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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).