Prognostic factors of sudden hearing loss

陈黎黎; 江黎珠; 胡国华; 陈鸿雁

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Prognostic factors of sudden hearing loss

更新时间：2026-01-09

- Prognostic factors of sudden hearing loss
- Journal of Army Medical University Vol. 37, Issue 11, Pages: 1141-1145(2015)
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  CLC： R181.23;R764.43
- Published：2015
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陈黎黎,江黎珠,胡国华,陈鸿雁.突发性聋预后相关影响因素的分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(11):1141-1145.

　Chen Lili,Jiang Lizhu,Hu Guohua,Chen Hongyan.Prognostic factors of sudden hearing loss[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(11):1141-1145.
陈黎黎,江黎珠,胡国华,陈鸿雁.突发性聋预后相关影响因素的分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(11):1141-1145. DOI：

　Chen Lili,Jiang Lizhu,Hu Guohua,Chen Hongyan.Prognostic factors of sudden hearing loss[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(11):1141-1145. DOI：

摘要

目的探讨突发性聋预后的影响因素，以期做到突发性聋的早治疗。方法回顾性分析从2010年10月至2011年9月就诊于重庆医科大学附属第一医院耳鼻咽喉科143例（共155耳）突发性聋患者的病历资料，单因素分析性别、年龄、发病到治疗时间、诱因、伴发症状、合并症、听力曲线类型、听力损失程度、治疗时间和治疗方案对治疗总有效率的影响，从而筛选得出对治疗总有效率有影响的因素，再将上述因素纳入进行多因素Logistic回归分析。结果纳入患者155耳，治疗总有效率69.0%。单因素分析结果显示发病到治疗时间、眩晕和听力损失程度3个因素的治疗总有效率差异具有显著性（P0.05）。Logistic回归分析结果显示发病到治疗时间（P0.000 1）和听力损失程度（P=0.029 4）是突发性聋预后的影响因素。结论突发性聋患者就诊时间越短，预后越好；轻度听力损失者，预后更好。

Abstract

Objective To determine the influencing factors on the prognosis of sudden hearing loss (SHL) for its early treatment. Methods The medical records of 143 cases (155 ears) with SHL hospitalized from Oct. 2010 to Sep. 2011 in our department of otorhinolaryngology were collected and retrospectively investigated. The correlation of the total effective rate with gender

age

time during onset to treatment

precipitating factor

concomitant symptoms

associated complications

audiogram pattern

degree of hearing loss

the duration of treatment and treatment protocol were analyzed with univariate approaches. Meanwhile

prognostic factors were screened and analyzed with multivariate Logistic regression analysis. Results The total efficient rate of this study was 69.0%. Univariate analysis showed that there were 3 factors

time during onset to treatment

vertigo and degree of hearing loss

had significantly differences (P0.05). Logistic regression analysis showed that time during onset to treatment (P0.000 1) and degree of hearing loss (P=0.029 4) were prognostic factors of SHL. Conclusion For the patients with earlier treatment or mild degree of hearing loss

the hearing outcome is better.

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