老年突发性耳聋87例临床诊治分析  

Clinical analysis on 87 cases of senile sudden deafness

作　　者：刘晖[1] 张文[1] 李世东[1] 王骏[1] 王鑫[1] 

机构地区：[1]陕西省人民医院耳鼻咽喉头颈外科,陕西西安710068

出　　处：《中国耳鼻咽喉颅底外科杂志》2014年第2期93-95,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然科学基金面上项目(81072649);陕西省自然科学基础研究计划项目(2010JM4013)

摘　　要：目的探讨老年突发性耳聋的发病特点、疗效及其影响因素。方法对87例(87耳)60岁以上老年突聋患者进行临床观察,并选取98例(98耳)同期治疗的中青年突发性耳聋患者作为对照。结果老年组听力曲线以下降型为多见,对照组则以上升型和平坦型为多见,各组治疗前后比较,差异具有统计学意义(P<0.05)。老年组与对照组治愈率和总有效率比较差异具有统计学意义(P均<0.05)。老年组伴有心脑血管疾病率54.02%(47/87)明显高于对照组26.53%(26/98)。结论老年突发性耳聋患者常伴随有全身其他病变存在,其典型症状除了听力减退以外,以言语交流困难为主要特征。而全身其他疾患也可能是老年突发性耳聋的发生原因。多因素可影响老年突发性耳聋的治疗效果及其预后。Objective To study the clinical features, therapeutic efficacy and influencing factors of sudden deafness （SD） in the elderly. Methods 87 SD patients aged more than 60 （years） were included and 98 young and middle aged SD patients were selected as control. Results Descending hearing curve was common in the elderly group, while ascending and flat curves appeared frequently in the control group. Excellent therapeutic effect was obtained in both groups. But statistical analysis showed significant difference between the two groups, including the total healing rate and effective rate（ P 〈0.05 ）. The results also showed the incidence of cardiovascular diseases in the elderly group （54. 02 % ） was higher than that in the control group （26. 53 % ）. Conclusions Senile SD patients are often accompanied by other health problems which may be the cause of their deafness. Fatigue and emotional fluctuation are the leading causes of SD in middle-aged and young patients. Multiple factors can influence the prognosis of this disease in the elderly.

关 键 词：耳聋 突发性 老年人 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]