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特发性突发性聋患者的自报症状。

Self-reported symptoms in patients with idiopathic sudden sensorineural hearing loss.

机构信息

*Department of Otorhinolaryngology, Kitasato University, School of Medicine, Kanagawa; †Department of Hearing implant science, Shinshu University, School of Medicine, Nagano; and ‡Department of Otorhinolaryngology, Keio University, School of Medicine, Tokyo, Japan.

出版信息

Otol Neurotol. 2013 Oct;34(8):1405-10. doi: 10.1097/MAO.0b013e3182a03705.

Abstract

OBJECTIVE

This study evaluated self-reported symptoms in patients with idiopathic sudden sensorineural hearing loss (ISSHL).

STUDY DESIGN

Cross-sectional study.

SETTING

Multicenter clinical investigation in 9 university hospitals.

PATIENTS

In total, 140 patients with ISSHL and 24 patients with unilateral sensorineural hearing loss (USHL; control) were included.

MAIN OUTCOME MEASURES

A questionnaire on symptoms of ISSHL was distributed and the Short-Form Health Survey (Version 2) was used for assessing the quality of life.

RESULTS

In response to questions on hearing difficulty, many of patients in both groups experienced symptoms. In response to questions on hearing-related discomfort, a significantly higher number of patients with ISSHL experienced symptoms compared with those with USHL. Compared with a high incidence of tinnitus in patients with ISSHL, very low incidence of tinnitus was observed in those with USHL.In the multiple linear regression analysis, hearing-related discomfort was the sole significant factor on the Mental Component Summary scores of the Short-Form Health Survey (Version 2).

CONCLUSION

Many patients with ISSHL experience several symptoms such as hearing difficulty, hearing-related discomfort, tinnitus, and anxiety. Hearing-related discomfort strongly affected the quality of life in patients with ISSHL.

摘要

目的

本研究评估了特发性突发性聋(ISSHL)患者的自述症状。

研究设计

横断面研究。

设置

9 所大学医院的多中心临床研究。

患者

共纳入 140 例 ISSHL 患者和 24 例单侧感音神经性聋(USHL;对照组)患者。

主要观察指标

发放了 ISSHL 症状问卷,并使用健康调查简表(第 2 版)评估生活质量。

结果

在回答听力困难问题时,两组患者均有许多患者出现症状。在回答与听力相关的不适问题时,ISSHL 患者的症状发生率明显高于 USHL 患者。与 ISSHL 患者耳鸣发生率较高相比,USHL 患者的耳鸣发生率非常低。多元线性回归分析显示,听力相关不适是健康调查简表(第 2 版)的精神成分综合评分的唯一显著因素。

结论

许多 ISSHL 患者经历了多种症状,如听力困难、听力相关不适、耳鸣和焦虑。听力相关不适强烈影响 ISSHL 患者的生活质量。

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