發(fā)布時間：2018-05-06 10:48

  本文選題：突發(fā)性耳聾 + 耳悶脹感��； 參考：《中華耳科學(xué)雜志》2017年02期

【摘要】：目的探討低頻型突聾伴耳悶脹感患者耳悶脹感的臨床特征、預(yù)后及與突聾的關(guān)系。方法收集單側(cè)低頻型突聾伴耳悶脹感患者35例,不伴耳悶脹感患者32例,進行聽力學(xué)及影像學(xué)檢查,對伴耳悶脹感患者進行耳悶脹感的VAS量表評分及主觀分級。比較兩組患者耳聲發(fā)射、聽性腦干誘發(fā)電位改變;觀察耳悶脹感預(yù)后,分析耳悶脹感與突聾的關(guān)系。結(jié)果兩組患者間耳聲發(fā)射及腦干誘發(fā)電位結(jié)果無顯著差異(χ2=1.486,1.029;P0.05)。伴耳悶脹感患者耳悶脹感主觀分級與聽力下降程度呈正相關(guān)(r=0.344,P0.05)。伴耳悶脹感組經(jīng)治療后聽力恢復(fù)總有效率32/35(91.4%)略高于不伴耳悶脹感組總有效率27/32(84.4%),差異無統(tǒng)計學(xué)意義(χ2=0.791,P0.05)。耳悶脹感恢復(fù)總有效率為31/35(88.6%),耳悶改善情況與聽力下降改善情況存在相關(guān)性(χ2=9.891,P0.05),pearson列聯(lián)相關(guān)系數(shù)r=0.469,P0.05。結(jié)論低頻型突聾伴耳悶脹感患者耳悶程度與聽力下降程度相關(guān),聽力損失越嚴重,耳悶脹感的主觀分級越重;耳悶脹感預(yù)后較好,與聽力恢復(fù)情況相關(guān);伴耳悶脹感患者聽力恢復(fù)效果可能略好于不伴耳悶脹感患者,有待進一步觀察。
[Abstract]:Objective to investigate the clinical features, prognosis and relationship between sudden deafness and sudden deafness in patients with low frequency sudden deafness. Methods 35 cases of unilateral low-frequency sudden deafness with ear distention and 32 cases without auricular distention were examined by audiology and imaging. The VAS scale and subjective grade of auricular distention were evaluated in patients with auricular distention. To compare the changes of auditory brainstem evoked potential (BAEP) and otoacoustic emission (OAE), to observe the prognosis of auricular distention, and to analyze the relationship between auricular distention and sudden deafness. Results there was no significant difference in otoacoustic emissions and brainstem evoked potentials between the two groups (蠂 ~ 2 1.486 ~ 1.029 P 0.05). There was a positive correlation between the subjective grade of ear distention and the degree of hearing loss in patients with ear distention. The total effective rate of hearing recovery after treatment in the group with ear distention was 32 / 35 / 91.4), which was slightly higher than that in the group without auricular distention (27 / 32) and 84.4% (蠂 ~ 20.791g / P 0.05), and there was no significant difference between the two groups (蠂 ~ (2) 0.791g / P _ (0.05). The total effective rate of recovery of ear distention was 31 / 35 / 88. 6. There was a correlation between the improvement of ear tightness and the improvement of hearing loss (蠂 2 9.89 1 P 0.05 Pearson correlation coefficient r = 0.469 P 0.05). Conclusion the degree of hearing loss is related to the degree of hearing loss in patients with low frequency sudden deafness associated with ear distention, the more serious the hearing loss, the more severe the subjective classification of ear distention, the better the prognosis of ear distention is, and the more relevant to the recovery of hearing. The effect of hearing recovery in patients with auricular distension may be better than that in patients without auricular distension, which needs further observation.
【作者單位】： 湖南師范大學(xué)第一附屬醫(yī)院耳鼻咽喉-頭頸外科(湖南省人民醫(yī)院耳鼻咽喉-頭頸外科);湖南師范大學(xué)醫(yī)學(xué)院;
【分類號】：R764.43

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本文編號：1852013