山东大学耳鼻喉眼学报 ›› 2023, Vol. 37 ›› Issue (2): 7-14.doi: 10.6040/j.issn.1673-3770.0.2022.418
• 论著 • 上一篇
孙永强1, 2,宋忠义2,王春芳2,李晓2,傅莹2,潘新良1,2
SUN Yongqiang1,2, SONG Zhongyi2, WANG Chunfang2, LI Xiao2, FU Ying2, PAN Xinliang1,2
摘要: 目的 分析镫骨肌反射阈存在的突聋患者的预后情况,探讨其影响因素。 方法 回顾性分析2018年1月至2021年12月收治的282例镫骨肌反射阈存在的突聋患者的临床资料,采用Excel进行数据整理,SPSS 26.0对收集的资料进行描述性分析及统计分析,对性别、年龄、就诊时间、是否伴有耳鸣、眩晕、基础疾病(糖尿病、高血压、冠心病)、听力曲线类型、听力损失程度、镫骨肌反射阈、镫骨肌反射阈与纯音听阈差值(A-T)等因素进行统计学分析。 结果 282例镫骨肌反射阈存在的突发性聋患者中,治愈101例,显效8例,有效54例,无效119例,总有效率57.8%。耳聋侧别(P=0.907)、伴随症状(P眩晕=0.686,P耳鸣=0.534)、基础疾病(P高血压=0.338, P糖尿病=0.262, P心脏病=0.780)、镫骨肌反射阈(P0.5 kHz=0.152, P1.0 kHz=0.701, P2.0 kHz=0.810)、镫骨肌反射阈与纯音听阈差值(P0.5 kHz A-T=0.413, P2 kHz A-T=0.092)在镫骨肌反射阈存在的突聋患者预后有效组和无效组组间差异无统计学意义,而年龄(P=0.022)、性别(P=0.001)、突聋就诊时间(P<0.001)、听力曲线类型(P=0.004)、听力损失程度(P=0.008)和1 kHz镫骨肌反射阈与听阈差值(P1 kHz A-T<0.001)是预后有效的影响因素。 结论 在镫骨肌反射阈存在的突聋患者中,性别、年龄、就诊时间、听力曲线类型、听力损失程度和1 kHz镫骨肌反射阈与听阈差值对耳聋预后有影响,镫骨肌反射阈值变化与突聋患者预后差异无统计学意义,但可以通过1 kHz镫骨肌反射阈与听阈差值预估突聋患者疗效,提高患者治疗信心。
中图分类号:
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