伴随症状对判断突发性聋预后的意义.docVIP

伴随症状对判断突发性聋预后的意义 nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; 作者：王洵，吕晓飞，尹修民，林楠 【关键词】nbsp; 突发性聋；眩晕；耳鸣；预后 　　［摘要］nbsp; 目的nbsp; 探讨突发性聋伴或不伴眩晕与耳鸣对判断预后的价值。方法nbsp; 回顾性分析我科收治的492例突发性聋患者的资料。结果nbsp; 突发性聋不伴耳鸣、眩晕患者77例，治疗有效率为89.6%；伴耳鸣不伴眩晕患者334例，有效率87.4%(P＞0.05)。仅伴眩晕28例，治疗有效率为60.7%，同时伴眩晕、耳鸣患者52例，治疗有效率为57.7%(P＞0.05)。伴耳鸣不伴眩晕患者与伴眩晕患者比较P＜0.05。结论nbsp; 突发性聋不伴眩晕者预后更好，突发性聋伴或不伴眩晕对判断预后很有意义，耳鸣的有无对判断预后无明显价值。 nbsp;nbsp;nbsp; 　　［关键词］nbsp; 突发性聋；眩晕；耳鸣；预后 nbsp;nbsp;nbsp; 　　Prognostic value of sudden deafness with or without other signs 　　［Abstract］nbsp; Objectivenbsp; To investigate the prognostic value of sudden deafness with or without vertigo and tinnitus.Methodsnbsp; A retrospective analysis was performed in 492 cases of sudden deafness.Resultsnbsp; The effective rate of treatment was 89.6% in 77 cases of sudden deafness without vertigo and tinnitus;334 cases of sudden deafness with tinnitus and without vertigo seen,the effective rate of treatment was 87.4%,P＞0.05.The effective rate of treatment was 60.7% in 28 cases of sudden deafness wiht vertigo.52 cases of sudden deafness with vertigo and tinnitus were seen and the effective rate of treatment was 57.7%,P＞0.05;with vertigo and only with tinnitus,P＜0.05.Conclusionnbsp; The prognosis of sudden deafness without vertigo may be better than sudden deafness with vertigo To identify the complication of vertigo has good value on prognosis of sudden deafness,and tinnitus may be indistinct on prognosis of sudden deafness. 　　［Key words］nbsp; sudden deafness;vertigo;tinnitus;prognosis nbsp;nbsp;nbsp; 　　突发性聋(突聋)是耳科常见疾病，近年来发病有增高趋势［1］，大多数患者同时伴有耳鸣，部分患者伴有眩晕症状，这些伴随症状对预后的影响各文献报道不一。现总结我科1997年1月～2005年1月收治的突发性聋患者492例492耳，分为突发性聋不伴耳鸣眩晕、仅伴耳鸣、仅伴眩晕及同时伴耳鸣和眩晕者共4组，分析比较经相同的常规药物治疗和高压氧综合治疗后的疗效。 　　1nbsp; 资料与方法 　　1.1nbsp; 一般资料nbsp; 492例突聋患者中293例经耳蜗电图及脑干诱发电位检查示耳蜗损害，瘘管试验(-)，选重度耳聋伴眩晕者52例做头颅内听道螺旋CT检查无异常，全部进行纯音测听及导抗检查诊为感音神经性聋，语言频率平均听阈(PTA)均≥60 dBnHL，均符合中华医学会耳鼻咽喉头颈外科分会《突发性聋诊断依据和疗效分级》标准［2］。患者年龄17～73岁，82.3%患者在40～60岁。男202例202耳；女2