Ao Min, Deng Jie, Qi Xing, He Gang
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jul;29(14):1279-83.
This retrospective study compared clinical manifestations of idiopathic sudden hearing loss between children and the elderly.
44 pediatric patients and 76 elderly patients diagnosed with idiopathic sudden deafness in our clinic from December 2009 to September 2014 were enrolled. Different clinical parameters were compared.
The incidence of initially profound hearing loss was highest and mild hearing loss was lowest in both groups (P < 0.05). There were no differences in the proportion with initially mild, moderate, severe, and profound hearing loss between both groups (P > 0.05). The number of patients was the most in initially profound type of audiogram pattern and the fewest in ascending type in both groups (P < 0.05). Hearing recovery rates in children (27/44, 61.4%) was higher than that in elderly patients (32/76, 42.1%) (P < 0.05). There were no differences in hearing recovery rates of the patients with initially level of hearing loss in both groups (P > 0.05). The highest recovery rate in children was in those with descending type and the lowest was in those with profound type (P < 0.05). There were no differences in hearing recovery rates in elderly patients with initially different types of audiogram pattern (P > 0.05). Hearing recovery rates of descending type in children were higher than that in elderly patients. Presence of tinnitus in pediatric patients was not relavent to the outcome (P > 0.05). Presence of tinnitus in elderly patients was associated with favorable outcomes. (P < 0.05). Presence of dizziness in pediatric patients was not relavent to the outcome (P > 0.05). Presence of dizziness in elderly patients was associated with poor outcomes (P < 0.05). Presence of initially different degrees of opposite side hearing loss in elderly patients was not relavent to the outcome (P > 0.05). Presence of chronic diseases in elderly patients was not associated with the outcome (P > 0.05).
The clinical manifestion of idiopathic sudden deafness is respective in Children and in elderly patients.
本回顾性研究比较儿童与老年人特发性突发性感音神经性听力损失的临床表现。
纳入2009年12月至2014年9月在我院门诊诊断为特发性突聋的44例儿科患者和76例老年患者。比较不同的临床参数。
两组患者最初重度听力损失的发生率最高，轻度听力损失的发生率最低（P<0.05）。两组患者最初轻度、中度、重度和极重度听力损失的比例无差异（P>0.05）。两组患者最初极重度听力图类型的患者数量最多，上升型的患者数量最少（P<0.05）。儿童的听力恢复率（27/44，61.4%）高于老年患者（32/76，42.1%）（P<0.05）。两组患者最初听力损失程度的听力恢复率无差异（P>0.05）。儿童中下降型的恢复率最高，极重度型的恢复率最低（P<0.05）。老年患者最初不同听力图类型的听力恢复率无差异（P>0.05）。儿童下降型的听力恢复率高于老年患者。儿科患者耳鸣的存在与预后无关（P>0.05）。老年患者耳鸣的存在与良好预后相关（P<0.05）。儿科患者头晕的存在与预后无关（P>0.05）。老年患者头晕的存在与不良预后相关（P<0.05）。老年患者最初不同程度的对侧听力损失的存在与预后无关（P>0.05）。老年患者慢性病的存在与预后无关（P>0.05）。
儿童和老年患者特发性突聋的临床表现各有特点。
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