18571例耳鸣患者年龄分布特征的临床分析  

Age Distribution Characteristics in 18571 Patients with Tinnitus

作　　者：丁韶洸 许慧娟 陈香宇 李明杨 贾晓东[1,2,3] 谢存存 丁岩 徐改萍 丁晓丽 王广科[1,2,3] 刘宏建 DING Shaoguang;XU Huijuan;CHEN Xiangyu;LI MingYang;JIA Xiaodong;XIE Cuncun;DING Yan;XU Gaiping;DING Xiaoli;WANG Guangke;LIU Hongjian(Department of Otolaryngology Head and Neck Surgery,Henan Provincial People's Hospital,People’s Hospital of Zhengzhou University,People’s Hospital of Henan University,Zhengzhou 450003,China;不详)

机构地区：[1]河南省人民医院耳鼻咽喉头颈外科,郑州450003 [2]河南大学人民医院耳鼻咽喉头颈外科 [3]郑州大学人民医院耳鼻咽喉头颈外科 [4]河南省人民医院信息中心

出　　处：《中华耳科学杂志》2024年第4期583-587,共5页Chinese Journal of Otology

摘　　要：目的分析18571例耳鸣患者的年龄分布特征。方法选取2018年1月至2021年12月河南省人民医院耳鼻咽喉头颈外科以耳鸣为主诉就诊的患者18571例,年龄6~98岁,平均年龄(45.88±16.03)岁,按照联合国世界卫生组织以及中国对年龄的划分标准将耳鸣患者分为不同年龄阶段,包括青年阶段(6~44岁)8721例、中年阶段(45~59岁)6197例以及老年阶段(60~98岁)3653例,其中青年阶段分为儿童组(≤14岁)、青年组(15~29岁)、壮年组(30~44岁),中年阶段分为中年组(45~59)岁,老年阶段分为年轻老年组(60~74岁)、老年组(75~89岁)、长寿老年组(≥90岁)。分析不同年龄阶段耳鸣患者的年龄分布特征以及不同组别之间男女耳鸣患者就诊数量的比例。结果不同年龄阶段耳鸣患者的年龄分布有两个高峰,一个是青年阶段的30~35岁,另一个是中年阶段的52~58岁。其中男性耳鸣患者以青年阶段为主高峰,女性耳鸣患者以中年阶段为主高峰。青年阶段、中年阶段与老年阶段男女耳鸣患者就诊数量比较,差异有统计学意义(P<0.05);儿童组和青年组与壮年组男女耳鸣患者就诊数量比较,差异无统计学意义(P=0.418),男性耳鸣患者的就诊数量均高于女性耳鸣患者;年轻老年组、老年组及长寿老年组男女耳鸣患者就诊数量比较,差异无统计学意义(P=0.119),女性耳鸣患者的就诊数量均高于男性耳鸣患者。结论耳鸣人群基数虽大,但就诊的耳鸣患者比例并不高;耳鸣与患者的年龄存在相关性,随着年龄的增长,耳鸣的患病率也随之增高。男女耳鸣患者就诊数量比例和年龄高峰的差异提示,男女耳鸣患者之间耳鸣的发病机制可能不同。Objective To report age distribution characteristics in 18571 tinnitus patients.Methods Age data from 18571 patients presented to the Department of Otolaryngology Head and Neck Surgery,Henan Provincial People's Hospital,from January 2018 to December 2021 with tinnitus as the primary complaint(aged 6-98 years,mean=45.88±16.03 years)were divided into different age stagesaccording to the age classification standards of the World Health Organization and domestic standards,i.e.young(6-44 years,n=8721),middle aged(45-59 years,n=6197)and elderly(60-98 years,n=3653).were.The patients were.The young age group was further categorized as children(≤14 years),youth adults(15-29 years)and young middle-aged(30-44 years).The elderly group was further divided into an early elderly group(60-74 years),an elderly group(75-89 years)and a longevity group(≥90 years).Age and gender distribution characteristics were analyzed among the groups.Results Two peaks were identified at 30-35 years and 52-58 years old.Male patients showed a predominant peak in the youth group,while female patients showed a predominant peak in the middle age group,with a gender difference among all age groups(P<0.05),similarly among the children,young adults and young middle aged groups(P=0.418).There was more female patients than male patients among all the subgroups in the elderly group(P=0.119).Conclusion Despite the large population of individuals with tinnitus,only a small proportion of them seek medical treatment.With the increase of age,the prevalence of tinnitus increases.The differences in the number of visits and peak age between male and female gender suggest potentially gender-based different pathogenesis in tinnitus.

关 键 词：耳鸣患者 年龄分布 耳鸣 流行病学 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]