摘要
Abstract
Objective To investigate of Prognostic Differences and Influencing Factors in Children with Sudden Sensorineural Hearing Loss(SSNHL)Based on Different Audiogram Types Methods A total of 102 children with sudden sensory nerve deafness who received treatment in our hospital from January 2017 to January 2022 were selected and divided into low-frequency decreasing type(n=15),high-frequency decreasing type(n=6),flat type(n=31)and total deafness type(n=50)according to the Guidelines for Diagnosis and Treatment of sudden deafness formulated by the Chinese Medical Association.The therapeutic effects were compared.The general data were collected and the factors influencing the prognosis were analyzed.Results Among the 102 patients,15 cases were diagnosed as low frequency descending type,accounting for 14.70%;6 cases were diagnosed as high-frequency descending type,accounting for 5.88%;31 cases were diagnosed as flat type,accounting for 30.39%.50 cases were diagnosed as total deafness,accounting for 49.02%.There were differences in the therapeutic effects among children with low frequency decreasing type,high frequency decreasing type,flat type and total deafness,The therapeutic effects of children with low frequency decreasing type was higher than that of children with high frequency decreasing type,flat type and total deafness type,while the therapeutic effects of children with high frequency decreasing type and flat type was higher than that of total deafness type(P<0.05).However,there was no difference in treatment effectiveness between high-frequency descending type and flat type children(P>0.05).By univariate analysis,there were differences in the degrees of hearing loss,dizziness,ear boredom,otolitic vertigo,and history of cold between the good prognosis group and the poor prognosis group(P<0.05),but there were no statistically significant differences in genders,ages,damaged sides,time from onset to treatment,and tinnitus(P>0.05).Multivariate analysis showed that the degree of hearing impairment,ear boredom,otolithogenic vertigo and history of cold all affected the prognosis of the children(P<0.05).Conclusion There are differences in the prognosis of children with sudden sensory nerve deafness in different hearing curve types,and the prognosis of children with low frequency decline is better.The degree of hearing impairment,ear tightness,otolith vertigo and cold history all affect the prognosis.关键词
听力曲线类型/突发性感音神经性聋/儿童/预后/影响因素Key words
Type of hearing curve/Sudden sensory nerve deafness/Children/Prognosis/Influencing factor分类
医药卫生
