突发性聋的临床研究

A clinical study of sudden deafness.

作者信息

Zhang Xiaotong, Xu Xinda, Ma Weijun, Zhang Qing, Tong Busheng, Yu Hong, Xu Min, Ren Tianying, Rosenhall Ulf, Anniko Matti, Duan Maoli

机构信息

Department of Otolaryngology, the Second Affiliated Hospital of Medical College, Xi'an Jiao Tong University , Xi'an, Shaanxi (710004) , PR China.

出版信息

Acta Otolaryngol. 2015;135(10):1030-5. doi: 10.3109/00016489.2015.1060629. Epub 2015 Jun 24.

DOI:10.3109/00016489.2015.1060629

PMID:26106936

Abstract

CONCLUSIONS

Sudden Sensorineural Hearing Loss (SSHL) was commonly seen in middle aged people. Tinnitus was reported by 87.2% of the patients, and dizziness or vertigo were reported by 48.5%. The most common concomitant disorder of SSHL was hyperlipidemia.

OBJECTIVE

A retrospective register study with SSHL was performed in Xi'an, China, from 2000-2009.

RESULTS

Of 617 inpatients, the right ear was affected in 267 cases, the left ears in 282 cases, and both ears in 68 cases. The most common age of patients was 41-50 years. There were 20.4% SSHL patients with hypertension, coronary artery disease, or diabetes, and 49.6% patients with hyperlipidemia. Auditory Brainstem Responses (ABR) were performed in 460 patients (504 ears) before treatment, and the ABR threshold of 56.4% ears was > 90 dB. The constituent ratio of patients with an ABR threshold over 90 dB was greater in the vertigo group than the other group. CT and/or MRI scans were available in 277 cases, of which 40 cases (14.4%) were abnormal.

摘要

结论

突发性感音神经性听力损失（SSHL）常见于中年人。87.2%的患者报告有耳鸣，48.5%的患者报告有头晕或眩晕。SSHL最常见的伴随疾病是高脂血症。

目的

于2000年至2009年在中国西安进行一项关于SSHL的回顾性登记研究。

结果

617例住院患者中，右耳受累267例，左耳受累282例，双耳受累68例。患者最常见的年龄为41 - 50岁。20.4%的SSHL患者患有高血压、冠状动脉疾病或糖尿病，49.6%的患者患有高脂血症。460例患者（504耳）在治疗前进行了听性脑干反应（ABR）检查，56.4%耳的ABR阈值>90 dB。眩晕组ABR阈值超过90 dB的患者构成比高于其他组。277例患者进行了CT和/或MRI扫描，其中40例（14.4%）异常。