老年梅尼埃病的临床特点及其影响因素

发布时间：2018-03-15 06:02

本文选题：梅尼埃病　切入点：自主神经功能紊乱　出处：《中国老年学杂志》2015年18期 　论文类型：期刊论文

【摘要】：目的探讨老年梅尼埃病(MD)的临床特点并分析其相关影响因素。方法选取98例MD患者,按年龄分为老年组47例,年轻组51例,分析两组的临床特点。选取50名健康老年人与老年病例分析相关影响因素。结果老年MD患者偏头痛、自身抗体阳性、猝倒、耳鸣和耳聋伴眩晕发生率分别为57.4%、17.0%、44.7%、72.3%和23.4%,对照组分别为15.7%、29.4%、17.6%、49.0%和9.8%,差异有统计学意义(P0.05);老年组6个月内眩晕发作次数、聋耳听力与年轻组比较差异有统计学意义(P0.05);经单、多因素Logistic回归分析,自主神经功能紊乱(OR=2.734,95%CI=1.324~9.877)、家族史(OR=1.697,95%CI=1.108~5.735)和内分泌紊乱(OR=1.121,95%CI=1.042~2.848)为影响老年人患MD的主要影响因素。结论老年MD患者临床特点主要为偏头痛、猝倒、耳鸣和耳聋伴眩晕发生率高,自身抗体阳性率低,眩晕发作次数高和聋耳听力下降严重。自主神经功能紊乱、家族史和内分泌紊乱为影响老年人患MD的主要影响因素。
[Abstract]:Objective to investigate the clinical characteristics of senile Meniere disease (MDD) and analyze the related factors. Methods 98 patients with MD were divided into elderly group (n = 47) and young group (n = 51) according to their age. The clinical characteristics of the two groups were analyzed. Fifty healthy elderly patients were selected to analyze the related factors. Results the migraine, autoantibody positive and sudden fall were found in the elderly patients with MD. The incidences of tinnitus and deafness with vertigo were 57.4% and 23.4%, respectively. In the control group, they were 15.72.429.429.49.6g% and 9.8g, respectively. The difference was statistically significant (P 0.05); the number of vertigo attacks in the elderly group was significantly different from that in the young group (P 0.05). Multivariate Logistic regression analysis showed that the main influencing factors of MD in the elderly patients with autonomic nervous dysfunction were 1.324 ~ 9.877 and 1.697 / 95CI1.108 / 5.735 and 1.121 / 95CIN 1.0422.848). Conclusion the main clinical characteristics of elderly patients with MD are migraine, sudden fall, sudden fall. The incidence of tinnitus and deafness with vertigo was high, the positive rate of autoantibody was low, the frequency of vertigo attack was high and hearing loss was serious.
【作者单位】：成都363医院耳鼻咽喉头颈外科;
【分类号】：R764.33

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