[A clinical analysis of 27 cases of simultaneous bilateral sudden sensorineural hearing loss].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 33(12): 1134-1137, 2019 Dec.
Article
em Zh
| MEDLINE
| ID: mdl-31914259
ABSTRACT
Objective:
To compare the clinical characteristics and therapeutic effects between simultaneous bilateral sudden sensorineural hearing lossï¼Si-BSSHLï¼ and unilateral sudden sensorineural hearing lossï¼USSHLï¼.Method:
The clinical data of 27 cases of Si-BSSHL were retrospectively analyzed, including the characteristics of the disease, clinical manifestations, audiological examination, hematological examination, and therapeutic effect, and compared with those of 139 cases of USSHL.Result:
There was a statistically significant difference in the ageï¼65.85±9.17 vs 56.95±13.18, P<0.01ï¼ and no significant difference in sex ratioï¼P>0.05ï¼ between the two groups. The proportion of Si-BSSHL patients with vertigo, ear fullness, hypertension, diabetes, coronary heart disease and stroke had no statistical difference compared with those of USSHLï¼P>0.05ï¼, the proportion of patients with tinnitus in Si-BSSHL group was significantly lower than that in USSHL groupï¼P<0.05ï¼. The distribution of hearing loss degree and the type of audiometry in Si-BSSHL group were significantly different from those in USSHL group, PTA before treatment and the proportion of profound hearing loss in Si-BSSHL group was significantly lower than that in USSHL groupï¼P<0.05ï¼, descending audiometry type was more common in Si-BSSHL group compared to USSHLï¼P<0.01ï¼. Fibrinogen in Si-BSSHL group was significantly higher than that in USSHL groupï¼P<0.05ï¼. No significant difference was found between the two groups with respect to mean platelet volume, blood lipid and folic acidï¼P>0.05ï¼. The total treatment effective rate in Si-BSSHL group was 44.44%, while that in USSHL group was 41.73%, there was no significant difference between the two groupsï¼P>0.05ï¼.Conclusion:
Si-BSSHL has a female preponderance and tends to occur in advanced age in our cohort. Compared to USSHL patients, Si-BSSHL patients have less profound hearing loss and more descending audiograms, and the proportion of patients with extremely severe deafness is relatively small. There is no significant difference in the therapeutic effect between the two groups.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Perda Auditiva Súbita
/
Perda Auditiva Bilateral
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
Idioma:
Zh
Revista:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Ano de publicação:
2019
Tipo de documento:
Article