突发性耳聋治疗过程中听力损失加重的临床特点及病因分析

摘 要: 【目的】 了解突发性耳聋患者治疗过程中听力损失加重的频率分布及程度,并试图探讨其原因或诱因?【方法】回顾性分析54例2009年8月到2013年6月在我院治疗过程中听力损失加重的突发性耳聋患者的纯音听力检查资料,统计各频率的发生几率及程度;并通过详细询问病史及必要的检查以探讨其原因或诱因?【结果】 54例治疗过程中听力变差患者占同期突发性耳聋患者的比例为7.55%(54/715),均发生在发病3 ~ 16 d范围内,其中左耳26例,右耳28例;各频率的发生率及听力下降程度(dB)分别为:125 Hz,88.9%(48/54),28.3 ± 16.2;250 Hz,94.4%(51/54...

Full description

Saved in:
Bibliographic Details
Published inZhongshan da xue xue bao. Zhongshan daxue xuebao yixue kexue ban = Journal of Sun Yat-sen University. Yi xue ke xue ban Vol. 35
Format Journal Article
LanguageChinese
Published Editorial Office of Journal of Sun Yat-sen University 01.01.2014
Subjects
临床特点
听力损失加重
病因分析
突发性耳聋
Online AccessGet full text
ISSN1672-3554

