陈祥雷 张念武 赵丹 刘帅

    [摘要] 目的 探讨高血糖症对急性特发性感音神经性听力损失(ISSHL)患者预后的评估价值。 方法 选择2015年6月～2017年8月在日照市中医院耳鼻喉科就诊的94例ISSHL患者，根据糖耐量试验和糖化血红蛋白水平检测结果，将患者分为糖耐量正常组(45例)、糖尿病前期组(28例)和糖尿病组(21例)。所有患者治疗前后均进行纯音测听检查，比较三组患者听力恢复情况。 结果 糖耐量正常组听力恢复有效率高于糖尿病前期组和糖尿病组(P 0.05)。 结论 高血糖症可影响ISSHL患者的预后，可作为临床评估ISSHL患者的听力康复情况的指标。

    [关键词] 急性特发性感音神经性听力损失；糖耐量受损；高血糖症

    [中图分类号] R764.43 [文献标识码] A [文章编号] 1673-7210(2018)04(c)-0114-03

    Prognosis evaluation of patients with idiopathic sensorineural hearing loss by hyperglycemia

    CHEN Xianglei ZHANG Nianwu ZHAO Dan LIU Shuai

    Department of Otolaryngology， Rizhao Hospital of TCM， Shandong Province， Rizhao 276800， China

    [Abstract] Objective To evaluate the prognostic value of hyperglycemia in patients with idiopathic sensorineural hearing loss (ISSHL). Methods From June 2015 to August 2017， 94 patients with ISSHL treated at Department of Otolaryngology， Rizhao Hospital of TCM were selected and divided into normal glucose tolerance group (45 cases)， prediabetes group (28 cases) and diabetes mellitus group (21 cases) according to the results of glucose tolerance test and glycosylated hemoglobin level test. Before and after treatment ......