引用本文:张碧茹,徐嘉宝,杨嘉英,陈勇明,曾丽娜.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[J].中国临床新医学,2019,12(5):503-505.
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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
张碧茹,徐嘉宝,杨嘉英,陈勇明,曾丽娜
528308 佛山,南方医科大学顺德医院耳鼻咽喉头颈外科
摘要:
[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。
关键词:  老年人  突发性聋  疗效
DOI:10.3969/j.issn.1674-3806.2019.05.08
分类号:R 764.43
基金项目:广东省医学科学技术研究基金项目(编号:B2016064)
Audiological characteristics and curative effects of sudden deafness in elderly people of different ages
ZHANG Bi-ru, XU Jia-bao, YANG Jia-ying, et al.
Department of Otorhinolaryngology Head and Neck Surgery, Shunde Hospital of Southern Medical University, Foshan 528308, China
Abstract:
[Abstract] 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.
Key words:  Elderly people  Sudden deafness  Curative effects