本文選題：聾　切入點(diǎn)：突發(fā)性　出處：《廣西醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：通過(guò)探討突發(fā)性聾伴耳鳴患者的臨床特征、與突發(fā)性聾療效的關(guān)系,以及影響耳鳴療效的相關(guān)因素,為突發(fā)性聾伴耳鳴患者的臨床診治及預(yù)后判斷提供依據(jù)。 方法：前瞻性分析2011年1月～12月在我院耳鼻咽喉頭頸外科住院治療的突發(fā)性聾患者。制定病例納入和排除標(biāo)準(zhǔn),分別于治療前后予患者完成耳鳴調(diào)查表,選取符合條件的80例(84耳)患者做為研究對(duì)象。比較突發(fā)性聾伴耳鳴患者的一般情況、耳鳴程度和性別、年齡、耳側(cè)、聽(tīng)力損失程度、聽(tīng)力曲線類型的關(guān)系；分析突發(fā)性聾療效與有無(wú)耳鳴及耳鳴程度的關(guān)系；比較突發(fā)性聾伴耳鳴患者耳鳴療效與性別、年齡、耳側(cè)、聽(tīng)力損失程度、聽(tīng)力曲線類型、耳鳴程度、突發(fā)性聾療效、干預(yù)時(shí)間的關(guān)系。 結(jié)果：80例突發(fā)性聾患者中87.5%伴耳鳴；其中70例突發(fā)性聾伴耳鳴患者的男女比例為1.59：1,中位年齡43歲,發(fā)病至干預(yù)時(shí)間平均為9.6±11.1天；48.6%患者耳鳴與聽(tīng)力下降同時(shí)發(fā)生,41.4%耳鳴先于聽(tīng)力下降發(fā)生；經(jīng)比較突發(fā)性聾伴耳鳴患者的性別、年齡、耳側(cè)、聽(tīng)力損失程度、聽(tīng)力曲線類型在不同程度耳鳴患者中的分布無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)；突發(fā)性聾的總有效率為64.3%,其療效與是否伴耳鳴及耳鳴的程度均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；突發(fā)性聾伴耳鳴患者的耳鳴總有效率為74.3%,經(jīng)比較突發(fā)性聾伴耳鳴患者的耳鳴療效與性別、年齡、耳側(cè)、干預(yù)時(shí)間、耳鳴程度、耳鳴與聽(tīng)力下降發(fā)生時(shí)間先后的關(guān)系均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)；耳鳴療效與聽(tīng)力損失程度、聽(tīng)力曲線類型、突發(fā)性聾療效有關(guān)(P0.05)。其中輕度聽(tīng)力損失、上升型、突發(fā)性聾療效為痊愈者耳鳴療效較好,極重度聽(tīng)力損失、全聾型、突發(fā)性聾療效為無(wú)效者耳鳴療效較差。 結(jié)論：突發(fā)性聾患者中伴耳鳴的發(fā)病率較高且突發(fā)性聾即使痊愈后仍有部分患者有耳鳴；突發(fā)性聾患者的耳鳴程度與性別、年齡、耳側(cè)、聽(tīng)力損失程度、聽(tīng)力曲線類型無(wú)關(guān)；突發(fā)性聾的療效與有無(wú)耳鳴及耳鳴程度無(wú)關(guān)；突發(fā)性聾患者中耳鳴的總有效率為74.3%,耳鳴療效與性別、年齡、耳側(cè)、干預(yù)時(shí)間、耳鳴程度、耳鳴與聽(tīng)力下降發(fā)生先后無(wú)關(guān)；輕度聽(tīng)力損失、上升型、突發(fā)性聾療效痊愈者耳鳴療效較好,極重度聽(tīng)力損失、全聾型、突聾療效為無(wú)效者耳鳴療效較差。
[Abstract]:Objective: to explore the clinical characteristics of sudden deafness with tinnitus and its relationship with the curative effect of sudden deafness, as well as the related factors affecting the curative effect of tinnitus, so as to provide the basis for the clinical diagnosis, treatment and prognosis of the patients with sudden deafness and tinnitus. Methods: from January 2011 to December, the patients with sudden deafness who were hospitalized in our hospital for otolaryngology and head and neck surgery were analyzed prospectively. The inclusion and exclusion criteria were established, and the tinnitus questionnaire was completed before and after treatment. 80 patients with sudden deafness associated with tinnitus were selected as subjects. The relationship between tinnitus degree and sex, age, side of ear, degree of hearing loss and type of hearing curve were compared. To analyze the relationship between the curative effect of sudden deafness and tinnitus and the degree of tinnitus, to compare the curative effect of tinnitus with sex, age, ear side, degree of hearing loss, type of hearing curve, degree of tinnitus and curative effect of sudden deafness in patients with sudden deafness. The relationship between intervention time. Results among 80 cases of sudden deafness, 87.5% cases were associated with tinnitus, and 70 cases of sudden deafness with tinnitus had a male to female ratio of 1.59: 1, with a median age of 43 years. The average time from onset to intervention was 9.6 鹵11.1 days and 48.6% of the patients had tinnitus and hearing loss at the same time, 41.4% of the patients with sudden deafness accompanied with tinnitus had sex, age, side of ear and degree of hearing loss. There was no statistical difference in the distribution of hearing curve type in patients with tinnitus of different degrees (P 0.05), and the total effective rate of sudden deafness was 64.3%. There was no significant difference between the curative effect and the degree of tinnitus and tinnitus in patients with sudden deafness and tinnitus (P 0.05). The total effective rate of tinnitus was 74.3. The curative effect and sex of tinnitus in patients with sudden deafness and tinnitus were compared. Age, ear side, intervention time, tinnitus degree, tinnitus and hearing loss time had no statistical significance (P 0.05); tinnitus curative effect and hearing loss degree, hearing curve type, sudden deafness curative effect were related to P 0.05. The curative effect of ascending type, sudden deafness was better in cured patients, severe hearing loss, total deafness and ineffective sudden deafness, the curative effect of tinnitus was poor. Conclusion: the incidence of tinnitus in patients with sudden deafness is high and some patients still have tinnitus even after recovery, and the degree of tinnitus in sudden deafness patients is not related to sex, age, ear side, degree of hearing loss and type of hearing curve. The curative effect of sudden deafness was not related to tinnitus and the degree of tinnitus, the total effective rate of tinnitus in sudden deafness patients was 74.3. The curative effect of tinnitus was not related to sex, age, ear side, intervention time, tinnitus degree, tinnitus and hearing loss. The effect of tinnitus was better in patients with mild hearing loss, ascending hearing loss and sudden deafness, but poor in patients with extremely severe hearing loss, total deafness and sudden deafness.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R764

【引證文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前1條

1 翁振聲;耳鳴中醫(yī)治療的遠(yuǎn)期療效隨訪[D];廣州中醫(yī)藥大學(xué);2013年

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本文編號(hào)：1576735