Analysis Of Prognostic Factors In 1196 Cases Of Sudden Deafness

Objective:Sudden deafness is one of a common and emergency disease in Otolaryngology Head and Neck Surgery, Studies have shown that its incidence is increasing trend year by year,Because of its treatment direct impact on the physical and mental health and quality of life of patients, and therefore the prognosis of sudden deafness becomes one of the most concern question. This article will discuss the affecting prognosis factors of sudden deafness based on clinical data, and provide the basis for clinical treatment and prognosis,and provide a theoretical basis for the popularity of sudden deafness-related knowledge,thus enhancing people’s awareness of sudden deafness and providing a favorable conditions for resume hearing.Methods:Retrospectively analyzed the clinical data of my department treated 1196 cases(1247ears) patients with sudden deafness. Grouping each factor of gender, age, ear side,associated symptoms(tinnitus, ear fullness, dizziness), treatment time, the degree of hearing loss, associated with the underlying disease(hypertension, diabetes, high cholesterol, cervical spondylosis, cerebral infarction):1 Sex, ear side, whether accompanied by tinnitus, ear fullness, dizziness, hypertension,diabetes, high cholesterol, cervical spondylosis, cerebral infarction, respectively with prognosis(cured, effective, effective, ineffective) fitted to R×C tables and rowed χ2 test(α= 0.05).2 Age, treatment time, the degree of hearing loss, respectively with the prognosis fitted to R × C tables, rowed χ2test and Spearman rank correlation(α= 0.05, rs >0represents a linear positive correlation, rs <0 represents a linear negative correlation).3 Logistic regression analysis the above P<0.05 orderly factors and obtain the factors of affecting the prognosis of sudden deafness(α= 0.05).Results:1 Sex, ear side, whether accompanied by tinnitus, ear fullness, hypertension, diabetes and cerebral infarction are rowed χ2 test, the differences of prognosis in each group was not statistically significant(P> 0.05).2 Whether associated with dizziness, cervical spondylosis, high cholesterol are rowedχ2 test, the prognosis was significantly(P <0.05).3 Age, treatment time and the degree of hearing loss are rowed χ2 test, the prognosis differences within their respective groups are statistically significant(P <0.05); And with the Spearman rank correlation analysis, the three with prognosis is linear correlation(P<0.05), and is a positive correlation(rs > 0).Conclusions:1 Sex, ear side, whether accompanied by tinnitus, ear fullness, hypertension, diabetes and cerebral infarction have little impact with the prognosis of sudden deafness.2 Associated with cervical disease and high blood cholesterol in patients with sudden deafness are less poor prognosis in patients with the both, it shows both can affect the prognosis of sudden deafness, but by Logistic regression analysis, both of which had no significant correlation with prognosis.3 Age, treatment time, the degree of hearing loss, whether or not accompanied by vertigo may all affect the prognosis of sudden deafness, and by Logistic regression analysis,the fours are main factors of sudden deafness prognosis.4 The shorter treatment time, the lighter the degree of hearing loss, the better the prognosis of sudden deafness, Patients with sudden deafness with vertigo than not accompanied with vertigo have a better prognosis. Although there is a linear correlation between age and prognosis, but the impact on the prognosis have a significant stage.