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[单侧耳聋患者中听力正常耳的效应因子及纯阈均值]

[The effect factor and pure threshold average of the ear with normal hearing in patients with single sided deafness].

作者信息

Shi Yanan, Wang Wei, Chen Chen, Sun Guilan, Zhang Jingping, Chen Yu

机构信息

Department of Otolaryngology Head and Neck Surgery,the First Center Hospital,Tianjin,300192,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Mar;35(3):264-266. doi: 10.13201/j.issn.2096-7993.2021.03.016.

Abstract

To learn the hearing level and analyze the effect factors of hearing loss of the ear with normal hearing in patients with single sided deafness, and provide references for the treatment of single sided deafness. A retrospective analysis of pure threshold average of 89 patients with single sided deafness, it was divided into six groups,0-6 month group (14 cases), >6-12 month group (17 cases), >12-18 month group (15 cases), >18-24 month group (26 cases), >24-30 Month group (10 cases), >30-36 months group (7 cases) in accordance with the different duration of deafness, and compare the pure threshold average of each group; In accordance with the different ages of onset of deafness, it was divided into four groups, 21-30 years old group(18 cases), >30-40 years old group (24 cases), >40-50 years old group (30 cases), >50-60 years old group (17 cases), and pure threshold average of matching age of normal hearing was compared. Spearman correlation was used to analyze whether gender, side, age of onset of deafness, etiology of deafness, duration of deafness, and pure threshold average hearing were correlated. As the duration of deafness in the affected ear increased, the average pure threshold in patients with single sided deafness increased. As the age of onset of deafness increased, there was a statistically significant difference in age-matched normal hearing. Age of onset of deafness and duration of deafness were the main factors affecting the pure threshold average. In clinical work, the degree of attention to patients with single sided deafness should be increased, hearing of the better hearing ear patients should be protected, and the quality of life will be improved.

摘要

了解单侧耳聋患者中听力正常耳的听力水平并分析听力损失的影响因素,为单侧耳聋的治疗提供参考。回顾性分析89例单侧耳聋患者的纯音听阈均值,根据耳聋持续时间不同分为6组,0~6个月组(14例)、>6~12个月组(17例)、>12~18个月组(15例)、>18~24个月组(26例)、>24~30个月组(10例)、>30~36个月组(7例),比较各组纯音听阈均值;根据耳聋发病年龄不同分为4组,21~30岁组(18例)、>30~40岁组(24例)、>40~50岁组(30例)、>50~60岁组(17例),比较各年龄组匹配的听力正常者的纯音听阈均值。采用Spearman相关性分析性别、患侧、耳聋发病年龄、耳聋病因、耳聋持续时间及纯音听阈均值听力是否相关。随着患耳耳聋持续时间增加,单侧耳聋患者的平均纯音听阈升高。随着耳聋发病年龄增加,年龄匹配的听力正常者有统计学差异。耳聋发病年龄和耳聋持续时间是影响纯音听阈均值的主要因素。临床工作中应提高对单侧耳聋患者的重视程度,保护听力较好耳患者的听力,提高生活质量。

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