老年突发性聋患者临床特征及治疗效果分析

发布时间：2018-04-16 12:19

本文选题：突发性聋 + 老年人　；参考：《听力学及言语疾病杂志》2016年03期

【摘要】：目的分析老年突发性聋患者的临床特征及治疗效果。方法回顾性分析2013年9月至2015年3月经郑州大学第一附属医院耳科确诊并治疗的66例老年单耳突发性聋患者(年龄60~83岁,老年组)的临床资料,另选择同期住院治疗的291例中青年单耳突发性聋患者(年龄19~59岁)为对照组,比较两组患者的临床特征及治疗效果。结果老年组听阈曲线为低频下降型者占1.51%,低于对照组(14.43%,P=0.004);高频下降型(22.73%)和全聋型(50.0%)高于对照组(分别为15.46%、39.52%);老年组中伴随全身疾病(高血压、糖尿病等,60.61%)及对侧耳存在听力损失(57.58%)的患者所占比例较对照组(分别为17.53%、19.93%)高(P0.05)。两组患者总有效率为70.03%,老年组与对照组的总有效率分别为60.61%、72.16%,差异无统计学意义(P0.05),老年组痊愈率仅为10.61%,明显低于对照组(29.21%)(P0.05)。结论老年突聋患者多伴有高血压、糖尿病等全身疾病或者发病前患耳可能存在不同程度听力损失;突聋耳听力损失更易发生在高频或全频,治疗总有效率与中青年组相似,但痊愈率较低。
[Abstract]:Objective to analyze the clinical features and therapeutic effect of elderly patients with sudden deafness.Methods from September 2013 to March 2015, the clinical data of 66 elderly patients with mono-auricular sudden deafness (60 ~ 83 years old, aged 60 ~ 83 years) confirmed and treated by otology in the first affiliated Hospital of Zhengzhou University were retrospectively analyzed.Another 291 young and middle-aged patients with monaural sudden deafness (age 1959 years) were selected as control group. The clinical characteristics and therapeutic effects of the two groups were compared.Results in the aged group, the hearing threshold curve of low frequency decreased type was 1.51g, which was lower than that of the control group (14.43B, P 0.004; the high frequency descending type, 22.73g) and the total deafness type (50.0g), which was higher than that of the control group (15.46460.39.52%, respectively), and was accompanied by systemic diseases (hypertension) in the elderly group.The proportion of patients with diabetes mellitus (60.61) and contralateral ear hearing loss (57.58) was higher than that of control group (17.53% 19.93).The total effective rate of the two groups was 70.03. The total effective rate of the elderly group and the control group was 60.61 and 72.16, respectively. The difference was not statistically significant (P 0.05). The cure rate of the elderly group was only 10.61, which was significantly lower than that of the control group (29.21%).Conclusion hearing loss may exist in the elderly patients with sudden deafness due to hypertension, diabetes mellitus and other systemic diseases, and hearing loss is more likely to occur at high or full frequency, and the total effective rate of the treatment is similar to that of the young and middle-aged group.But the cure rate was low.
【作者单位】：郑州大学第一附属医院耳科;
【分类号】：R764.437

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