[Comparison of the short-term and long-term curative effect and prognosis of 102 patients with sudden deafness]

Abstract

Objective:To compare the short-term and long-term curative effect and prognostic factors of 102 patients with sudden deafness.Method:The clinical data of 102 patients with sudden deafness from 2012 to 2014 were analyzed retrospectively. Pure tone hearing thresholds were measured in patients with sudden deafness for 2 weeks after treatment and 3 to 5 years after discharge, in order to evaluate the short-term and long-term effects, and related prognostic factors were also compared.Result:The short-term total effective rate of 102 patients with sudden deafness was 56.86%, and the long-term total effective rate was 69.61%.Under the same influence factors(female group, TG abnormal group,LDL abnormal group,HDL abnormality,blood rheology abnormality),the long-term total effective rate was greater than the short-term total effective rate(P<0.05),the difference was statistically significant.Further analysis of the influencing factors of the prognosis of sudden deafness found that audiogram shapes, blood rheology and blood lipid(TC,LDL,HDL),age,were the same prognostic factors of sudden deafness. Different audiogram shapes,normal and abnormal hemorheology group,normal blood lipid group and abnormal group,the curative effect of different age groups,the difference which the results of each group were compared was significant(P<0.05). However, there were differences between short-term and long-term prognostic factors.The short-term prognostic factors were also related to blood glucose and TG,the difference between normal blood glucose group and abnormal was significant(P<0.05). The difference between the normal TG group and the abnormal group was compared,the difference was significant(P<0.05).Conclusion:The long-term curative effect of sudden deafness was better than that of the short-term.

Keywords: hearing loss, sudden; factor analysis; prognosis.