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目的:探讨听力损失程度和听阈图型与突发性聋预后关系。方法:回顾性分析我科收治的92例(97耳)突发性聋患者的临床资料。结果:上升型和反盔型听力损失预后最好,总有效率均为100.0%;缓降型其次,总有效率70.0%(7/10);全聋型总有效率为66.7%(14/21),陡降型较差,有效率为50.0%(4/8)。虽然全聋治疗总有效率高于陡降型,但无一耳痊愈,而陡降型有1耳痊愈。另全聋治疗后有6耳仍为全聋,1例提高65dBHL,1例提高50dBHL。耳聋程度中,轻、中度各1耳,虽然总有效率最高,但均未痊愈,经治疗后,听力各提高17dBHL和19dBHL,中重度、重度、极重至全聋总有效率差异无统计学意义(P>0.05),但是痊愈率均差异有统计学意义(均P<0.01),中重度组痊愈率最高38.5%(10/26耳),其次重度组,痊愈率为33.3%(12/36耳),极重至全聋最差为6.0%(2/33)。结论:耳聋的程度与总有效率无明显关系,但与痊愈率差异有统计学意义,突发性聋的不同听阈图型与听力的预后极为相关。
Objective: To investigate the relationship between hearing loss and hearing threshold patterns and the prognosis of sudden deafness. Methods: The clinical data of 92 patients (97 ears) with sudden deafness treated in our department were retrospectively analyzed. Results: The prognosis of ascending and anti-helmet hearing loss were the best, the total effective rate was 100.0%; descending type the second, the total effective rate was 70.0% (7/10); total deaf type total effective rate was 66.7% (14 / 21), steep drop type is poor, the effective rate was 50.0% (4/8). Although the total deafness treatment efficiency is higher than the steep drop, but no one recovered, while the steep drop type 1 ear healed. The other deafness after the treatment of 6 ears is still fully deaf, 1 case increased 65dBHL, 1 case increased 50dBHL. Deafness, mild and moderate 1 ear, although the total efficiency of the highest, but did not heal, after treatment, the hearing increased by 17dBHL and 19dBHL, moderate to severe, severe, extremely severe deafness total effective rate difference was not statistically significant (All P <0.01), the cure rate was 38.5% (10/26 ears) in the moderate and severe group, and the cure rate was 33.3% (12.3%) in the second severe group / 36 ears), and the worst to all deafness was 6.0% (2/33). CONCLUSION: The degree of deafness has no significant relationship with the total effective rate, but the difference with the cure rate has statistical significance. The different hearing threshold patterns of sudden deafness are closely related to the prognosis of hearing.