摘要
目的探讨突发性耳聋并耳闷患者的临床特征及疗效。方法选取伴耳闷症状的突发性耳聋患者120例(120耳),均给予中西医结合综合治疗,并在治疗前后进行耳闷视觉模拟评分(VAS)以及听阈测试,比较不同听力曲线分型患者以及不同听力损失程度患者治疗前的耳闷VAS评分以及治疗后耳闷和听力疗效。结果 120例患者的听力曲线以低频下降型最为常见(39.17%,47/120),以轻度听力损失为主(24.17%,29/120),治疗前低频下降型患者的耳闷VAS评分低于其他3型患者(P<0.05),但不同听力损失程度患者耳闷VAS评分比较,差异无统计学意义(P>0.05)。低频下降型患者耳闷及听力疗效总有效率均高于其他3型(P<0.05)。不同听力损失程度患者的听力疗效总有效率比较,差异有统计学意义(P<0.05),其中轻度听力损失患者的听力疗效均高于其他4组听力损失患者(均P<0.05),但耳闷疗效总有效率比较差异无统计学意义(P>0.05)。结论伴耳闷症状的突发性耳聋患者的听力曲线以低频下降型为主,该型患者耳闷程度相对较轻,且经治疗后耳闷症状改善及听力恢复较好;但不同听力损失程度患者的耳闷程度、耳闷疗效无明显差异。
Objective To explore the clinical characteristics and efficacy for patients with sudden deafness complicated with ear fullness. Methods A total of 120 patients（ 120 ears） with sudden deafness complicated with a symptom of ear fullness were enrolled,and were given systemic therapy of western and Chinese medicine. The assessment on ear fullness using Visual Analogue Scale（ VAS） and the audibility threshold test were performed before and after treatment. The VAS scores for ear fullness before treatment,as well as the efficacy for ear fullness and hearing loss after treatment,were compared among the patient with different types of hearing curve,or with different degrees of hearing loss. Results Of the 120 patients,the most common hearing curve was of low-frequency descending type（ 39. 17%,47/120）,mainly belonged to mild hearing loss（ 24. 17%,29/120）,before treatment,the VAS score of ear fullness in the patients of low-frequency descending type was lower than those in the patients of other three types（ P 〈0. 05）,however,there was no statistically significant difference in the VAS score of ear fullness among the patients with different degrees of hearing loss（ P〉 0. 05）. The total effective rates for ear fullness and hearing loss in the patients of low-frequency descending type were higher than those in the patients of other three types（ P〈 0. 05）. Among the patients with different degrees of hearing loss,there was statistically significant difference in the total effective rate for hearing loss（ P 〈0. 05）,and the efficacy for the patients with mild hearing loss was superior to those for the patients with other four degrees of hearing loss（ all P〈 0. 05）,but no statistically significant difference was found in the total effective rate for ear fullness among patients with different degrees of hearing loss（ P〉 0. 05）. Conclusion For the patients with sudden deafness complicated with a symptom of ear fullness,the most common hearing curve is of low-frequency descending type,with relatively milder ear fullness,and the patients might achieve ear fullness improvement and better hearing recovery after treatment; but no significant difference is observed in the degree of ear fullness or efficacy for ear fullness among the patients with different degrees of hearing loss.
作者
许达名
XUDa-ming(Guangzhou University of Chinese Medicine, Guangzhou 510000 , China)
出处
《广西医学》
CAS
2018年第9期1040-1043,共4页
Guangxi Medical Journal
关键词
突发性耳聋
耳闷
听力曲线
听力损失
临床特征
临床疗效
Sudden deaness
Ear fullness
Hearing curve
Clinical characteristics
Clinical efficacy
