COVID-19突发性聋与非COVID-19突发性聋患者的临床特征比较
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Comparison in clinical characteristics of sudden sensorineural hearing loss between patients with and without COVID-19
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    摘要:

    目的 探讨新型冠状病毒感染(COVID-19)突发性聋(SSNHL)患者与非COVID-19的SSNHL患者临床特征差异。方法 纳入COVID-19流行期间(选取2022年12月—2023年1月)于某科住院治疗的COVID-19 SSNHL患者31例,作为研究组,收集非COVID-19流行期间(选取2021年12月—2022年1月)接受治疗的非COVID-19 SSNHL患者12例,作为对照组。两组患者均予以规范化治疗,比较两组患者的临床特点及预后,分析COVID-19流行期间COVID-19 SSNHL患者的临床特征。结果 研究组患者感染新型冠状病毒至SSNHL发病的时间间隔为3~30 d,发病至就诊时间间隔为3(1,7) d,对照组患者发病至就诊时间间隔为5(4,6) d,差异无统计学意义(P>0.05);研究组患者平均年龄(44.16±13.54)岁,高于对照组的(35.23±9.24)岁,差异具有统计学意义(P<0.05)。研究组患者治疗后受损频率听力提高[6.5(0.5,24.5)] dB,低于对照组[36.0(27.0,38.0)] dB,差异具有统计学意义(P<0.05);患者就诊时间间隔与受损频率听力平均提高水平呈负相关(r=-0.318,P=0.033),就诊时间间隔越长,听力提高水平越低,疗效越差。进一步对研究组患者感染新型冠状病毒至SSNHL发病的时间间隔与就诊时间间隔做相关分析,无相关性(r=-0.337,P=0.059)。两组患者SSNHL类型及听力损失程度比较,差异均无统计学意义(均P>0.05)。规范化治疗后,研究组无效的患者比率为56.25%,高于对照组(15.38%),差异有统计学意义(P<0.05)。结论 调整COVID-19防控政策后,住院的COVID-19 SSNHL患者数量较多,年龄较大,疗效较差,治疗无效的患者比例更高。针对SSNHL患者越早治疗效果越好,COVID-19可能是SSNHL潜在的诱因和(或)病因,有待进一步研究。

    Abstract:

    Objective To explore the differences in clinical characteristics of sudden sensorineural hearing loss (SSNHL) between patients with coronavirus disease 2019 (COVID-19) and those without-COVID-19. Methods 31 SSNHL patients with COVID-19 who were hospitalized in a department during the COVID-19 epidemic period (from December 2022 to January 2023) were included as the study group, and 12 SSNHL patients without COVID-19 who received treatment during the non-COVID-19 epidemic period (from December 2021 to January 2022) were co-llected as the control group. Two groups of patients received standardized treatment, and their clinical characteristics and prognosis were compared. Clinical characteristics of SSNHL patients with COVID-19 during the COVID-19 epidemic period were analyzed. Results The time interval from patients developed COVID-19 to the onset of SSNHL in the study group was 3-30 days. The time interval from onset to consultation were 3 (1, 7) days and 5 (4, 6) days in the study group and the control group, respectively, with no significant difference (P>0.05). The average age of patients in the study group was (44.16±13.54) years, which was higher than that of the control group (35.23±9.24) years, and the difference was statistically significant (P<0.05). The hearing at damaged frequency of the study group improved by 6.5 (0.5, 24.5) dB after therapy, which was lower than that of the control group (36.0 [27.0, 38.0]dB), with statistically significant difference (P<0.05). There was a negative correlation of the interval of consultation with the average improvement level of hearing at damaged frequency (r=-0.318, P=0.033). The longer the interval, the less the hearing improvement and the worse the therapeutic effect. Correlation analysis was further conducted on the time interval from development of COVID-19 to SSNHL onset and the time interval of consultation in patients in the study group, which showed no correlation (r=-0.337, P=0.059). There was no statistically significant difference in the types and degree of SSNHL between two groups of patients (both P>0.05). After standardized treatment, the rate of ineffective patients in the study group was 56.25%, which was higher than that in the control group (15.38%), and the difference was statistically significant (P<0.05). Conclusion After adjusting the COVID-19 prevention and control policies, there are more hospitalized COVID-19 patients with SSNHL, with a higher proportion in patients of older age, with poorer efficacy, and ineffective treatment. The earlier the treatment for SSNHL patients, the better the effect can achieve. COVID-19 may be a potential inducement and/or etiological factor of SSNHL, and further research is needed.

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邓原,穆念念,周延贞,等. COVID-19突发性聋与非COVID-19突发性聋患者的临床特征比较[J]. 中国感染控制杂志,2025,24(6):815-822. DOI:10.12138/j. issn.1671-9638.20256920.
DENG Yuan, MU Niannian, ZHOU Yanzhen, et al. Comparison in clinical characteristics of sudden sensorineural hearing loss between patients with and without COVID-19[J]. Chin J Infect Control, 2025,24(6):815-822. DOI:10.12138/j. issn.1671-9638.20256920.

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  • 收稿日期:2024-08-27
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  • 在线发布日期: 2025-06-24
  • 出版日期: 2025-06-28