成人与儿童突发性聋的比较。
Comparison of sudden deafness in adults and children.
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
出版信息
Clin Exp Otorhinolaryngol. 2014 Sep;7(3):165-9. doi: 10.3342/ceo.2014.7.3.165. Epub 2014 Aug 1.
OBJECTIVES
Although many studies have assessed sudden deafness in adults, sudden deafness has not been evaluated in children. We therefore evaluated the differences in sudden deafness between children and adults.
METHODS
We compared clinical manifestations, including gender, audiogram pattern of initial hearing loss, and recovery rate after treatment in 87 children and 707 adults diagnosed with sudden deafness from September 2003 and August 2012.
RESULTS
There were no differences in sex, side, or audiogram between children and adults (P>0.05 each). Hearing recovery rates in children and adults were 72.4% and 70.6%, respectively (P>0.05). Both children and adults with mild hearing loss showed significantly greater hearing recovery rates than individuals with profound hearing loss (P<0.05 each). The percentage with initially mild and moderate hearing loss was higher in children than in adults, as were the recovery rates of children compared to adults with initially mild, moderate-severe, and profound hearing loss (P<0.05 each). In regard to final hearing outcome after treatment, a low percentage of children showed no improvement whereas a high percentage showed complete recovery; a higher percentage of children than of adults showed complete recovery (P<0.05). Recovery rate from profound hearing loss was significantly higher in children than in adults (60.0% vs. 45.4%, P<0.05).
CONCLUSION
Degree of hearing loss, gender, side, and recovery rate were similar in children and adults, but the rate of complete recovery was higher in children.
目的
尽管已有许多研究评估了成人突发性聋，但尚未对儿童突发性聋进行评估。因此，我们评估了儿童与成人突发性聋之间的差异。
方法
我们比较了 87 名儿童和 707 名成人突发性聋患者的临床表现，包括性别、初始听力损失的听力图模式和治疗后的恢复率，这些患者均于 2003 年 9 月至 2012 年 8 月确诊。
结果
儿童和成人在性别、发病侧和听力图方面无差异（P 值均>0.05）。儿童和成人的听力恢复率分别为 72.4%和 70.6%（P 值均>0.05）。轻、中度听力损失患者的听力恢复率显著高于重度听力损失患者（P 值均<0.05）。与成人相比，儿童轻度和中度听力损失的比例更高，且与成人相比，儿童轻度、中重度和重度听力损失患者的听力恢复率更高（P 值均<0.05）。治疗后最终听力结果方面，儿童中无改善的比例较低，完全恢复的比例较高；与成人相比，儿童完全恢复的比例更高（P 值均<0.05）。儿童重度听力损失的恢复率显著高于成人（60.0% vs. 45.4%，P<0.05）。
结论
儿童和成人的听力损失程度、性别、发病侧和恢复率相似，但儿童完全恢复的比例更高。
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