Prognostic factors of sudden sensorineural hearing loss: analysis of 254 cases

Jiali LIU; Hongtao LI

doi:10.16016/j.2097-0927.202108215

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Prognostic factors of sudden sensorineural hearing loss: analysis of 254 cases

Clinical Medicine | 更新时间：2026-01-09

- Prognostic factors of sudden sensorineural hearing loss: analysis of 254 cases
- Journal of Army Medical University Vol. 44, Issue 4, Pages: 385-389(2022)
- 作者机构：
  
  401120 重庆，重庆医科大学附属第三医院耳鼻咽喉科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.2097-0927.202108215
  CLC： R195.4;R764.437
- Received：30 August 2021，
  
  Revised：2021-09-26，
  
  Published：28 February 2022
- 稿件说明：
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Jiali LIU, Hongtao LI. Prognostic factors of sudden sensorineural hearing loss: analysis of 254 cases[J]. Journal of Army Medical University, 2022, 44(4): 385-389.
DOI：

Jiali LIU, Hongtao LI. Prognostic factors of sudden sensorineural hearing loss: analysis of 254 cases[J]. Journal of Army Medical University, 2022, 44(4): 385-389. DOI： 10.16016/j.2097-0927.202108215.

摘要

目的

探讨突发性耳聋预后的影响因素。

方法

收集2017-2020年于我科住院的254例不同年龄及不同听力损失的突发性耳聋患者，分析性别、患耳侧别、血脂、年龄、就医时间、听力下降曲线类型、是否伴眩晕等与预后之间的相关性，比较分析不同年龄组患者的预后。

结果

254例单耳突发性耳聋患者治疗总有效率为61.42%，12~40岁组治疗有效率为72.57%，41~60岁组57.94%，61~82岁组35.29%；61~82岁组治疗有效率与12~40岁组、41~60岁组比较差异有统计学意义(

＜0.05)。患者疗效与性别、患耳侧别、总胆固醇及甘油三酯水平无关。将对预后有影响的因素(年龄、病程、听力下降曲线类型、伴眩晕)进行多因素Logistic回归分析，结果显示在3个年龄组中61~82岁组患者预后最差，差异有统计学意义(

=0.005)。

结论

年龄、病程、听力下降曲线类型、伴眩晕因素与预后有关，年龄超过60岁突发性耳聋患者预后明显较差。

Abstract

Objective

To analyze the influencing factors on the prognosis of sudden deafness.

Methods

Clinical data of 254 patients with sudden deafness at different ages and with different hearing loss who were hospitalized in our department from January 2017 to December 2020 were collected and analyzed. The correlation of gender

affected ear side

blood lipid

age

course of disease

type of hearing curve

and dizziness or not with prognosis were analyzed. The prognosis was mainly analyzed for patients of different age groups.

Results

The total of effective rate of treatment was 61.42% for the 254 patients with sudden deafness in single ear. The effective rate was 72.57%

57.94% and 35.29% in the 12~40

41~60

61~82 year-old groups

respectively

and statistical difference was seen in the 61~82 year-old group with the 12~40 and 41~60 year-old groups (

0.05). There were no correlation of the efficacy with gender

ear side

total cholesterol and triglyceride levels. In the multivariate logistic regression analysis on the prognostic factors (age

course of disease

type of hearing curve and dizziness)

the results found that the 61~82 year-old group had the worst prognosis among the 3 age groups (

=0.005).

Conclusion

Age

course of disease

type of hearing curve and dizziness are related to prognosis. The prognosis of sudden deafness patients over 60 years old is significantly worse than that of 12-40 year-old group and 41-60 year-old group.

关键词

Keywords

references

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