Cover

Abstract 摘 要: 【目的】 了解突发性耳聋患者治疗过程中听力损失加重的频率分布及程度,并试图探讨其原因或诱因?【方法】回顾性分析54例2009年8月到2013年6月在我院治疗过程中听力损失加重的突发性耳聋患者的纯音听力检查资料,统计各频率的发生几率及程度;并通过详细询问病史及必要的检查以探讨其原因或诱因?【结果】 54例治疗过程中听力变差患者占同期突发性耳聋患者的比例为7.55%(54/715),均发生在发病3 ~ 16 d范围内,其中左耳26例,右耳28例;各频率的发生率及听力下降程度(dB)分别为:125 Hz,88.9%(48/54),28.3 ± 16.2;250 Hz,94.4%(51/54),29.0± 18.8;500 Hz,81.2%(44/54),26.6± 18.1;1 kHz, 55.6%(30/54),25.2± 17.2;2 kHz, 44.4%(24/54),25.4± 17.6;4 kHz,22.2%(12/54),26.3± 18.0;8 kHz,18.5%(10/54), 25.5± 17.4;各频率间听力下降程度无统计学差异(P = 0.955),各频率的发生率存在统计学差异(P = 0.000)?13例患者休息欠佳和精神压力大,占24.1%;3例患者诉伴发的眩晕?耳鸣症状加重影响测试,占5.6%;1例疑为激素减量所致,占1.9%;其余37例未找到明确诱因?听力曲线分型:23例平坦型,6例全聋型,8例中低频型?【结论】 部分突发性耳聋的患者在治疗过程中会出现听力损失加重的情况,发生率呈现由低频向高频逐渐下降趋势,发生率最高出现在250 Hz,最低出现在8 kHz?导致听力损失加重的原因或诱因包括:休息欠佳和精神压力大;伴随症状加重影响检查结果;激素减量影响;属于缓降型突聋?溶栓治疗导致内耳出血加重?缺血再灌注损伤?膜迷路积水加重等?
AbstractList 摘 要: 【目的】 了解突发性耳聋患者治疗过程中听力损失加重的频率分布及程度,并试图探讨其原因或诱因?【方法】回顾性分析54例2009年8月到2013年6月在我院治疗过程中听力损失加重的突发性耳聋患者的纯音听力检查资料,统计各频率的发生几率及程度;并通过详细询问病史及必要的检查以探讨其原因或诱因?【结果】 54例治疗过程中听力变差患者占同期突发性耳聋患者的比例为7.55%(54/715),均发生在发病3 ~ 16 d范围内,其中左耳26例,右耳28例;各频率的发生率及听力下降程度(dB)分别为:125 Hz,88.9%(48/54),28.3 ± 16.2;250 Hz,94.4%(51/54),29.0± 18.8;500 Hz,81.2%(44/54),26.6± 18.1;1 kHz, 55.6%(30/54),25.2± 17.2;2 kHz, 44.4%(24/54),25.4± 17.6;4 kHz,22.2%(12/54),26.3± 18.0;8 kHz,18.5%(10/54), 25.5± 17.4;各频率间听力下降程度无统计学差异(P = 0.955),各频率的发生率存在统计学差异(P = 0.000)?13例患者休息欠佳和精神压力大,占24.1%;3例患者诉伴发的眩晕?耳鸣症状加重影响测试,占5.6%;1例疑为激素减量所致,占1.9%;其余37例未找到明确诱因?听力曲线分型:23例平坦型,6例全聋型,8例中低频型?【结论】 部分突发性耳聋的患者在治疗过程中会出现听力损失加重的情况,发生率呈现由低频向高频逐渐下降趋势,发生率最高出现在250 Hz,最低出现在8 kHz?导致听力损失加重的原因或诱因包括:休息欠佳和精神压力大;伴随症状加重影响检查结果;激素减量影响;属于缓降型突聋?溶栓治疗导致内耳出血加重?缺血再灌注损伤?膜迷路积水加重等?
BookMark eNotzD1Lw0AAgOEbKlhrf0rgLveVjFL8KBRddA53l4tEaiOpi1srajVFWhcLFrSDoIgOfgytDv6ZXq7-C0WdXniHZwEUGklDF0ARMe46mFIyD8rNZiwhZJRhl_hFsG4f2qZ3kbfuZq3XWbubv3zYy8Hss2Pvu9Pxk-k_mmyYn9-Y22eTjb465_bqaDp-M--ZPZvYw4npZXZwbIYjc3qSX_cXwVwk6k1d_m8JbK0sb1bWnNrGarWyVHMUcjl2CNJIcaIZQYKxiCntCR1qGVHBNfc5p1gQj1AcSh1pF2KCIHQljngImUAUl0D1zw0TsRPspfGuSA-CRMTB70jS7UCk-7Gq68BTioYiUkj-iCH2fSIZExB6ocQeERx_A72vcrI
ContentType Journal Article
DBID DOA
DatabaseName DOAJ Open Access Full Text
DatabaseTitleList
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
ExternalDocumentID oai_doaj_org_article_8cc5dafc1b484d3994b66a008db384a7
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
GROUPED_DOAJ
ID FETCH-LOGICAL-c1273-41e1c74e641a66f6ce8aedebf5a7e797753a48453dbefe20341002b3f7d06a153
IEDL.DBID DOA
ISSN 1672-3554
IngestDate Wed Aug 27 01:32:34 EDT 2025
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Language Chinese
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c1273-41e1c74e641a66f6ce8aedebf5a7e797753a48453dbefe20341002b3f7d06a153
OpenAccessLink https://doaj.org/article/8cc5dafc1b484d3994b66a008db384a7
ParticipantIDs doaj_primary_oai_doaj_org_article_8cc5dafc1b484d3994b66a008db384a7
PublicationCentury 2000
PublicationDate 2014-01-01
PublicationDateYYYYMMDD 2014-01-01
PublicationDate_xml – month: 01
  year: 2014
  text: 2014-01-01
  day: 01
PublicationDecade 2010
PublicationTitle Zhongshan da xue xue bao. Zhongshan daxue xuebao yixue kexue ban = Journal of Sun Yat-sen University. Yi xue ke xue ban
PublicationYear 2014
Publisher Editorial Office of Journal of Sun Yat-sen University
Publisher_xml – name: Editorial Office of Journal of Sun Yat-sen University
SSID ssib006563249
ssib001051178
ssib002039699
ssj0002511113
ssib006703418
ssib001103819
ssib002262833
ssib051369397
ssib001186722
ssib043242460
ssib000970529
Score 1.9408778
Snippet 摘 要: 【目的】 了解突发性耳聋患者治疗过程中听力损失加重的频率分布及程度,并试图探讨其原因或诱因?【方法】回顾性分析54例2009年8月到2013年6月在我院治疗过程中听力损失加重的突发性耳聋患者的纯音听力检查资料,统计各频率的发生几率及程度;并通过详细询问病史及必要的检查以探讨其原因或诱因?【结果】...
SourceID doaj
SourceType Open Website
SubjectTerms 临床特点
听力损失加重
病因分析
突发性耳聋
Title 突发性耳聋治疗过程中听力损失加重的临床特点及病因分析
URI https://doaj.org/article/8cc5dafc1b484d3994b66a008db384a7
Volume 35
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrZ07S-VAFMcHsRAb8bX4xsI2mMlMJplSZUUErRTsLjOTCVYqizZbqfi8IrqNgoJaCIpo4aPwUfhlnJu738IzScDZymbbEBJycnLO759J_gehIUDaUPoq8gKuUhAomHuS-8TTmCWC-yqVMnf7nGYTs3RyLpxzRn3Zb8IKe-AicMOxUmEiUoUljWkC7ZRKxgR0rkSSmIr8P3Kf-46YKsAhsktYjvABsHCMq7D1BXeNzKyvm2NkF_iEMxfUAxbEDhgBBRFXuDB4cOhXlbc2dwH9Eh4hJoyTcr3O9ggL9jif3YzhvJ5t-v8MDci723graimxdHCkCEcbavg9346apsqF9w40nd2smYM_tdWr-upjfW2v9vCWHR3X37ez672P5ztzeGuqp7X9c3N5b6oXf7f3s5ONj-cn81rNdl-y9RdzUM2ON83phdnZqp0ddqLZ8Z8zYxNeOYrBUxgAx6NYYxVRzSgWjKVM6VjoRMs0FJGOgCFDIuD-hCSROtWBDQZcpCRplPhMQFX9gRoXFhd0FxrUCjSbjO0ejGooGCkghQx4GCcR94XuRqM2DpWlwm2jYv2v8w2QFZUyKyrfZUXP_zhIL2oGPKLFC5c-1Lj8a0X3A4Isy4E82z4BfzXjIw
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E7%AA%81%E5%8F%91%E6%80%A7%E8%80%B3%E8%81%8B%E6%B2%BB%E7%96%97%E8%BF%87%E7%A8%8B%E4%B8%AD%E5%90%AC%E5%8A%9B%E6%8D%9F%E5%A4%B1%E5%8A%A0%E9%87%8D%E7%9A%84%E4%B8%B4%E5%BA%8A%E7%89%B9%E7%82%B9%E5%8F%8A%E7%97%85%E5%9B%A0%E5%88%86%E6%9E%90&rft.jtitle=Zhongshan+da+xue+xue+bao.+Zhongshan+daxue+xuebao+yixue+kexue+ban+%3D+Journal+of+Sun+Yat-sen+University.+Yi+xue+ke+xue+ban&rft.date=2014-01-01&rft.pub=Editorial+Office+of+Journal+of+Sun+Yat-sen+University&rft.issn=1672-3554&rft.volume=35&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_8cc5dafc1b484d3994b66a008db384a7
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1672-3554&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1672-3554&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1672-3554&client=summon