【摘要】：目的:探討影響突聾預(yù)后及其復(fù)發(fā)的相關(guān)因素。方法:收集于2013年1月至2014年4月因突發(fā)性耳聾就診的538例患者,其中25例復(fù)發(fā)患者,分別從年齡、性別、伴隨癥狀、基礎(chǔ)疾病、發(fā)病至治療時(shí)間、突聾分型及首次治療效果分析復(fù)發(fā)突聾的治療效果及復(fù)發(fā)的相關(guān)因素。結(jié)果:25例復(fù)發(fā)患者中,總有效率明顯低于首次發(fā)病的總有效率,且有24例為同側(cè)耳復(fù)發(fā),1例為雙側(cè)耳復(fù)發(fā);是否伴耳鳴或(和)耳悶、性別對(duì)首發(fā)突聾治療效果無(wú)明顯影響;性別、伴耳鳴或(和)耳悶對(duì)復(fù)發(fā)突聾治療療效無(wú)影響;伴基礎(chǔ)疾病、34歲、伴眩暈或(和)頭暈、發(fā)病至治療時(shí)間及突聾分型在首發(fā)突聾治療中對(duì)療效有影響,。各型復(fù)發(fā)率差異有顯著意義,低頻型復(fù)發(fā)率較高,但治療效果較好。結(jié)論:復(fù)發(fā)性突聾的療效受多種因素影響。復(fù)發(fā)的突發(fā)性耳聾治療效果差,預(yù)后不佳,且一般發(fā)生在同側(cè)耳。
[Abstract]:Objective: to investigate the related factors influencing prognosis and recurrence of sudden deafness. Methods: from January 2013 to April 2014, 538 patients with sudden deafness, including 25 patients with recurrent deafness, including age, sex, associated symptoms, underlying diseases, onset and treatment time, were collected. Classification and first treatment of sudden deafness the treatment effect of recurrent sudden deafness and the related factors of recurrence were analyzed. Results: the total effective rate of 25 recurrent patients was significantly lower than that of the first onset, and there were 24 cases of ipsilateral ear recurrence and 1 case of double lateral ear recurrence. Whether or not tinnitus or (and) ear tightness, sex had no significant effect on the treatment of first-onset sudden deafness, gender, tinnitus or / and ear stuffy had no effect on the treatment of recurrent sudden deafness. Basic disease, 34 years old, with vertigo or / and dizziness, onset to treatment time and type of sudden deafness in the first treatment of sudden deafness have an impact on the curative effect. The recurrence rate of low frequency type was higher, but the effect of treatment was better. Conclusion: the curative effect of recurrent sudden deafness is affected by many factors. Recurrent sudden deafness has poor therapeutic effect and poor prognosis, and usually occurs in the same lateral ear.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R764.437

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