突发性聋患者耳蜗死区分布及预后分析.pdfVIP

Chinese Scientific Journal of Hearing and Speech Rehabilitation 临床研究 doi:10.3969/j.issn.1672-4933.2015.04.006 突发性聋患者耳蜗死区分布及预后分析 An Analysis of the Relationship between Cochlear Dead Regions and Prognosis of Sudden Deafness 1 2 2 山亘 1 2 ■季永红 付佳 杨燕珍 汪 祝晓芬 JI Yong -hong, FU Jia, YANG Yan-zhen, WANG Huan, ZHU Xiao-fen 采用阈值均衡噪声检测法研究耳蜗死区在突发性聋患者中的分布情况，探讨耳蜗死区与突发性聋预后的 【摘要】目的 关系。 采用阈值均衡噪声检测法检测138例（149耳）突发性聋患者，综合治疗2周后，再次行听力检测，分析耳蜗死区和 方法 突发性聋预后的相关性。 138例（149耳）突发性聋患者中39例患者（45耳）单或双耳存在一个或多个频率的耳蜗死区， 结果 耳蜗死区检出率为30.20%（45/149）；耳蜗死区在突发性聋患者主要分布在2000～4000 Hz的高频区域；检测有听力下降的 频率993个，其中有耳蜗死区的频率103个，治疗后有效率29.13％（30/103）；经检测无耳蜗死区的频率890个，治疗后有效率 54.38％（484/890）。两组有效率进行比较，差异具有统计学意义（χ2=23.58， 0.05）。 耳蜗死区与突发性聋预后密 P 结论 切相关。 突发性聋；耳蜗；耳蜗死区；阈值均衡噪声 【关键词】 【 】 Abstract Obj ective To investigate the distribution of cochlear dead regions in patients with sudden deafness by threshold equalizing noise (TEN) test and to explore the relationship between cochlear dead regions and prognosis of sudden deafness. Methods 138 patients with sudden deafness (149 ears) received TEN test before and 2 weeks after the treatment and the results were compared and analyzed. Results The cochlear dead regions were detected in 39 (45 ears) of 138 patients (149 ears), with a prevalence of 30.20%(45/149). The dead regions occurred mostly at 2000 to 4000 Hz. For the 993 frequencies with hearing loss, 103 had dead regions and the effective rate of treatment for these frequencies was 29.13%(30/103). 890 had no dead regions and the effective rate was 54.38%(484/890).There were significant differences in 2 the effective rate between the two groups (χ =23.58,P0.05)