Clinical characteristics and speech recognition ability analysis of unilateral sudden deafness
10.3969/j.issn.1673-9701.2025.12.015
- VernacularTitle:单侧突发性耳聋临床特征及言语识别能力分析
- Author:
Haifeng ZHENG
1
;
Jingbo WANG
1
;
Mengqian HUANG
1
Author Information
1. 温州医科大学附属第一医院耳鼻咽喉科,浙江温州 325000
- Publication Type:Journal Article
- Keywords:
Sudden deafness;
Clinical features;
Prognosis;
Speech recognition rate
- From:
China Modern Doctor
2025;63(12):65-68,82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical characteristics and speech recognition capabilities characteristics of patients with different subtypes of sudden deafness.Methods 280 patients with unilateral sudden deafness who visited the First Affiliated Hospital of Wenzhou Medical University from January 2022 to October 2024 were randomly selected.They were grouped based on the type of pure-tone hearing threshold curve and the degree of hearing loss before treatment(with 76 cases of ascending type,91 cases of descending type and 113 cases of flat type).The general conditions,clinical incidences,maximum speech recognition rates,and efficacy data of each group were compared.Results When comparing clinical symptoms regarding disease course,degree of hearing loss,tinnitus,ear tightness,dizziness,etc.,and therapeutic effects,the ascending-type hearing loss was characterized by a mild degree,a high incidence of ear tightness,and a favorable prognosis.The flat-type has a short course of illness,a high incidence of tinnitus,and severe hearing loss.The descending-type presented with a long disease course and a poor prognosis.These differences were statistically significant(P＜0.05).In the comparison of average pure-tone hearing threshold value at speech frequencies and speech recognition rate,the average hearing threshold value of the flat-type at speech frequencies was higher than that of the other two types,and its speech recognition rate was lower,with statistical significance(P＜0.05).Conclusion Patients with different subtypes of sudden deafness exhibit distinct characteristics in terms of onset and prognosis.Quantifying the speech recognition rates of sudden deafness patients with different subtypes and degrees of hearing loss can serve as a reference for clinical diagnosis and treatment.This is of great significance for enhancing the accuracy of clinical diagnosis of sudden deafness,formulating personalized treatment plans,and improving patient prognosis.
