并发代谢综合征的突发性聋患者听力曲线特征及临床治疗效果分析(1)
摘要 目的 通过对比分析，探讨合并代谢综合征的突发性聋患者听力曲线特征及其临床治疗效果。方法 将2014年1月-2019年12月我科收治的合并代谢综合征的突发性聋患者62例作为病例组，以无代谢综合征的突发性聋患者64例作为对照组，收集两组病例的一般资料、听力曲线类型及治疗效果，采用卡方检验比较两组间听力下降类型及疗效。结果 两组的听力下降类型均以平坦型及全聋型为主，差异无统计学意义(P>0.05)，合并代谢综合征的突聋患者治疗效果低于对照组，差异有统计学意义(P<0.05)。结论 合并代谢综合征突发性聋患者听力下降类型与无代谢综合征的突发性聋患者相似，均以平坦型及全聋型为主，但治疗效果较无代谢综合征的突发性聋患者差。
关键词 代谢综合征;突发性聋;听力曲线;疗效
中图分类号 R764.437 文献标识码 A 文章编号 1671-0223(2020)14-024-03
Abstract Objective Through comparative analysis，to explore of clinical characteristics of patients with sudden hearing loss complicated with metabolic syndrome and its clinical treatment effect. Methods A total of 62 cases of sudden hearing loss patients with metabolic syndrome admitted to our department from January 2014 to December 2019 as a case group， 64 cases of sudden deafness without metabolic syndrome as control group. We collected the patient’s general information， types of hearing curve and curative effect of two groups. Chi-square test was used to compare the types of hearing curve and curative effect between the two groups. Results The types of hearing curve in both groups were mainly flat type and total deafness， the difference was not statistically significant (P>0.05)，the prognosis of patients with sudden hearing loss combined with metabolic syndrome were less than those without sudden metabolic syndrome (P<0.05). Conclusion The types of hearing curve of patients with metabolic syndrome were mainly and the prognosis is worse than the patients without metabolic syndrome.The types of hearing curve in patients with sudden hearing loss with metabolic syndrome are similar to those with sudden hearing loss without metabolic syndrome. They are mainly flat type and total deafness，but the treatment effect is worse than those with sudden hearing loss without metabolic syndrome.
Key words Metabolic Syndrome;Sudden Hearing Loss;Listening curve;Curative Effect
突发性聋是指在72小时內突然发生的、原因不明的感音神经性听力损失，至少在相邻的两个频率听力下降≥20dBHL，90%的突发性聋无明确原因。代谢综合征是以腹型肥胖、糖尿病或血糖调节功能受损、高血压、血脂异常为特点的临床症候群。台湾学者[1]报道代谢综合征是突发性聋的危险因素。我国2002年健康调查[2]显示我国18岁以上成年人代谢综合征患病率6.6%，美国的调查[3]显示20岁人群代谢综合征患病率为21.8%。国内的报道多集中在突发性聋合并代谢综合征某一组分(如高血压、糖尿病、肥胖等)患者的临床特点分析，关于突发性聋合并代谢综合征的临床特点的研究较少。本研究分析了合并代谢综合征的突发性聋患者与无代谢综合征的突发性聋患者的听力下降类型及疗效，结果报道如下。
1 对象与方法
1.1 研究对象
将2014年1月—2019年12月我科收治的合并代谢综合征的突发性聋患者62例作为病例组。按照组间匹配的原则，选择同期无代谢综合征的突发性聋患者64例作为对照组。病例组中男30例，女32例，年龄34～83岁，平均年龄52.34±10.89岁，对照组中男28例，女36例，年龄20～77岁，平均年龄48.84±12.97岁。两组间年龄及性别比较差异无统计学意义(P>0.05)。, 百拇医药(张俊瑶)
关键词 代谢综合征;突发性聋;听力曲线;疗效
中图分类号 R764.437 文献标识码 A 文章编号 1671-0223(2020)14-024-03
Abstract Objective Through comparative analysis，to explore of clinical characteristics of patients with sudden hearing loss complicated with metabolic syndrome and its clinical treatment effect. Methods A total of 62 cases of sudden hearing loss patients with metabolic syndrome admitted to our department from January 2014 to December 2019 as a case group， 64 cases of sudden deafness without metabolic syndrome as control group. We collected the patient’s general information， types of hearing curve and curative effect of two groups. Chi-square test was used to compare the types of hearing curve and curative effect between the two groups. Results The types of hearing curve in both groups were mainly flat type and total deafness， the difference was not statistically significant (P>0.05)，the prognosis of patients with sudden hearing loss combined with metabolic syndrome were less than those without sudden metabolic syndrome (P<0.05). Conclusion The types of hearing curve of patients with metabolic syndrome were mainly and the prognosis is worse than the patients without metabolic syndrome.The types of hearing curve in patients with sudden hearing loss with metabolic syndrome are similar to those with sudden hearing loss without metabolic syndrome. They are mainly flat type and total deafness，but the treatment effect is worse than those with sudden hearing loss without metabolic syndrome.
Key words Metabolic Syndrome;Sudden Hearing Loss;Listening curve;Curative Effect
突发性聋是指在72小时內突然发生的、原因不明的感音神经性听力损失，至少在相邻的两个频率听力下降≥20dBHL，90%的突发性聋无明确原因。代谢综合征是以腹型肥胖、糖尿病或血糖调节功能受损、高血压、血脂异常为特点的临床症候群。台湾学者[1]报道代谢综合征是突发性聋的危险因素。我国2002年健康调查[2]显示我国18岁以上成年人代谢综合征患病率6.6%，美国的调查[3]显示20岁人群代谢综合征患病率为21.8%。国内的报道多集中在突发性聋合并代谢综合征某一组分(如高血压、糖尿病、肥胖等)患者的临床特点分析，关于突发性聋合并代谢综合征的临床特点的研究较少。本研究分析了合并代谢综合征的突发性聋患者与无代谢综合征的突发性聋患者的听力下降类型及疗效，结果报道如下。
1 对象与方法
1.1 研究对象
将2014年1月—2019年12月我科收治的合并代谢综合征的突发性聋患者62例作为病例组。按照组间匹配的原则，选择同期无代谢综合征的突发性聋患者64例作为对照组。病例组中男30例，女32例，年龄34～83岁，平均年龄52.34±10.89岁，对照组中男28例，女36例，年龄20～77岁，平均年龄48.84±12.97岁。两组间年龄及性别比较差异无统计学意义(P>0.05)。, 百拇医药(张俊瑶)