突发性耳聋患者预后的影响因素分析

严斌; 童小燕

doi:10.7619/jcmp.202006023

突发性耳聋患者预后的影响因素分析

严斌,
童小燕^,

陕西省咸阳市中心医院耳鼻咽喉科, 陕西咸阳, 712000

详细信息

通讯作者:
童小燕,E-mail:wwtrh5656@126.com

中图分类号: R764.43
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出版历程
- 收稿日期: 2020-01-04

Analysis of influencing factors of prognosis in patients with sudden deafness

YAN Bin,
TONG Xiaoyan^,

Department of Otolaryngology, Xianyang Central Hospital, Xianyang, Shaanxi, 712000

摘要

摘要: 目的探讨突发性耳聋患者预后的影响因素。方法回顾性分析87例突发性耳聋患者的临床资料,所有患者接受常规药物治疗,根据预后情况将患者分为预后良好组(受损频率平均听力提高≥15 dB)61例及预后不良组(受损频率平均听力提高<15 dB)26例。设计一般情况调查问卷,并将可能的影响因素纳入,采用单因素与多因素分析找出突发性耳聋患者预后不良的影响因素。结果经卡方检验单因素分析与非条件多项Logistic回归分析检验,糖尿病、发病至就诊时间、伴眩晕或耳鸣、听力损失程度、纯音测听听力图类型均可能是突发性耳聋患者预后的影响因素(OR>1, P<0.05)。结论糖尿病、发病至就诊时间、伴眩晕或耳鸣、听力损失程度、纯音测听听力图类型均可能是突发性耳聋患者预后的影响因素,临床需重点关注并予以相应干预措施。
- 突发性耳聋 /
- 预后 /
- 影响因素 /
- 糖尿病 /
- 眩晕 /
- 耳鸣 /
- 听力损失
Abstract: Objective To analyze the influencing factors of prognosis in patients with sudden deafness. Methods The clinical data of 87 patients with sudden deafness who admitted in our hospital were retrospectively analyzed. All patients were treated with routine medicine. They were divided into good prognosis group(n=61, mean frequency hearing loss increase≥15 dB)and poor prognosis group(n=26, mean frequency hearing loss increase<15 dB)according to the prognosis conditions. The general questionnaire was designed, and the possible influencing factors were included. The single-factor and multivariate analysis were used to find out the influencing factors of poor prognosis in patients with sudden deafness. Results The results of chi-square test of single-factor analysis and non-conditional multiple Logistic regression analysis showed that diabetes, time from onset to medical consultation, complicating with dizziness or tinnitus, degree of hearing loss, audiogram type of pure tone audiometry may be the influencing factors of poor prognosis in patients with sudden deafness(OR>1, P<0.05). Conclusion Diabetes, time from onset to medical consultation, complicating with dizziness or tinnitus, degree of hearing loss, audiogram type of pure tone audiometry may be the influencing factors of poor prognosis in patients with sudden deafness. Therefore, these factors should be attached great importance in clinic and corresponding intervention measures should be given to these patients.
- sudden deafness /
- prognosis /
- influencing factors /
- diabetes /
- vertigo /
- tinnitus /
- hearing loss

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