少儿与老年人特发性突聋临床特征的比较

敖敏; 邓洁; 戚星; 何刚

doi:10.13201/j.issn.1001-1781.2015.14.013

少儿与老年人特发性突聋临床特征的比较

- 四川省人民医院四川省医学科学院耳鼻咽喉科(成都, 610072)

详细信息

通讯作者: 敖敏,E-mail:aominaominokok@163.com

中图分类号: R764.43

收稿日期: 2015-03-01

Clinical comparison of idiopathic sudden deafness in children and the elderly

- Department of Otolaryngology, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu, 610072, China

More Information

Corresponding author: AO Min, E-mail: aominaominokok@163.com

Received Date: 01 March 2015

摘要

摘要: 目的:比较少儿与老年人特发性突聋的临床特征。方法:回顾性分析比较2009-12-2014-09期间诊断为特发性突聋的44例患儿与76例老年患者的临床特征。结果:2组极重度聋患者最多(少儿组26/44,59.1%;老年组32/76,42.1%),轻度听力损失最少(少儿组2/44,4.5%;老年组5/76,6.6%),2组听力损失程度比例差异无统计学意义(P>0.05)。2组中全聋型听力曲线最多,上升型最少(P<0.05)。少儿组听力改善总疗效(27/44,61.4%)高于老年组(32/76,42.1%)(P<0.05),2组听力损失程度与疗效无关(P>0.05)。少儿组下降型曲线治疗总有效率最高,全聋型治疗总有效率最低,二者差异有统计学意义(P<0.05)。老年组各曲线型疗效差异无统计学意义(P>0.05)。少儿组下降型治疗总有效率高于老年组(P<0.05)。少儿组伴发耳鸣者与不伴发者突聋疗效差异无统计学意义(P>0.05),老年组伴发耳鸣者疗效优于不伴发者(P<0.05)。少儿组伴发眩晕者与不伴发者突聋疗效差异无统计学意义(P>0.05),老年组不伴发眩晕者疗效优于伴发者(P<0.05)。老年组对侧耳听力损失程度与突聋疗效差异无统计学意义(P>0.05);伴发系统疾病与否与突聋疗效差异无统计学意义(P>0.05)。结论:少儿与老年特发性突聋各有临床特征。
- idiopathic sudden deafness /
- children /
- the elderly
Abstract: Objective: This retrospective study compared clinical manifestations of idiopathic sudden hearing loss between children and the elderly.Method: 44 pediatric patients and 76 elderly patients diagnosed with idiopathic sudden deafness in our clinic from December 2009 to September 2014 were enrolled. Different clinical parameters were compared.Result: The incidence of initially profound hearing loss was highest and mild hearing loss was lowest in both groups(P<0.05). There were no differences in the proportion with initially mild,moderate,severe,and profound hearing loss between both groups (P>0.05). The number of patients was the most in initially profound type of audiogram pattern and the fewest in ascending type in both groups(P<0.05). Hearing recovery rates in children(27/44,61.4%) was higher than that in elderly patients(32/76,42.1%)(P<0.05). There were no differences in hearing recovery rates of the patients with initially level of hearing loss in both groups (P＞0.05). The highest recovery rate in children was in those with descending type and the lowest was in those with profound type(P<0.05). There were no differences in hearing recovery rates in elderly patients with initially different types of audiogram pattern (P＞0.05). Hearing recovery rates of descending type in children were higher than that in elderly patients. Presence of tinnitus in pediatric patients was not relavent to the outcome (P＞0.05). Presence of tinnitus in elderly patients was associated with favorable outcomes. (P<0.05). Presence of dizziness in pediatric patients was not relavent to the outcome (P＞0.05). Presence of dizziness in elderly patients was associated with poor outcomes (P<0.05). Presence of initially different degrees of opposite side hearing loss in elderly patients was not relavent to the outcome (P＞0.05). Presence of chronic diseases in elderly patients was not associated with the outcome (P＞0.05).Conclusion: The clinical manifestion of idiopathic sudden deafness is respective in Children and in elderly patients.
- idiopathic sudden deafness /
- children /
- the elderly

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