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[突发性耳聋的自然缓解]

[Spontaneous remission in sudden deafness].

作者信息

Weinaug P

出版信息

HNO. 1984 Aug;32(8):346-51.

PMID:6480433
Abstract

In a group of 63 patients (average age 50.5 years) with a sudden hearing loss the result was an improvement in 89% of cases, and a complete remission without any treatment in 68%. For the whole group the average hearing improvement was 25.6 dB (based on an analysis of single frequencies at 0.5, 1, 2 and 5 kHz). Patients with minor hearing difficulty had the same rate of improvement as those with medium and severe loss of hearing, but a greater number of complete remissions. The rate of spontaneous remission decreased with age. 89% of 28 patients younger than 50 years showed an improvement in 96% of cases and a complete remission in 89%. The occurrence of tinnitus or previous damage to the affected inner-ear have no influence on the prognosis of spontaneous remissions in hearing loss. The comparison of different published methods used in the treatment of sudden hearing loss shows almost the same hearing improvement, and this does not differ essentially from the improvement due to spontaneous remissions.

摘要

在一组63例突发听力损失患者(平均年龄50.5岁)中,结果显示89%的病例有改善,68%未经任何治疗完全缓解。对于整个组,平均听力改善为25.6分贝(基于对0.5、1、2和5千赫兹单频率的分析)。轻度听力困难患者与中度和重度听力损失患者的改善率相同,但完全缓解的人数更多。自发缓解率随年龄下降。28例50岁以下患者中,89%的患者在96%的病例中有改善,89%完全缓解。耳鸣的出现或之前受影响内耳的损伤对听力损失自发缓解的预后没有影响。对已发表的用于治疗突发听力损失的不同方法的比较显示,听力改善几乎相同,且与自发缓解导致的改善没有本质区别。

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