者中听力损失程度越轻且不伴发眩晕者预后较好;就诊时间越早越有利于成人突发性聋患者的预后;而年龄、性别、耳侧以及是否伴发耳鸣、耳闷对儿童及成人突发性聋的预后无明显影响.

著录项

  • 来源
    《中国耳鼻咽喉颅底外科杂志》 |2017年第5期|431-434438|共5页
  • 作者

    谢邵兵; 吴学文; 强清芬; 王璐; 梅凌云; 贺楚峰; 冯永; 孙虹;

  • 作者单位

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院健康管理中心,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

    中南大学湘雅医院耳鼻咽喉头颈外科耳鼻咽喉科重大疾病研究湖南省重点实验室,湖南长沙410008;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 突发性耳聋;
  • 关键词

    突发性聋; 儿童; 成人; 预后分析;

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