不同年龄段老年人突发性聋患者的听力学特点及疗效分析
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摘要
目的分析60岁以上老年人的突发性聋患者的听力学特点及疗效。方法回顾性分析2017-06～2018-09在南方医科大学顺德医院住院治疗的39例60～89岁老年人突发性聋患者的听力损失分级水平资料;比较<75岁组(25例)和≥75岁组(14例)的治疗效果。结果老年人突发性聋的听力损失情况严重,听力损失轻度占2.5%,中度占12.8%,重度占38.5%,极重度占46.2%。治疗前听力损失分级水平在<75岁组和≥75岁组间比较差异无统计学意义(P> 0.05);治疗后,<75岁组痊愈2例,显效4例,有效6例,无效13例;≥75岁组痊愈0例,显效0例,有效2例,无效12例,<75岁组疗效优于≥75岁组,差异有统计学意义(P <0.05)。结论老年人突发性聋患者的听力损失情况较严重,重度及极重度听力损失的比例较高,治疗效果较差,随着年龄的增长,治疗效果进一步下降。
Objective To analyze the audiological characteristics and the curative effects of sudden deafness in the elderly people aged 60 years and above.Methods Thirty-nine cases of senile sudden deafness,aged 60 to 89 years and hospitalized in Shunde Hospital of Southern Medical University from June 2017 to September 2018 were retrospectively analyzed,and their hearing loss levels were analyzed.The study subjects were divided into two groups:< 75 years old group(n = 25) and ≥75 years old group(n = 14),and the curative effects were compared between the two groups.Results The hearing loss was serious in the elderly people with sudden deafness,2.5% with mild hearing loss,12.8% with moderate hearing loss,38.5% with severe hearing loss and 46.2% with extremely severe hearing loss.There were no significant differences in the classification levels of hearing loss between the < 75 years old group and the ≥75 years old group(P > 0.05).After treatment,2 cases were cured,4 cases markedly effective,6 cases effective and 13 cases ineffective in the < 75 years old group,while 0 cases were cured,0 cases markedly effective 2 cases effective and 12 cases ineffective in the ≥75 years old group,with a significant difference in the curative effect between the two groups(P < 0.05).Conclusion The hearing loss of sudden deafness is serious in the elderly,and the proportion of severe and extremely severe hearing loss is high.The treatment effects are poor and decrease further with the increase of age.
Objective To analyze the audiological characteristics and the curative effects of sudden deafness in the elderly people aged 60 years and above.Methods Thirty-nine cases of senile sudden deafness,aged 60 to 89 years and hospitalized in Shunde Hospital of Southern Medical University from June 2017 to September 2018 were retrospectively analyzed,and their hearing loss levels were analyzed.The study subjects were divided into two groups:< 75 years old group(n = 25) and ≥75 years old group(n = 14),and the curative effects were compared between the two groups.Results The hearing loss was serious in the elderly people with sudden deafness,2.5% with mild hearing loss,12.8% with moderate hearing loss,38.5% with severe hearing loss and 46.2% with extremely severe hearing loss.There were no significant differences in the classification levels of hearing loss between the < 75 years old group and the ≥75 years old group(P > 0.05).After treatment,2 cases were cured,4 cases markedly effective,6 cases effective and 13 cases ineffective in the < 75 years old group,while 0 cases were cured,0 cases markedly effective 2 cases effective and 12 cases ineffective in the ≥75 years old group,with a significant difference in the curative effect between the two groups(P < 0.05).Conclusion The hearing loss of sudden deafness is serious in the elderly,and the proportion of severe and extremely severe hearing loss is high.The treatment effects are poor and decrease further with the increase of age.
引文
1中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会.突发性聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.
2 Nakashima T,Sato H,Gyo K,et al.Idiopathic sudden sensorineural hearing loss in Japan[J].Acta Otolaryngol,2014,134(11):1158-1163.
3冀云,李进伟.中国各地区分年龄老年人口增长状况分析[J].调研世界,2016,(5):41-46.
