突发性聋预后影响因素的分析-第三军医大学学报.docVIP

突发性聋预后相关影响因素的分析 陈黎黎1，江黎珠2，胡国华2，陈鸿雁2 (400016 重庆，重庆医科大学附属第一医院体检中心1， 重庆医科大学附属第一医院耳鼻咽喉科 2) [摘要] 目的 探讨突发性聋预后的影响因素。方法 回顾性分析从2010年10月至2011年9月耳鼻喉科143例（共155耳）突发性聋患者的病历资料单因素分析性别、年龄、发病到治疗时间、诱因、伴发症状、合并症、听力曲线类型、听力损失程度、时间和治疗方案，Logistic回归分析。结果 本组研究总有效率69.0%。单因素分析发病到治疗时间、眩晕听力损失程度。Logistic回归分析发病到治疗时间听力损失程度结论 突发性聋患者轻，预后好。 R764.437 [文献标识码A Study of prognostic factors of sudden hearing loss Chen Lili1, Jiang Lizhu2, Chen Hongyan2 (1 Medical Examination Centre, 2Department of Otorhinolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China) [Abstract] Objective To explore prognostic factors which affect curative effect of sudden hearing loss (SHL) and achieve early treatment of SHL. Methods The medical records of 143 cases (155 ears) with SHL hospitalized from Oct. 2010 to Sep. 2011 in department of Otorhinolaryngology, the First Affiliated Hospital of Chongqing Medical University were retrospectively investigated. Firstly, the correlation with the total effective rate of treatment that these groups , which were gender, age, time during onset _____________________________________________________________________ [基金项目国家临床重点专科建设项目经费资助卫办医政函[2012]649号通作者陈鸿雁E-mail: 1009846784@ and treatment, precipitating factor, concomitant symptoms, associated complications, audiogram pattern, degree of hearing loss, the duration of treatment and treatment protocol were analyzed with univariate approaches. Meanwhile, prognostic factors were screened. Finally, they were analyzed with multivariate Logistic regression analysis. Results The total efficient rate of this study was 69.0%. Univariate analysis showed that differences were statistically significance in three groups of time during onset and treatment, vertigo and degree of hearing loss (P0.05). Logistic regression analysis showed that time during onset and treatment and degree of hearing loss were prognostic factors of SHL. Conclusion For the patients with earlier treatment or mild degree of hearing l