|
OALib Journal期刊
ISSN: 2333-9721
费用：99美元
|
|
|
|
突发性聋预后相关影响因素的分析
, PP. 1141-1145
Keywords: 聋,突发性,听觉丧失,预后,回顾性研究
Abstract:
目的探讨突发性聋预后的影响因素，以期做到突发性聋的早治疗。方法回顾性分析从2010年10月至2011年9月就诊于重庆医科大学附属第一医院耳鼻咽喉科143例（共155耳）突发性聋患者的病历资料，单因素分析性别、年龄、发病到治疗时间、诱因、伴发症状、合并症、听力曲线类型、听力损失程度、治疗时间和治疗方案对治疗总有效率的影响，从而筛选得出对治疗总有效率有影响的因素，再将上述因素纳入进行多因素Logistic回归分析。结果纳入患者155耳，治疗总有效率69.0%。单因素分析结果显示发病到治疗时间、眩晕和听力损失程度3个因素的治疗总有效率差异具有显著性（P<0.05）。Logistic回归分析结果显示发病到治疗时间（P<0.0001）和听力损失程度（P=0.0294）是突发性聋预后的影响因素。结论突发性聋患者就诊时间越短，预后越好；轻度听力损失者，预后更好。
| [1] | Alexander T H, Harris J P. Incidence of sudden sensorineural hearing loss[J]. Otol Neurotol, 2013, 34(9): 1586-1589. [2]Lionello M, Staffieri C, Breda S, et al. Uni- and multivariate models for investigating potential prognostic factors in idiopathic sudden sensorineural hearing loss[J]. Eur Arch Otorhinolaryngol, 2014, [Epub ahead of print]. [3]Suzuki H, Tabata T, Koizumi H, et al. Prediction of hearing outcomes by multiple regression analysis in patients with idiopathic sudden sensorineural hearing loss[J]. Ann Otol Rhinol Laryngol, 2014, 123(12): 821-825. [4]Suzuki H, Mori T, Hashida K, et al. Prediction model for hearing outcome in patients with idiopathic sudden sensorineural hearing loss[J]. Eur Arch Otorhinolaryngol, 2011, 268(4): 497-500. [5]Cvorovic L, Deric D, Probst R, et al. Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss[J]. Otol Neurotol, 2008, 29(4): 464-469. [6]李永奇, 李鹏, 曾转萍, 等. 突发性耳聋预后因素Logistic回归分析[J]. 中山大学学报: 医学科学版, 2008, 29(3S): 69-71. [7]谢南屏, 陈平雁. 108例突聋预后多因素分析[J]. 听力学及言语疾病杂志, 1995, 3(1): 53-54. [8]中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会. 突发性聋的诊断和治疗指南(2005年, 济南)[J]. 中华耳鼻咽喉头颈外科杂志, 2006, 41(5): 325. [9]陈金霞, 张庆翔, 李光飞, 等. 突发性聋预后相关因素的初步分析[J]. 听力学及言语疾病杂志, 2014, 22(1): 95-97. [10]陈平, 周津徽. 突发性聋患者耳鸣程度的相关因素分析[J]. 临床耳鼻咽喉头颈外科杂志, 2013, 27(1): 39-41. [11]Cho C S, Choi Y J. Prognostic factors in sudden sensorineural hearing loss: a retrospective study using interaction effects[J]. Braz J Otorhinolaryngol, 2013, 79(4): 466-470. [12]黄开来, 康厚墉, 钟时勋, 等. 病程超过1周重度以上突发性聋的短期疗效分析[J]. 第三军医大学学报, 2013, 35(18): 1972-1975. [13]Jun H J, Chang J, Im G J, et al. Analysis of frequency loss as a prognostic factor in idiopathic sensorineural hearing loss[J]. Acta Otolaryngol, 2012, 132(6): 590-596. [14]中国突发性聋多中心临床研究协作组. 中国突发性聋分型治疗的多中心临床研究[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(5): 355-361. [15]Wei B P, Stathopoulos D, O'Leary S. Steroids for idiopathic sudden sensorineural hearing loss[J]. Cochrane Database Syst Rev, 2013, 7: CD003998. [16]Nosrati-Zarenoe R, Hultcrantz E. Corticosteroid treatment of idiopathic sudden sensorineural hearing loss: randomized triple-blind placebo-controlled trial[J]. Otol Neurotol, 2012, 33(4): 523-531. [17]Stachler R J, Chandrasekhar S S, Archer S M, et al. Clinical practice guideline: sudden hearing loss[J]. Otolaryngol Head Neck Surg, 2012, 146(3 Suppl): S1-S35. [18]Gundogan O, Pinar E, Imre A, et al. Therapeutic efficacy of the combination of intratympanic methylprednisolone and oral steroid for idiopathic sudden deafness[J]. Otolaryngol Head Neck Surg, 2013, 149(5): 753-758. [19]Yildirim E, Murat-Ozcan K, Palali M, et al. Prognostic effect of hyperbaric oxygen therapy starting time for sudden sensorineural hearing loss[J]. Eur Arch Otorhinolaryngol, 2015, 272(1): 23-28.
|
Full-Text
|
|
Contact Us
service@oalib.com QQ:3279437679 
WhatsApp +8615387084133
|
|