4孔维佳.老年性聋的研究进展[J].中国医学文摘(耳鼻咽喉科学),2010,25(3):159-160.
5 Schreiber BE,Agrup C,Haskard DO,et al.Sudden sensorineral hearing loss[J].Lancet,2010,375(9721):1203-1211.
6 Kawabate I,Yagi M,Kawashima T,et al.Sudden deafness in the elderly[J].Nihon Jibiinkoka Gakkai Kaiho,1994,97(2):233-239.
7李宏颖,翟瑞成.老年突发性聋64例临床观察[J].听力学及言语疾病杂志,2011,19(4):364-365.
8唐德萍,朱秋梅.突发性耳聋经颅多普勒检查的临床研究进展[J].中国临床新医学,2009,2(12):1325-1328.
9徐胜辉,郭亿莲.地塞米松鼓室内注射与静脉给药治疗突发性聋的疗效观察[J].中国临床新医学,2013,6(6):557-559.
10秦兆冰.老年人突发性聋的临床特征[J].中华老年医学杂志,2003,22(2):95-97.
11 Tiong TS.Prognostic indicators of management of sudden senso-rineural hearing loss in an Asian hospital[J].Singapore Med J,2007,48(1):45-49.
12 Pasamonti SM,Di Berardino F,Bucciarelli P,et al.Risk factors for idiopathic sudden sensorineural hearing loss and their association with clinical outcome[J].Thromb Res,2015,135(3):508-512.
13 Ryu OH,Choi MG,Park CH,et al.Hyperglycemia as a potential prognostic factor of idiopathic sudden sensorineural hearing loss[J].Otolaryngol Head Neck Surg,2014,150(5):853-858.
14 Cvorovic'L,Deric D,Probst R,et al.Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss[J].Otol Neurotol,2008,29(4):464-469.
2 Nakashima T,Sato H,Gyo K,et al.Idiopathic sudden sensorineural hearing loss in Japan[J].Acta Otolaryngol,2014,134(11):1158-1163.
3冀云,李进伟.中国各地区分年龄老年人口增长状况分析[J].调研世界,2016,(5):41-46.
4孔维佳.老年性聋的研究进展[J].中国医学文摘(耳鼻咽喉科学),2010,25(3):159-160.
5 Schreiber BE,Agrup C,Haskard DO,et al.Sudden sensorineral hearing loss[J].Lancet,2010,375(9721):1203-1211.
6 Kawabate I,Yagi M,Kawashima T,et al.Sudden deafness in the elderly[J].Nihon Jibiinkoka Gakkai Kaiho,1994,97(2):233-239.
7李宏颖,翟瑞成.老年突发性聋64例临床观察[J].听力学及言语疾病杂志,2011,19(4):364-365.
8唐德萍,朱秋梅.突发性耳聋经颅多普勒检查的临床研究进展[J].中国临床新医学,2009,2(12):1325-1328.
9徐胜辉,郭亿莲.地塞米松鼓室内注射与静脉给药治疗突发性聋的疗效观察[J].中国临床新医学,2013,6(6):557-559.
10秦兆冰.老年人突发性聋的临床特征[J].中华老年医学杂志,2003,22(2):95-97.
11 Tiong TS.Prognostic indicators of management of sudden senso-rineural hearing loss in an Asian hospital[J].Singapore Med J,2007,48(1):45-49.
12 Pasamonti SM,Di Berardino F,Bucciarelli P,et al.Risk factors for idiopathic sudden sensorineural hearing loss and their association with clinical outcome[J].Thromb Res,2015,135(3):508-512.
13 Ryu OH,Choi MG,Park CH,et al.Hyperglycemia as a potential prognostic factor of idiopathic sudden sensorineural hearing loss[J].Otolaryngol Head Neck Surg,2014,150(5):853-858.
14 Cvorovic'L,Deric D,Probst R,et al.Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss[J].Otol Neurotol,2008,29(4):464-469.