山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (1): 16-22.doi: 10.6040/j.issn.1673-3770.0.2024.183

• 论著 • 上一篇    

儿童突发性聋10年住院病例的疗效及预后相关因素分析

陈丹萍,何子键,虞幼军,周晓娓   

  1. 广东省听觉与平衡医学工程技术研究开发中心)耳鼻咽喉科, 广东 佛山 528000
  • 发布日期:2025-01-17
  • 通讯作者: 周晓娓. E-mail:zhou5460xw@163.com

Analysis of the efficacy and prognostic factors of hospitalized cases of children with sudden sensorineural hearing loss for ten years

CHEN Danping, HE Zijian, YU Youjun, ZHOU Xiaowei   

  1. Department of Otorhinolaryngology, Foshan First People's Hospital(Guangdong Hearing and Balance Medical Engineering Technology Research and Development Center), Foshan 528000, Guangdong, China
  • Published:2025-01-17

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摘要： 目的 探讨儿童突发性聋10年来的住院病例的疗效及其预后相关因素。 方法 回顾性分析98例突发性耳聋儿童患者疗效,统计年龄、性别、侧别、就诊时间、听力损失程度、听力曲线类型、耳鸣、眩晕、耳闷等相关因素与预后的关系,并与255例(257耳)成人患者相对比。 结果 儿童组治疗有效率:低频下降型曲线75.86%,平坦型75.86%,全聋型68.42%,高频下降型23.08%。有序Logistic回归分析结果提示畸变产物耳声发射检查(distortion product otoacoustic emissions, DPOAE)引出、鼓室注射、高频下降型曲线与疗效相关。儿童组总有效率为68.37%,成人组54.86%(P=0.050)。 结论 儿童突发性聋发病14 d内为黄金治疗时间,低频型及平坦型听力曲线患者疗效优于全聋型及高频下降型。DPOAE引出、鼓室注射是预后的积极因素,高频下降型曲线是危险因素。儿童组疗效优于成人组。

关键词: 儿童, 突发性聋, 听力曲线, 畸变产物耳声发射检查, 鼓室注射

Abstract: Objective To explore the efficacy and prognostic factors of hospitalized cases of children with sudden sensorineural hearing loss over the ten years. Methods A retrospective analysis was performed for 98 children with sudden sensorineural hearing loss hospitalized, and the relationship between the efficacy and age, gender, side, time of consultation, degree of hearing loss, type of hearing curve, tinnitus, vertigo, ear stuffiness and its prognosis, compared with 255 cases(257 ears)of adult hospitalized. Results The pediatric group: the recovery rate of ascending audiometric curve was 75.86%, flat audiometric curve 75.86%, profound audiometric curve 68.42%, and descending audiometric curve 23.08%. The results of ordered logistic regression analysis suggested that DPOAE elicitation, intratympanic injection, and descending audiometric curve were correlated with the efficacy. The overall recovery rate was 68.37% in the pediatric group and 54.86% in the adult group(P=0.050). Conclusion Within 14 days of the onset of sudden deafness in children was the golden treatment time, and the efficacy of patients with ascending and flat audiometric curves were better than that of profound and descending audiometric curves. DPOAE elicitation and intratympanic injection were the positive prognostic factors, while high-frequency hearing curves was the risk factor. The efficacy was better in the pediatric group than the adult group.

Key words: Children, Sudden sensorineural hearing loss, Audiometric curves, Distortion product otoacoustic emissions, Intratympanic injection

中图分类号: 

  • R764.35
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