几种方法用于听力损失筛查;然而,他们的好处是不确定的。在这项研究中,我们旨在确定急性感音神经性耳聋的预测因素,供初级保健医生临床应用.
这次回顾展,横断面研究纳入了365例未接受过治疗的急性感觉神经性耳聋患者.患者的临床数据,人口统计信息,获得了病史,他们被问及合并症。此外,我们评估了生活方式因素,如压力水平,酒精消费,婚姻状况,和社会经济水平。采用Logistic回归分析探讨急性感音神经性耳聋相关因素的诊断预测能力。使用纯音测听法评估所有患者的听力水平。
我们确定了急性感音神经性听力损失的重要预测因素。没有运动过度是突发性感觉神经性听力损失的预测因素。年龄更小,女性性别,和婚姻状况是急性低音调听力损失的预测因素。高体重指数,社会经济水平高,低酒精消费,高应力水平,高音,眩晕/头晕是梅尼埃病的预测因素。高体重指数和耳朵饱满度是外淋巴瘘的预测因素。低应激水平是声学肿瘤的预测因素。
我们的发现可用于区分急性感觉神经性听力损失的类型。症状,身体状况,在这项研究中确定的生活方式因素是预测急性感觉神经性听力损失发生的有用标志物。
Several methods are used for hearing loss screening; however, their benefits are uncertain. In this study, we aimed to determine the predictive factors of acute sensorineural hearing loss for clinical application by primary care doctors.
This retrospective, cross-sectional study included 365 patients with acute sensorineural hearing loss without prior therapy. The patients\' clinical data, demographic information, and medical histories were obtained, and they were asked about comorbidities. In addition, we assessed lifestyle factors such as stress level, alcohol consumption, marital status, and socioeconomic level. Logistic regression analysis was performed to investigate the diagnostic predictive ability of the selected factors associated with acute sensorineural hearing loss. The hearing levels of all patients were evaluated using pure tone audiometry.
We identified significant predictive factors for acute sensorineural hearing loss. The absence of hyperacusis was a predictive factor for sudden sensorineural hearing loss. Younger age, female sex, and marital status were predictive factors for acute low-tone hearing loss. High body mass index, high socioeconomic level, low alcohol consumption, high stress level, hyperacusis, and vertigo/dizziness were predictive factors for Ménière\'s disease. High body mass index and ear fullness were predictive factors for perilymph fistula. Low stress level was a predictive factor for acoustic tumours.
Our findings can be used to distinguish between the types of acute sensorineural hearing loss. Symptoms, physical status, and lifestyle factors identified during this study are useful markers for predicting acute sensorineural hearing loss occurrence.