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目的：科学评价突发性聋自然治愈及听力自然波动。方法：对６５８例７３９耳突发性聋自然治愈及听力自然波动进行系统观察与分析。结果：包括自然治愈、显著恢复、部分恢复在内的自然恢复率仅为２．０％，主要见于病程２周以内的轻度或中度聋患耳；听力自然波动发生率为２２．６％，以单一语言频率测值变异为多。结论：发病初期及时积极治疗是突发性聋治疗成功的关键，而消极等待其自然恢复则贻误治疗时机。建议将听力曲线的多数频率测值改善１５～３０ｄＢ作为评价听力部分恢复的标准，以避免将听力自然波动误判为治疗恢复或自然恢复。
OBJECTIVE: To evaluate the natural cure of sudden deafness and natural hearing disturbance. Methods: 658 cases of 739 cases of sudden hearing loss natural hearing and natural hearing fluctuations were observed and analyzed. Results: The natural recovery including natural healing, significant recovery and partial recovery was only 2.0%, mainly in mild or moderate deaf ears within 2 weeks duration. The natural frequency of hearing disturbance was 22.6% , To single-language frequency measurement variation as much. Conclusion: The early onset of active and timely treatment of sudden deafness is the key to the success of treatment, and negative waiting for its natural recovery is delayed the timing of treatment. It is suggested that the most frequent frequency measurement of the hearing curve should be improved by 15 ~ 30dB as the standard for evaluating the recovery of hearing in order to avoid misjudging the natural fluctuation of hearing as the treatment recovery or natural recovery.