돌발성 난청의 임상적 분석

Abstract

저자들은 1989년 8월부터 1993년 1월까지 3년 5개월동안 본원에서 경험한 98명(100귀)의 돌발성 난청례에 대한 치료를 통해 임상적 분석을 시행하여 다음과 같은 결론을 얻었다.

1)남녀비는 48:50이었으며 30대와 40대가 53.0%로 가장 많았다. 96명이 일측성이고 2명이 양측성이었다.

2)계절별 빈도는 여름과 겨울에 약간 높은 분포를 보였다.

3)청력손실정도가 심할수록 현훈의 동반정도가 높았다.

4)연령별 회복율은 고연령으로 갈수록 회복율이 떨어지는 양상을 보였다.

5)증상의 시작에서 치료시작까지의 기간이 1주이후인 환자군에서 1주이내의 환자군보다 회복율이 낮았다.

6)내원당시 청력검사를 기준으로 난청의 정도가 심할수록 회복율이 떨어지는 양상을 보였다.

7)동반증상으로 현훈이 있는 경우는 예후가 불량하였고 이명증세 유무에 따른 회복율에는 유의한 차이가 없었다.

8)전체적인 회복율은 61.0%로서 회복의 정도는 완전회복이 27례, 부분회복이 9례, 경도회복이 25례이었고, 무호전이 39례였다.

Sudden deafness is defined as an abrupt onset of sensorineural hearing loss which develops over a period of a few days without definite cause. The etiopathogenesis has not been fully determined. To evaluate the clinical characteristics and prognostic factors, we analyzed 98 patients(100 ears) of sudden deafness admitted at Asan Medical Ceter from August 1989 to January 1993. All patients were treated with bed rest, low salt diet, vasodilator and steroid. the recovery rate was evaluated withaudiologic results of 2 weeks after treatment.

1) The incidence was most common in the 4th and 5th decades.

2) The recovery rate was 61.0% in total cases and highest in 3rd decades(85.7%).

3) Patients treated within 1 week after onset of hearing loss showed better recovery rate(68.2%) than those treated 1 week or later(20.0%).

4) The prognosis was poorer in patients with vertigo than without vertigo.

Sudden deafness is defined as an abrupt onset of sensorineural hearing loss which develops over a period of a few days without definite cause. The etiopathogenesis has not been fully determined. To evaluate the clinical characteristics and prognostic factors, we analyzed 98 patients(100 ears) of sudden deafness admitted at Asan Medical Ceter from August 1989 to January 1993. All patients were treated with bed rest, low salt diet, vasodilator and steroid. the recovery rate was evaluated withaudiologic results of 2 weeks after treatment.

1) The incidence was most common in the 4th and 5th decades.

2) The recovery rate was 61.0% in total cases and highest in 3rd decades(85.7%).

3) Patients treated within 1 week after onset of hearing loss showed better recovery rate(68.2%) than those treated 1 week or later(20.0%).

4) The prognosis was poorer in patients with vertigo than without vertigo.