突发性耳聋相关性因素分析.docVIP

突发性耳聋相关性因素分析 　　[摘要] 目的:分析突发性耳聋的相关性因素,探讨其治疗方法。方法:搜集本院突发性耳聋患者的临床资料,对其病因、病程、治疗方法以及预后进行回顾性分析。结果:对于突发性耳聋的病因目前尚没有明确的说法,所以其治疗方法也没有特效处方和药物,在治疗上只能是根据发病时的临床表现、病程的长短、治疗时间的长短以及500 Hz听阀值来开处方。结论:突发性耳聋的治疗方法基于经验上的考虑,疗效缺乏严格的对照,有效率也难以评估;在治疗上力求争取良好的听力,详尽了解病史和及时治疗是关键。 　　[关键词] 突发性耳聋;治疗方法;相关因素 　　[中图分类号] R764.43+7[文献标识码]A [文章编号]1674-4721(2010)05(a)-039-02 　　 　　Analysis of some related factors of sudden deafness 　　CHEN Jinwei 　　(Department of Otolaryngology, Peoples Hospital of Huaiji County, Guangdong Province, Huaiji 526400, China) 　　[Abstract] Objective: To analyze of the related factors of sudden deafness, and to explore its treatment. Methods: The clinical datas of patients with sudden deafness were collected from hospital, to be retrospectively analyzed its etiology, course, treatment and prognos. Results: The cause of sudden deafness had not yet have a clear statement, there was no treatment effects prescription and drugs; in the treatment when the disease could only be based on the clinical manifestations, course length, the length of treatment time, as well as 500 Hz to listen to the threshold to prescription. Conclusion:The treatment method of sudden deafness is based on empirical considerations, the effect of the lack of strict control,is efficient, it is difficult to assess; in treatment seeking for good hearing, a detailed understanding of history and timely treatment is crucial. 　　[Key words] Sudden deafness;Treatment;Related factors 　　 　　突发性耳聋简称突聋(sudden deafness,SD),也称特发性或特异性突聋,指突然发生原因不明的感音神经性听力损失[1]。此病是耳鼻咽喉科常见病,发病时间一般不分季节,秋季相对少一点。一般发病年龄在20～40岁多见,脑力劳动者发病率稍高。主要临床表现为听力下降、耳鸣、眩晕等。由于目前该病病因不明,故治疗上尚无统一方案,且该病起病较急,有可能会导致患耳听力永久性丧失,因而近年来日益受到人们的关注[2]。目前临床尚无特效药物或手术疗法能使突聋患者完全恢复听力。治疗原则是早期发现、早期诊断、早期治疗,争取恢复或部分恢复已丧失的听力[3]。在发病初期及时正确地用药是提高疗效的关键。现就本院突发性耳聋患者的临床资料进行分析报道如下: 　　1 资料与方法 　　1.1 一般资料 　　资料来源于本院耳鼻咽喉科收治的突发性耳聋患者的临床资料,均符合中华耳鼻咽喉头颈外科杂志编辑委员会、中华医学会耳鼻咽喉头颈外科学分会制定的诊断标准[4]。耳聋分为4级:①轻度:平均听阈10～30 dB;②中度:平均听阈31～60 dB;③重度:平均听阈61～90 dB;④全聋:平均听阈超过90 dB。 　　1.2 方法 　　1.2.1 综合性药物治疗 ①扩张血管的山莨菪碱、