老年突发性聋患者临床特征及治疗效果分析

The Clinical Characteristics and Treatment Effects on Old Patients with Sudden Sensorinerural Hearing Loss

张洋;孙漫漫;秦兆冰;

1:郑州大学第一附属医院耳科

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6083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1983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1959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(P<0.05)。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(P>0.05),老年组痊愈率仅为10.61%,明显低于对照组(29.21%)(P<0.05)。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。

关键词

突发性聋;老年人;疗效

基金项目(Foundation):

作者

张洋;孙漫漫;秦兆冰;

参考文献

1 Thomas HA,Jeffrey PH.Incidence of sudden sensorineural hearing loss[J].Otology&Neurotology,2013,34:1586.

2 Nakashima T,Sato H,Gyo K,et al.Idiopathic sudden sensorineural hearing loss in Japan[J].Acta Oto-laryngologica,2014,134:1158.

3 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分会.突发性聋的诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50:443.

4 黄选兆,汪吉宝,孔维佳.实用耳鼻咽喉头颈外科学[M].第二版.北京:人民卫生出版社,2007.751~753.

5 侯志强,兰兰,王秋菊,等.老年突发性耳聋的临床特征和转归[J].中华耳科学杂志,2010,2:141.

6 Kakarlapudi V,Sawyer R,Staecker H.The effects of diabetes on sensorineural hearing loss[J].Oto Neurotol,2003,24:382.

7 秦兆冰.老年人突发性聋的临床特征[J].中华老年医学杂志,2003,2:95.

8 Stwffen S,Julia R,Katrin O,et al.Quantification of autonomic regulation in patients with sudden seneorineural hearing loss[J].Autonomic Neuroscience,Basic and Clinic,2014,178:9.

9 Fukui M,Kitagawa Y,Nakamura N,et al.Idiopathic sudden hearing loss in patients with type 2diabetes[J].Diabetes Research and Clinical Practice,2004,63:205.

10 Passamonti SM,Federica DB,Paolo B,et al.Risk factors for idiopathic sudden sensorineural hearing loss and their association with clinical outcome[J].Thrombosis Research,2015,135:508.

11 Malcolm K,Juen HH.Risk of sudden sensorineural hearing loss in patients with preexisting sensorineural hearing impairment:apopulation-based study in Taiwan[J].PLoS One,2015,10:1.

12 王大勇,郭志强,刘岩,等.不同年龄段突发性聋患者临床诊疗分析[J].中华耳鼻咽喉头颈外科杂志,2013,48:385.

13 中国突发性聋多中心临床研究协作组.中国突发性聋分型治疗的多中心临床研究[J].中华耳鼻咽喉头颈外科杂志,2013,48:355.

14 Ryu OH,Choi MG,Park CH,et al.Hyperglycemia as a potential prognostic factor of idiopathic sudden sensorineural hearing loss[J].Otolaryngology Head and Neck Surgery,2014,150:853.

15 Ljiljana C,Dragoslava D,Rudolf P,et al.Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss[J].Otology&Neurotology,2008,29:464.

16 Wu HP,Chou YF.Intratympanic steroid injections as a salvage treatment for sudden sensorineural hearing loss:a randomized,double-blind,placebo-controlled study[J].Otol Neurotol,2011,32:774.

17 Pajor A,Durko T,Gryzynski M.Prognostic factors in sudden deafness[J].Otolaryngology Pol,2003,57:271.

本文信息

PDF(114K)

本文关键词相关文章

突发性聋老年人疗效

本文作者相关文章

张洋孙漫漫秦兆冰