Objective:The aim of this study is to analyze the clinical features of cochlear migraine. Methods:The clinical data of cases of cochlear migraine were collected, and the clinical symptoms and hearing examination results were analyzed. Results:The ratio of male to female patients with cochlear migraine was 1∶3.1; the peak incidence was between 30 to 60 years old; the clinical symptoms were tinnitus in 61 people（70%）, mild hearing loss in 52 people（60%）, aural fullness in hyperacusis in 13 people（15%）, auditory allergy in 9 people（10%） and otalgia in 5 people（6%）; the audiology characteristic was that 61.5%（32/52） of patients with hearing loss showed mild high-frequency neurological hearing loss, 34.6%（18/52） of patients showed mild low-frequency neurological hearing loss, and 3.8%（2/52） of patients showed full-frequency mild neurological hearing loss; the effective rate of tinnitus treatment was 57.4%, the effective rate of hearing loss was 71.2%, and the effective rate of aural fullness was 69.2%, the effective rate of hyperacusis is 66.7% and the effective rate of otalgia is 60.0%. Conclusion:The clinical characteristics of cochlear migraine are summarized, which provides a basis for the intervention of anti-migraine treatment programs for inner ear diseases.
目的：分析耳蜗型偏头痛的临床特征。 方法：收集87例耳蜗型偏头痛患者的临床资料，对其临床症状和听力检查结果进行分析。 结果：耳蜗型偏头痛患者的男女比例为1∶3.1；30~60岁是发病高峰；临床症状有耳鸣61例（70%）、轻度听力下降52例（60%）、耳闷13例（15%）、听觉过敏9例（10%）和耳痛5例（6%）；61.5%（32/52）的听力下降患者表现为高频轻度神经性聋，34.6%（18/52）的患者表现为低频轻度神经性聋，3.8%（2/52）的患者表现为全频轻度神经性聋。经抗偏头痛治疗，耳鸣、听力下降、耳闷、听觉过敏、耳痛的有效率分别为57.4%、71.2%、69.2%、66.7%和60.0%。 结论：对耳蜗型偏头痛临床特点的总结，为内耳疾病的抗偏头痛治疗方案介入提供了依据。.
Keywords: aural fullness; cochlear migraine; deafness; hyperacusis; tinnitus.
Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.