上海地区老年耳鸣患者的影响因素分析  

Influencing Factors Analysis of Elderly Tinnitus Patients in Shanghai

作　　者：李海涛 刘广宇 霍岩 李明[1] 张剑宁[1] Li Haitao;Liu Guangyu;Huo Yan;Li Ming;Zhang Jianning(Department of Otolaryngology,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University ofTraditional Chinese Medicine,Shanghai,200437,China;Department of Traditional Chinese Medicine,Chengqiao Community Health Service Center,Chongming District;不详)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院耳鼻咽喉科,上海200437 [2]上海市崇明区城桥镇社区卫生服务中心中医科

出　　处：《听力学及言语疾病杂志》2024年第3期253-257,共5页Journal of Audiology and Speech Pathology

基　　金：上海市卫生健康委员会中医药传承和科技创新项目(ZYCC2019006);上海市进一步加快中医药事业发展三年行动计划[ZY(2021-2023)-0208];上海申康医院发展中心临床科技创新项目(SHDC12019119)

摘　　要：目的研究上海崇明岛城桥地区老年人群耳鸣发生情况,并探讨相关影响因素,为老年人耳鸣的科学防治提供参考。方法运用问卷调查、量表评估、纯音听阈测试等方法,调查2019年6月至2021年12月期间6358例上海崇明区城桥镇社区卫生服务中心老年体检人群耳鸣发生情况,采用单、多因素分析方法分析性别、年龄、听力情况、睡眠质量、焦虑抑郁状态、饮酒史、吸烟史、噪声暴露史、耳毒性药物应用史、高血压、糖尿病、高血脂症、冠心病等13个因素对老年耳鸣患者的影响。结果①6358例老年人中,耳鸣2110例,耳鸣发生率为33.2%(2110/6358);慢性耳鸣1712例(81.1%);双侧耳鸣1156例(54.8%);THI评分II级(轻度)耳鸣患者1012例(48%);平均听阈≥25 dB HL者2030例(96.2%)。②单因素分析显示,年龄、听力情况、睡眠质量、焦虑抑郁、噪声接触史、耳毒性药物史、高血压病史与耳鸣发生有关;进一步二元Logistic回归分析显示,年龄增长(OR=1.10,95%CI 1.09~1.11,P<0.001)、听力下降(OR=5.56,95%CI 4.31~7.18,P<0.001)、睡眠障碍(OR=3.32,95%CI 2.82~3.91,P<0.001)、焦虑抑郁(OR=2.02,95%CI 1.71~2.39,P<0.001)、噪声接触史(OR=3.67,95%CI 3.20~4.21,P<0.001)、耳毒性药物应用史(OR=2.20,95%CI 1.84~2.64,P<0.001)、高血压病史(OR=1.73,95%CI 1.53~1.95,P<0.001)将增加耳鸣的发生风险。结论本组崇明岛城桥地区老年人耳鸣发生率较高,年龄、听力情况、睡眠质量、焦虑抑郁、噪声接触史、耳毒性药物史、高血压病史等因素是老年人耳鸣发生的危险因素。Objective To study the occurrence of tinnitus in elderly population in the Chengqiao area of Chongming Island,Shanghai,and explore the influencing factors,so as to provide reference for prevention and treatment of tinnitus in special areas.Methods A combination of questionnaire surveys,scale assessments,and pure-tone audiometry test were employed in this study.The study involved 6358 elderly individuals who underwent health examinations at the Chengqiao Town Community Health Service Center in Chongming,Shanghai,from June 2019 to December 2021.Single and multiple factor analysis methods were used to analyze the impact of 13 factors,including gender,age,hearing status,sleep quality,anxiety and depression status,history of alcohol consumption,smoking history,history of noise exposure,history of ototoxic drug use,hypertension,diabetes,hyperlipidemia,and coronary heart disease on tinnitus in the elderly population.Results①Among the 6358 elderly cases,there were 2110 cases with tinnitus,and the incidence rate of tinnitus was 33.2%(2110/6358),and 1712 cases were chronic tinnitus(81.1%),and 1156 cases were bilateral tinnitus(54.8%).According to THI score,there were 1012 patients(48%)were mild tinnitus,and 2030 patients(96.2%)with average hearing threshold≥25 dB HL.②Univariate analysis showed that age,hearing status,sleep quality,anxiety and depression,history of noise exposure,history of ototoxic drugs,and history of hypertension were related to the occurrence of tinnitus.Further binary logistic regression analysis showed that increasing age(OR=1.10,95%CI 1.09~1.11,P<0.001),hearing loss(OR=5.56,95%CI 4.31~7.18,P<0.001),sleep disorder(OR=3.32,95%CI 2.82~3.91,P<0.001),anxiety depression(OR=2.02,95%CI 1.71~2.39,P<0.001),history of noise exposure(OR=3.67,95%CI 3.20~4.21,P<0.001),history of ototoxic drugs(OR=2.20,95%CI 1.84~2.64,P<0.001)and history of hypertension(OR=1.73,95%CI 1.53~1.95,P<0.001)increased the risk of tinnitus.Conclusion The incidence of tinnitus in the elderly people in the Chengqiao area of Chongming i

关 键 词：耳鸣 流行病学调查 老年人 影响因素 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]