伴有和不伴有眩晕突发性聋纯音测听检测结果研究.docVIP

伴有和不伴有眩晕的突发性聋纯音测听检测结果研究 　　摘 要：目的 检测伴有和不伴有眩晕的突发性聋患者的纯音听阈表现，分析突发性聋发病时伴有眩晕或不伴有眩晕时纯音听阈的特点，研究两者纯音听阈检测结果的差异性。方法 将2015年1月～2017年1月我科诊治的突?l性耳聋116例患者分为眩晕组和不伴眩晕组，分别详细询问病史后，对患者进行电耳镜检查，纯音听阈测听，声导抗测听，耳声发射及内听道MRI检查，排除外耳，中耳及中枢性病变，记录患者检测数据后进行统计分析。结果 突发性聋伴有眩晕患者纯音测听检查结果多提示有高频听阈的提高，而不伴有眩晕的突发性聋患者纯音测听无特异性及规律性。结论 在临床治疗过程中，伴有眩晕的患者恰好听阈改变多在高频区。针对性治疗耳蜗底部受损这一特点所致突发性耳聋患者，可能对我们医学科研及临床的诊断和治疗工作有参考价值。 　　关键词：眩晕；突发性耳聋；纯音测听；高频听阈 　　中图分类号：R764 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.04.033 　　文章编号：1006-1959（2018）04-0100-02 　　Abstract：Objective To detect the pure tone hearing threshold of sudden deafness with and without vertigo， and to analyze the characteristics of pure tone hearing threshold in sudden deafness with or without vertigo，we studied on the differences of the two threshold detection results.Methods From January 2015 to January 2017，116 patients with sudden deafness in our hospital were divided into vertigo group and non-vertigo group.After a detailed inquiry into the history of the disease，the patients were examined by electroscope，pure tone threshold audiometry，acoustic conductance audiometry，otoacoustic emission and MRI examination of internal auditory canal to exclude external ear，middle ear and central lesions.The data were recorded and analyzed.Results The results of pure tone audiometry in patients with sudden deafness and vertigo showed that there was an increase in high frequency hearing threshold， but there was no specificity and regularity in pure tone audiometry in patients with sudden deafness without vertigo.Conclusion In clinical treatment，patients with vertigo just hearing changes in high frequency region.Targeted treatment of sudden deafness due to the characteristics of cochlear bottom injury may be valuable for our medical research and clinical diagnosis and treatment. 　　Key words：Vertigo；Sudden deafness；Pure tone audiometry；High frequency hearing threshold 　　突发性耳聋（sudden deafness）一般是指突然发现的感音神经性听力损失，通常在数分钟、数小时或3 d之内，患者听力下降至最低点，至少在相连的频率听力下降大于20 dB，常伴有耳鸣[1]。而突发性耳聋伴有的