【摘要】 目的:探讨突聋的发病时间、年龄及眩晕对疗效的影响。方法:收集听力损失程度不同、病程长短不同、发病年龄不同及伴随有无眩晕的突聋患者150例,采用以前列腺素E1为主药,以扩血管、神经营养药为辅助治疗,观察上述因素与疗效关系,治疗前后行听力学检查对照。结果:病程小于2周内就治的轻中重度耳聋患者其有效率达97.22%;起病大于3个月就治者,其有效率为58.33%。从年龄看45岁之内者有效率为91.91%;46～60岁者有效率为85.36%;大于60岁以上者有效率75.00%。伴随症状看,伴有眩晕者有效率60.86%;不伴眩晕者有效率94.48%。结论:突聋的疗效与治疗时间成正比应越早疗效越好、反之越差;以中青年发病者治疗效果佳,伴眩晕的疗效差,不伴眩晕的疗效好。更多还原

【Abstract】 Objective:To study the influence of related factors on therapeutic effect of idiopathic sudden sensorineural hearing loss(ISSHL),including the time of attack,age of patients,vertigo accompanied or not.Methods:One hundred-fifty patients were collected,who are different in the degree of hearing-loss,course of disease and age of attack.All patients received treatment with PG-E1,applied by vasodilating medicines and neurotrophic medicines simultaneously.Relationships between these factors above-mentioned and therapeutic effect were analyzed,according to the results of audiology made before and after therapy.Results:The effective rate in patients whose course of disease is less than 2 weeks and exceed 3 month was 97.22% and 58.33%,respectively.Effective rate of different age including within 45,46～60,above 60～years was 91.91%,85.36%,75.00% respectively.Effective rate of patients accompanied with vertigo or not was 60.86% or 94.48%.Conclusion:Therapeutic effect and time of therapy have a direct-ratio relationship.More early accepted therapy,more better is the effect.Young and middle age patients have better effect.The effect of patients without vertigo is better than that with vertigo.更多还原