Ogasawara H, Morimoto K, Ishii K, Sohma S, Asakura K, Kataura A
Department of Otolaryngology, Ebetsu Municipal General Hospital.
Nihon Jibiinkoka Gakkai Kaiho. 1993 Jun;96(6):914-21. doi: 10.3950/jibiinkoka.96.914.
The present study was carried out in order to determine factors which influenced the prognosis of sudden deafness and to try to predict the prognosis of sudden deafness, analyzed statistically by multivariate analysis. A total of 143 patients with sudden deafness diagnosed and treated at the department of otolaryngology, Ebetsu Municipal General Hospital and Obihiro Kohsei Hospital between 1986 and 1991, were selected for this study. Statistical analysis disclosed the following. 1. A good hearing level at the initial visit, a low-frequency hearing loss, the absence of vestibular symptoms and an initial visit within seven days after onset, indicate a good prognosis for sudden deafness. 2. Multivariate analysis showed that the hearing level at the initial visit most strongly influences sudden deafness, followed by the number of days from onset to initial visit, vestibular symptoms and the difference between low- and high-frequency hearing level, in that order. 3. Furthermore, multivariate analysis showed that the prognosis of sudden deafness can be predicted at a level of 78.3%, considering the above four factors. This facilitates treatment of patients with sudden deafness.
本研究旨在确定影响突发性聋预后的因素，并尝试预测突发性聋的预后，通过多因素分析进行统计学分析。选取了1986年至1991年间在惠庭市立综合医院和带广兴生医院耳鼻咽喉科确诊并接受治疗的143例突发性聋患者进行本研究。统计分析结果如下：1. 初诊时听力水平良好、低频听力损失、无前庭症状以及发病后7天内初诊，提示突发性聋预后良好。2. 多因素分析显示，初诊时的听力水平对突发性聋影响最大，其次依次为从发病到初诊的天数、前庭症状以及低频与高频听力水平的差异。3. 此外，多因素分析表明，综合考虑上述四个因素，突发性聋的预后预测准确率可达78.3%。这有助于突发性聋患者的治疗。
