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目的探讨突发性聋患者的发病时间规律及血液流变学变化的内在联系。方法观察198例突发性聋患者的血液流变学指标,并与60例正常对照组的相关指标进行整体对比分析,探讨突发性聋与血液流变学之间的关系。仔细询问198例患者的发病时问,每2h 为一个时间段,统计每时段的发病人数,观察各时间段发病的突发性聋患者的血液流变学变化,从而更精确的说明二者之间的关系。同时检测了30例突发性聋患者一昼夜3次的血液流变学指标,观察突发性聋患者1d 中的血液流变学变化规律。结果突发性聋患者的血液流变学指标与对照组相比有多项差异有统计学意义。突发性聋患者一昼夜血液流变学变化以晨起时的血流变指标为最高。各时间段发病人数以上午4～8时发病者最多,二者占全部突发性聋患者的42.9%,其余10个时段每段发病人数均不超过总人数的9%;12时段的血液流变学指标,又以上午4～8时段发病者为最高。结论血液流变学异常与突发性聋的发病密切相关,与心脑血管疾病一致,其发病高峰亦在晨时4～8时,且血流变指标高的患者更容易在清晨发病。
Objective To investigate the relationship between the onset time and the changes of hemorheology in patients with sudden deafness. Methods The hemorheological indexes of 198 cases of sudden deafness were observed and compared with those of 60 normal controls. The relationship between sudden deafness and hemorheology was explored. Asked in detail about the onset of 198 patients asked, every 2h for a period of time, statistics of the number of patients at each time period, the incidence of sudden onset deaf patients observed changes in the degree of hemorheology, which shows more precisely the two Relationship between. At the same time, hemorrheological indexes of 30 cases of sudden deafness were detected three times a day, night and night, and the changes of hemorheology in sudden deafness patients were observed. Results There were significant differences in hemorheology between patients with sudden deafness and controls. Sudden deaf patients a day and night changes in hemorheology to morning rheumatoid index was highest. The number of patients in each time period was 4 to 8 in the morning, with the highest incidence rate, accounting for 42.9% of all patients with sudden deafness. In the remaining 10 time periods, the number of each disease did not exceed 9% of the total number of patients. Blood flow Variable indicators, but also the morning of 4 to 8 periods of the highest incidence. Conclusions Hemorheology abnormalities are closely related to the onset of sudden deafness. It is consistent with cardiovascular and cerebrovascular diseases. The onset peak is also at 4 ~ 8 o’clock in the morning and patients with high hemorrheological indexes are more likely to get sick in early morning.