论文部分内容阅读
目的 :探讨青少年突发性聋的病因、临床特点、疗效及影响预后的因素。方法 :对 1981～ 2 0 0 0年的 33例 (4 9耳 ) 18岁以下青少年突发性耳聋的临床资料进行分析。结果 :男女患者构成比约为 1 5∶1,约一半的患者发病前有较明确的上呼吸道感染史。初诊时两耳同时发病占 48 5 % ,伴眩晕者占 14 3% ;0 2 5～ 4kHz频率平均听力损失中重度 (>6 0dB)占 77 6 % ,听力曲线全聋型占 5 7 1% ,下降型占 2 2 4%。总体疗效为痊愈 2 2 4% ,显效 8 2 % ,有效 2 2 4% ,总有效率 5 3 1%。结论 :青少年突发性耳聋较少见 ,在影响预后的因素中 ,发病前有无感冒史 ,初诊时听力损失程度、纯音听力曲线类型及开始治疗时间与预后有关 ,而性别、单双耳发病及眩晕对预后的影响不明显。基本符合文献报道的一般性规律 ,但亦有自身的特点。
Objective: To explore the etiology, clinical features, curative effect and prognostic factors of adolescent sudden deafness. Methods: The clinical data of 33 cases (49 ears) of sudden onset deafness in adolescents under 18 years old from 1981 to 2000 were analyzed. Results: The ratio of male and female patients was about 15: 1. About half of the patients had a definite history of upper respiratory tract infection before the onset. The incidence of both ears was 48 5% at the same time of first visit, 14 3% with vertigo, moderate to severe (> 6 0 dB) at 0 2 5 ~ 4 kHz, 77% at hearing loss, , Descending type accounted for 22.4%. The overall curative effect was 224%, 82% effective, 224% effective and 531% total effective rate. Conclusions: Sudden deafness is rare in adolescents. Among the factors that affect the prognosis, there is no history of cold before onset, the degree of hearing loss, the type of pure tone hearing curve and the beginning of treatment time are related to the prognosis, while the incidence of gender, And dizziness on the prognosis is not obvious. Basically in line with the general law reported in the literature, but also has its own characteristics.