首页|109例儿童突发性耳聋预后的影响因素分析

109例儿童突发性耳聋预后的影响因素分析

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目的:分析儿童突发性耳聋预后的影响因素,为临床预防和治疗提供理论依据.方法:回顾性分析2016至2023年就诊的109例突发性耳聋患儿的临床资料,按照性别、年龄、患病气候、听力损失时长、伴随症状、听力损失程度、侧别、听力曲线类型8个相关因素进行分组,单因素分析采用x2检验,并用logistic回归分析影响预后的因素.结果:经常规治疗后,无效56例(51.4%),有效30例(27.5%),显效13例(11.9%),痊愈10例(9.2%),总有效率48.6%.伴随症状中伴有单纯耳鸣的患儿治疗效果较好(P<0.05);听力损失程度中轻度听力下降的有效率最高(83.3%),极重度有效率最低(40.0%);听力曲线类型中低频下降型与中高频下降型预后较好(P<0.05);性别,年龄,患病气候,听力损失时长,侧别与预后无明显相关性(P>0.05).结论:听力曲线类型与听力损失程度是影响儿童突发性耳聋预后的因素,伴发单纯耳鸣患儿预后较好.
Prognosis of 109 cases of sudden sensorineural hearing loss in children
Objective:To analyze the factors influencing the prognosis of sudden sensorineural deafness in chil-dren,and to provide theoretical basis for clinical prevention and treatment.Methods:The clinical data of 109 chil-dren with sudden deafness admitted to our hospital from 2016 to 2023 were retrospectively analyzed.The children were grouped according to eight related factors,including gender,age,climate,duration of hearing loss,concom-itant symptoms,degree of hearing loss,sicken ear,and auditory curve.The chi-square test was used for univari-ate analysis,and logistic regression was employed to identify factors influencing prognosis.Results:After conven-tional treatment,56 cases were ineffective(51.40%),30 cases were effective(27.5%),13 cases were effective(11.9%),10 cases were cured(9.2%),and the total effective rate was 48.6%.Among concomitant symptoms,children with tinnitus had better treatment results(P<0.05);In the degree of hearing loss,the effective rate of mild hearing loss was the highest(83.3%),and the effective rate of very severe hearing loss was the lowest(40.0%).The prognosis of low frequency decline and high frequency decline were better(P<0.05);There was no significant correlation between gender,age,climate,duration of hearing loss,sicken ear and prognosis(P>0.05).Conclusion:The auditory curve and the degree of hearing loss are the factors affecting the prognosis of children with sudden deafness.Additionally,children with tinnitus tend to have a better prognosis.

sudden sensorineural hearing losschildrenprognosis

徐静、付勇

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浙江大学医学院附属儿童医院(杭州,310000)

突发性耳聋 儿童 预后

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(7)
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