论文部分内容阅读
本文分析病程２周内的特发性突聋１０９例的有眩晕及无眩晕两组病人的听力损失类型及预后。发现：女性合并眩晕多于男性（６１．８％：３７．３％，Ｐ＜０．０５）。有眩晕病人平均年龄高于无眩晕病人（Ｐ＜０．０５）。１０９例中深度耳聋（ＰＨＬ）型占４１例（３７．６％），平坦听力损失（ＦＨＬ）型３１例（２８．４％），高频听力损失（ＨＨＬ）型２５例（２２．９％），低频听力损失（ＬＨＬ）型９例（８．３％），中频听力损失（ＳＨＬ）碟型３例（２．８％）。１０９例中突聋有眩晕者占４５％。各型突聋的眩晕发生率分别为：ＰＨＬ型６８．３％，ＦＨＬ型３５．５％，ＮＨＬ型３２．０％，ＬＨＬ型１１．１％。本组以ＰＨＬ型为主的高频耳聋眩晕发生率较高，可能是耳蜗基底转病变累及邻近前庭器所致。治疗结果显示：突聋有眩晕及无眩晕两组听力改善率无显著性差异，但突聋发病７天以内组经治疗听力改善率高于７天以上组（７６．１％：５２．６％，Ｐ＜０．０１）。
This article analyzes the duration of 2 weeks of idiopathic sudden deafness in 109 cases of patients with vertigo and no vertigo in both types of hearing loss and prognosis. Found: more women than men combined dizziness (61.8%: 37.3%, P <0.05). The average age of patients with vertigo was higher than those without vertigo (P <0.05). Among 109 cases, 37 (37.6%) had moderate deafness (PHL), 31 (28.4%) had flat hearing loss (FHL) and 25 (22.9%) had high frequency hearing loss ), 9 cases (8.3%) with low frequency hearing loss (LHL) and 3 cases (2.8%) with intermediate hearing loss (SHL). 109 cases of sudden deafness who have vertigo accounted for 45%. The incidence of various types of deafness vertigo were: PHL 68.3%, FHL 35.5%, NHL 32.0%, LHL 11.1%. This group of PHL-based high-frequency deafness dizziness higher incidence may be related to the cochlear basilar lesions involving the adjacent vestibular apparatus. The results of the treatment showed that there was no significant difference in hearing improvement rate between the group of sudden deafness and the group of no dizziness, but the improvement rate of group hearing after 7 days of sudden deafness was higher than that of group 7 days (76.1% vs 52.6% , P <0.01).