摘要
突发性聋的病因、预后及其相关因素、疗效评估等方面迄今尚无定论，通过一组突发性聋临床病例进行回顾性分析的资料，探讨影响预后的相关因素以及如何客观地判断疗效。对１９９３年１月～１９９６年４月以扩血管药物为主要治疗的突发性聋患者８３例（９１耳），选择１３项影响预后的因素进行逐步回归分析。结果示：除年龄、治疗前听力损失程度、听力曲线类型外，其他如性别、病程、有无伴随眩晕、单双侧、是否复发、病毒感染、心脑血管合并症、以及用药种类及疗程等因素均与预后无相关性。同时比较了单因素分析与此结果的差别，说明突发性聋研究应采用多因素逐步回归方法进行分析，以使预后和疗效评估更具客观性。
To further investigate the correlation factors of the prognosis and theurapeutic efficiency of sudden deafness, 83 cases (91 ears) from 1993.1 to 1996.4 were studied with stepwis regression analysis. The results showed that the prognosis is correlate with the age, the hearing threshold levels of both speech and high frequencies, and the types of the audiometric curve, but not with the illness duration, sex, vertigo, ipsi or bilateral, recurrence, virus infection, cardiac or cerebral vascular diseases, and the medicine or the duration of the treatment. By comparing the results obtained from different statistical analysis, it was suggested that the unification of the criteria of the diagnosis and the theurapeutic efficiency as well as the application of the multiple factors regression analysis are essential for the research on sudden deafness.
出处
《中华耳鼻咽喉科杂志》
CSCD
1997年第2期81-83,共3页
Chinese Journal of Otorhinolaryngology
关键词
突发性耳聋
预后
回归分析
Deafness, sudden Prognosis Regression analysis
