The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss.

The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss.
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预后因素对特发性突然听力丧失的影响。

DOI:
10.1055/s-0037-1603108
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发表时间:
2018-01
影响因子:
1.1
通讯作者:
Çukurova İ
Çukurova İ
中科院分区:
其他
文献类型:
--
作者:
Bulğurcu S;Şahin B;Akgül G;Arslan İB;Çukurova İ

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 突发性听力损失是耳科急症之一。这种疾病的治疗受到一些预后因素的负面影响。 目的探讨突发性聋早期治疗的效果及影响预后的因素。  方法2007年9月至2015年9月收治的216例患者中,154例被确定为特发性突发性听力损失;他们平均随访7.4个月,并进行回顾性评估。 对几个参数对治疗成功的影响进行了统计学评价,例如治疗开始的时间、女性、听力损失的严重程度、具有下降型听力图模式、年龄大于60岁以及眩晕的共存。 结果发现在听力损失发作的第一周内入院的特发性听力损失患者的成功率显著较高(p < 0.05)。 而听力损失发生后3天内和4-7天内入院的患者的预后相似(p > 0.05)。女性、重度听力损失、听力下降型、年龄大于60岁、合并眩晕等因素对预后无显著影响(p >0.05)。 结论在突发性耳聋发病的前7天内开始治疗时,上述文献中已知的预后因素对突发性耳聋的预后无显著影响。 
Introduction  Sudden hearing loss is one of the otologic emergencies. The treatment of this disease is affected negatively by some prognostic factors. Objective  In this study, the effects of early treatment initiation in patients with idiopathic sudden hearing loss and of prognostic factors in early treated patients were investigated. Methods  Out of the 216 patients admitted between September 2007 and September 2015, 154 were identified as having idiopathic sudden hearing loss; they were followed-up for a mean time of 7.4 months, and evaluated retrospectively. The effects of several parameters on the success of the treatment were statistically evaluated, such as the time the treatment was initiated, being of the female gender, the severity of the hearing loss, having descending type audiogram patterns, being older than 60 years old, and the co-presence of vertigo. Results  Success rates were found to be significantly higher in idiopathic hearing loss patients that were admitted within the first week ( p  < 0.05) of the onset of the hearing loss. However, the outcomes were found to be similar when patients admitted within the first 3 days and 4–7 days after the occurrence of the hearing loss were compared ( p  > 0.05). Parameters such as female gender, severe hearing loss, descending type audiogram, being older than 60 years old, and co-presence of vertigo didn't reveal statistically significant effects on the outcome ( p >0.05). Conclusion  The aforementioned prognostic factors, which are well-known in the literature, did not have significant effects when the idiopathic sudden hearing loss treatment was initiated within the first 7 days of the onset of the hearing loss.
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发表时间: 2015-10-01
影响因子: 2.2
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