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Updated: May 7, 2026

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突发感神经听力损失中的耳与听力恢复之间的关联:元分析

Wen Wei¹, Yue Sun, Yuxin You

¹Department of Otorhinolaryngology, The First Affiliated Hospital of Dalian Medical University, Xigang, Dalian, Liaoning Province, China.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

|January 9, 2026

概括

突发感神经听力损失 (SSHL) 患者中耳的存在与更好的听力恢复有关. 这种关联对于全身性皮质类固醇来说是正确的,但不适用于内皮质类固醇.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
听力学听力学是指听力学.
神经学神经学

背景情况:

突然感觉神经听力损失 (SSHL) 是一种耳部紧急情况,可变的恢复率.
耳是SSHL的常见症状,但其预后价值仍在争论中.

研究的目的:

评估SSHL患者的耳与听力恢复预后之间的关联.
为了确定耳是否会影响SSHL的治疗结果.

主要方法:

1983年至2025年间发表的研究的系统综述和元分析.
在PubMed,Web of Science和Embase进行了搜索.
使用纽卡斯尔-太华尺度评估研究质量;使用随机效应模型汇总数据.

主要成果:

纳入了10项涉及4782名患者的研究;3590人患有SSHL与耳.
与没有耳 (50.84%) 相比,SSHL和耳患者的听力恢复率更高 (57.44%).
耳与更好的听力恢复有关 (OR = 0.60;95% CI,0.42-0.85),特别是在全身皮质类固醇治疗时.

结论:

耳可能表明SSHL听力恢复的良好预后.
耳的预后值根据皮质类固醇治疗类型不同.
个性化的SSHL治疗策略可以利用耳作为分层标准.

关键词:

皮质类固醇治疗治疗听力恢复听力恢复预测因素是一个预测因素.突然的感官神经神经听力损失.声 (Tinnitus) 是一种听力障碍.

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Hearing

Hearing

When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.