目的 :探讨突发性聋综合治疗的疗效及其相关因素。方法 :整理、分析 168例突发性聋患者的临床资料与不同组合综合治疗的疗效观察及总结。结果 :168例通过综合治疗治愈 43例 ,显效 5 1例 ,有效 3 2例 ,有效率达 75 %,其中以使用生物溶栓剂与血管扩张剂联合治疗 5 6例的有效率达 82 %,单独治疗的其它两组有效率分别是 75 %和 68%;在治愈、显效、有效的 12 6例中 ,发病时间在 1周内 75例 (约占 60 %) ,其中年龄在 40岁以下的约占 60 %(男性患者 2 8例 ) ,伴眩晕的只有 2 2例 ,初诊听阈为中度耳聋占70 %,听阈曲线呈平坦、上坡型占 65 %。结论 :为提高对突发性聋的疗效 ,在治疗上宜采取早期改善内耳供血障碍为主要原则的综合性措施 ;疗效还与年龄、性别 ,有无眩晕 ,初诊听阈 ,高 -低频音听阈差相关 Objective: To investigate the curative effect of sudden deafness combined with its related factors. Methods: The clinical data of 168 cases of sudden deafness were analyzed and summarized. The curative effect and summary of different combinations of combined therapy were summarized. Results: 168 cases were cured by comprehensive treatment of 43 cases, markedly effective in 51 cases, effective 32 cases, the effective rate of 75%, of which the use of biological thrombolytic agents and vasodilators combined treatment of 56 cases of effective rate of 82% The effective rates of the other two groups were 75% and 68% respectively. In the 12 cases of cure, effective and effective, the onset time was 75 cases (about 60%) within 1 week, of which the age under 40 About 60% (28 males), with dizziness only 22 cases, newly diagnosed hearing threshold was 70% of moderate deafness, hearing threshold curve was flat, uphill type accounted for 65%. Conclusion: In order to improve the curative effect of sudden deafness, we should take the comprehensive treatment of the main principles of improving the inner ear blood supply in the early stage of treatment. The curative effect is also related to age, gender, presence or absence of vertigo, initial hearing threshold, high-low frequency hearing threshold difference Related