突发性耳聋伴高血压患者临床特征及疗效的影响因素分析

doi:10.3969/j.issn.1006-5253.2023.05.001

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (5510 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the relevant factors affecting the efficacy of patients with sudden sensorineural hearing loss accompanied by hypertension, and to provide reference basis for the prevention and treatment of sudden sensorineural hearing loss.Methods Clinical data of patients with sudden sensorineural hearing loss and hypertension admitted to a certain hospital in Jiaxing from 2019 to 2022 were collected to analyze the relationship between variables and treatment efficacy of patients with the logistic regression model.Results The majority of 165 cases with sudden deafness accompanied by hypertension were female, with the majority engaged in manual labor occupations. The highest incidence of the condition occurred in summer. The results of the univariate analysis indicate that the efficacy of treatment for patients is correlated with age, accompanying tinnitus, classification of sudden deafness, platelet count, and treatment method (P<0.05). The multivariate logistic regression model analysis shows that older age (OR=1.073, 95%CI: 1.023-1.125), high serum potassium (OR=9.693, 95%CI: 5.829-15.633), high thyroidstimulating hormone (OR=5.023, 95% CI: 1.833-13.764) are independent risk factors for ineffective treatment, while high platelet count (OR=0.872, 95%CI: 0.652-0.978) and comprehensive treatment with hyperbaric oxygen (OR=0.137, 95%CI: 0.056-0.339) are protective factors for effective treatment.Conclusion Sudden sensorineural hearing loss accompanied by hypertension has a higher rate of adverse prognosis, and various factors collectively influence the treatment outcome of patients with sudden sensorineural hearing loss accompanied by hypertension.

Key words： sudden deafness hypertension case characteristics treatment effect influencing factor

Received: 31 January 2023

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Huang Shibin
	Sheng Jian
	Chen Xun
	Gao Weimin
	Zhang Xiangyi
	Mi Wei

Cite this article:

Huang Shibin,Sheng Jian,Chen Xun, et al. Clinical characteristics of sudden deafness with hypertension and the influencing factors of treatment efficacy[J]. journal1, 2023, 30(5): 321-329.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2023.05.001 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2023/V30/I5/321

［1］CHEN X, FU Y Y, ZHANG T Y. Role of viral infection in sudden hearing loss［J］. J Int Med Res, 2019, 47(7):2865-2872. DOI: 10.1177/0300060519847860.

［2］MAIMAITIAILI G, SI F Z, MA X, et al. Analysis of tinnitus with sudden deafness［J］. Journal of clinical otorhinolaryngology, head, and neck surgery, 2016, 30(14): 1113-1117.DOI: 10.13201/j.issn.1001-1781.2016.14.005.

［3］XHIGNESSE P, KRZESINSKI F, KRZESINSKI J M. Hypertensive crisis［J］. Rev Med Liege, 2018, 73(5-6):326-332.

［4］赵宁，祁顺来，王亚莉．老年高血压伴突发性耳聋患者血浆BNP、Hcy、D-二聚体水平及临床意义［J］．中国老年学杂志，2019，39(23)：5757-5760．DOI: 10.3969/j.issn.1005-9202.2019.23.036.

［5］郁晓燕，杨丽娜，俞晨林，等．老年高血压伴突发性耳聋患者睡眠障碍的影响因素分析［J］．中国医学前沿杂志(电子版)，2020，12(9)：114-118．DOI: 10.12037/YXQY.2020.09-24.

［6］突发性聋诊断和治疗指南(2015)［J］.中华耳鼻咽喉头颈外科杂志, 2015, 50(6):443-447.DOI:10.3760/cma.j.issn.1673-0860.2015.06.002.

［7］隋琬婷．长春市老年高血压患者的社区护理需求及影响因素分析［D］．长春：长春中医药大学，2019．

［8］CASTRO T M, COSTA L A, NEMEZIO M E, et al. Bilateral sudden deafness ［J］. Brazilian journal of otorhinolaryngology, 2011, 77(5): 678. DOI: 10.1590/s1808-86942011000500026.

［9］RAHMAN F, MCEVOY J W. Dangers of overly aggressive blood pressure control［J］. Curr Cardiol Rep, 2018, 20(11):108. DOI: 10.1007/s11886-018-1063-y.

［10］梁莎．突发性聋疗效影响因素的多变量分析［D］．延吉：延边大学，2019．

［11］司楠楠．影响突发性聋疗效的相关因素分析［D］．太原：山西医科大学，2018．

［12］周长明．突发性聋及其耳聋程度相关危险因素的Logistic回归分析［D］．延安：延安大学，2013．

［13］陈静．突发性耳聋预后相关因素分析［D］．银川：宁夏医科大学，2014．

［14］魏彩娥．突发性耳聋的预后及相关影响因素［D］．乌鲁木齐：新疆医科大学，2014．

［15］杜秀琴．2型糖尿病患者药物治疗依从性的影响因素及其对策分析［J］．中国医院统计，2019，26(4)：278-280．DOI: 10.3969/j.issn.1006-5253.2019.04.012

［16］周小平．影响突发性聋疗效的相关因素分析［D］．福州：福建医科大学，2019．

［17］STACHLER R J, CHANDRASEKHAR S S, ARCHER S M, et al. Clinical practice guideline: Sudden hearing loss［J］. Otolaryngology head & Neck Surgery, 2011, 145(S2): P28. DOI: 10.1177/0194599811415818a59.

［18］付剑芬，傅江涛，林洪斌，等．老年突发性耳聋流行病学特征及发病相关影响因素和预防措施分析［J］．中国预防医学杂志，2019，20(11)：1036-1039．DOI: 10.16506/j.1009-6639.2019.11.006.

［19］刘贵浩，薛允莲．广东省老年人慢性病共病现状及影响因素研究［J］．中国医院统计，2022，29(2)：103-107．DOI: 10.3969/j.issn.1006-5253.2022.02.005.

［20］王乐，阿力木·艾力，姚华．新疆地区耳聋患者流行病学初步调查［J］．中华耳科学杂志，2017，15(4)：475-480．DOI: 10.3969/j.issn.1672-2922.2017.04.018.

［21］金桂英．老年性耳聋与糖尿病、高血压的相关性探析［J］．心血管病防治知识(下半月)，2015(10)：30-31．

［22］吴静，张海燕，王书谦，等．高压氧在突发性耳聋治疗中的应用进展［J］．中华耳科学杂志，2021，19(2)：332-336．DOI: 10.3969/j.issn.1672-2922.2021.02.029.

［23］HUO Z R, CHENG X F, GU J, et al. Prognostic factors for hearing outcomes in patients that undergo adjuvant hyperbaric oxygen therapy for sudden sensorineural hearing loss［J］. Laryngoscope Investig Otolaryngol, 2022, 7(2):592-598. DOI: 10.1002/lio2.768.

［24］刘慧玲，余王梅，郑彩霞．银杏叶提取物联合巴曲酶治疗突发性耳聋疗效的Meta分析［J］．中国医院统计，2019，26(2)：85-88．DOI: 10.3969/j.issn.1006-5253.2019.02.002.