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低频型突聋伴耳闷胀感患者耳闷胀感特征及与突聋的关系

周恩 刘斌 赵鹏 黄雪琼 袁铭昊 肖旭平

中华耳科学杂志2017,Vol.15Issue(2):201-206,6.
中华耳科学杂志2017,Vol.15Issue(2):201-206,6.DOI:10.3969/j.issn.1672-2922.2017.02.012

低频型突聋伴耳闷胀感患者耳闷胀感特征及与突聋的关系

Characteristics of ear fullness in patients with low frequency sudden deafness and their relationship

周恩 1刘斌 1赵鹏 1黄雪琼 1袁铭昊 2肖旭平1

作者信息

  • 1. 湖南师范大学第一附属医院耳鼻咽喉-头颈外科 湖南省人民医院耳鼻咽喉-头颈外科
  • 2. 湖南师范大学医学院 长沙410000
  • 折叠

摘要

Abstract

Objective To report clinical features and prognosis of ear fullness sensation in and its relationship with low frequency sudden deafness. Methods Imaging and audiological data were obtained in 35 patients with unilater-al low frequency sudden hearing loss and ear fullness sensation and in 32 patients without ear fullness sensation. More-over, VAS scale scores and subjective grading of ear fullness sensation were acquired in patients with aural fullness. Changes of otoacoustic emissions and auditory evoked potentials were compared between the two groups to investigate prognostic values of ear fullness and analyze its relationship with hearing loss. Results There was no significant differ-ence between the two groups of patients with otoacoustic emissions and brainstem evoked potentials (χ2=1.486,1.029;P>0.05). Subjective grading of ear fullness was positively correlated with the degree of hearing loss(r=0.344,P<0.05). The total rate of hearing improvement following treatments in patients with ear fullness was 91.4% (32/35), slightly higher than that in patients with no ear fullness (84.4%, 27/32) (χ2=0.791,P>0.05). Ear fullness improved in 31 of the 35 patients (88.6%), and the improvement of ear fullness was related to improvement of hearing(χ2=9.891,P<0.05)(r=0.469, P<0.05). Conclusions The degree of hearing loss was positively correlated with the degree of ear fullness in patients with low frequency sudden deafness when they also have sensation of ear fullness. The prognosis of ear full-ness is better than hearing loss, which is also related to hearing recovery. Hearing recovery in patients with aural fullness appears to be slightly better than in patients without ear fullness,although further studies are needed.

关键词

突发性耳聋/耳闷胀感/主观分级

Key words

Sudden deafness/Ear fullness/Subjective grading

分类

医药卫生

引用本文复制引用

周恩,刘斌,赵鹏,黄雪琼,袁铭昊,肖旭平..低频型突聋伴耳闷胀感患者耳闷胀感特征及与突聋的关系[J].中华耳科学杂志,2017,15(2):201-206,6.

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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