Objective: The characteristics and prognosis of ear fullness feeling in patients with all-frequency sudden deafness were explored. Method: 104 patients (104 ears) with unilateral all-frequency sudden deafness were collected in study from June 2015 to March 2019, including 50 males and 54 females, the mean age ranged from 23-65 years, and the disease duration ranged from 1-9 days. Of those, 56 patients accompanied with the feeling of ear fullness (FEF) were enrolled into'the ear fullness group', and 48 patients without FEF were included in'the without ear fullness group'. Patients' treatment strategy followed the Chinese Medical Association Guidelines for the diagnosis and treatment of sudden deafness (2015). Moreover, VAS scale scores and subjective grading of FEF were acquired in patients with FEF. We analyzed the clinical characteristics and prognosis of FEF with SPSS 23.0 software. Results: There were no differences between the two groups in terms of age, gender, duration of disease, the side of deaf ear, degree of hearing loss, and auditory brainstem evoked potential results (age,t=1.566; gender,χ(2)=0.001; duration, t=0.057; side,χ(2)=0.033; degree of hearing loss Z=-0.180; ABR,χ(2)=0.001;all P>0.05) . There was a positive correlation between the subjective grading of FEF and the degree of hearing loss in patients with FEF (r=0.599, P<0.001) . The total rate of hearing improvement following one month of treatments in patients with FEF vs with no FEF was 35/56(62.5%) vs 28/48(58.3%) (Z=-0.641, P=0.521). After one month of treatment, the total effective rate of FEF was 94.6%(53/56), and the improvement of FEF had nothing to improvement of hearing (r=0.040, P=0.769) . Conclusions: The degree of hearing loss is positively correlated with the degree of FEF in patients with all-frequency sudden deafness. Hearing recovery is not related to FEF. The recovery effect of FEF is good, and has no correlation with hearing recovery.
目的： 探讨单侧全频下降型突发性聋患者耳闷胀感的特点及其预后。 方法： 收集2015年6月至2019年3月单侧全频下降型突发性聋患者104例（104耳），其中男50例，女54例，年龄23~65岁，平均（46.2±16.1）岁，病程1~9 d。其中同时伴有耳闷胀感的56例患者作为伴耳闷组，不伴耳闷胀感的48例患者作为不伴耳闷组。根据我国2015年突发性聋诊断和治疗指南推荐方案进行治疗。统一制定并填写耳闷的视觉评分（VAS）主观分级量表，分析耳闷的临床特征、与突聋的关系及预后情况。应用SPSS 23.0软件进行统计学处理。 结果： 伴耳闷组和不伴耳闷组患者的年龄、性别、病程、突聋侧别、听力下降程度、听性脑干反应（ABR）引出情况等组间比较，差异均无统计学意义（年龄，t=1.566；性别，χ(2)=0.001；病程，t=0.057；侧别，χ(2)=0.033；听力下降程度，Z=-0.180；ABR，χ(2)=0.001；P值均>0.05）。患者耳闷的主观分级与其听力损失程度呈正相关（r=0.599，P<0.001）。伴耳闷组治疗1个月后听力恢复总有效率为62.5%(35/56)，不伴耳闷组听力恢复总有效率为58.3%(28/48)，差异无统计学意义（Z=-0.641，P=0.521)。治疗1个月后耳闷胀感改善总有效率为94.6%（53/56）；耳闷胀感改善情况与听力恢复情况无关（r=0.040，P=0.769）。 结论： 全频下降型突聋患者的耳闷胀感程度与听力损失程度相关，听力损失越重，耳闷胀感的主观分级越重；听力恢复情况与是否伴耳闷胀感无关；患者耳闷胀感的改善效果较好，与听力恢复情况无关。.
Keywords: Ear fullness; Hearing loss, sudden; Prognosis.