老年突发性聋患者的临床特征及预后分析  

Clinical Features and Prognostic Analysis of Sudden Sensorineural Hearing Loss in Older Adults

作　　者：郝香月 林姗姗 姚良忠[1] 潘智灵[1] 朱艳丽[1] 刘俊捷[1] HAO Xiangyue;LIN Shanshan;YAO Liangzhong;PAN Zhiling;ZHU Yanli;LIU Junjie(Department of Otolaryngology,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,China)

机构地区：[1]广东药科大学附属第一医院耳鼻咽喉科,广东广州510080

出　　处：《河南医学研究》2024年第22期4102-4105,共4页Henan Medical Research

摘　　要：目的研究老年突发性聋(SSNHL)患者的临床特征,并对其预后情况进行分析。方法对广东药科大学附属第一医院耳鼻咽喉科2020年1月至2023年12月收治的共计127例单侧SSNHL患者的临床资料进行回顾性分析,将年龄≥60岁的老年患者纳入试验组(53例),将20~59岁的中青年患者纳入对照组(74例),对两组患者的临床特征及预后进行比较分析。结果两组患者在性别构成及患病耳侧分布上的差异无统计学意义(P>0.05);两组患者表现出耳鸣、耳闷、眩晕的临床症状,但仅耳闷症状组间比较差异有统计学意义(P<0.05);试验组高血压的患病率高于对照组(P<0.05),而两组糖尿病和高脂血症的患病率比较,差异无统计学意义(P>0.05)。与对照组相比,试验组患者的低频下降型较少、听力损失程度较重,临床治疗总有效率较低,差异有统计学意义(P<0.05)。结论老年SSNHL患者具有耳闷症状较少、高血压患病率较高、低频下降型占比较低、听力损失程度较重的临床特征,这些特征可能是造成老年SSNHL治疗效果较差的因素。Objective To investigate the clinical features and prognosis of sudden sensorineural hearing loss(SSNHL)in older adults.Methods The clinical data of 127 patients with unilateral SSNHL admitted to the Department of Otolaryngology,the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2020 to December 2023 were retrospectively reviewed.They were divided into the experimental group aged≥60 years old(53 cases)and the control group aged 20-59 years old(74 cases).The clinical features and prognosis of the two groups were compared.Results There were no differences in gender and ear side between the two groups(P>0.05).The two groups of patients showed clinical symptoms of tinnitus,ear tightness,vertigo,but only the difference in ear tightness symptom between the two groups were statistically significant(P<0.05).The prevalence of hypertension in the experimental group was higher than that in the control group(P<0.05),but there was no significant difference in the prevalence of diabetes and hyperlipidemia between the two groups(P>0.05).Compared with the control group,the low frequency drop type in the experimental group was less,the hearing loss was more severe,and the total effective rate of clinical treatment was lower,and the differences were statistically significant(P<0.05).Conclusion The older patients with SSNHL have the clinical features of less ear tightness,higher prevalence of hypertension,relatively rare low frequency drop type and more severe hearing loss,which may be the factors contributing to the poorer outcome of SSNHL treatment in older adults.

关 键 词：突发性聋 老年人 临床特征 预后 

分 类 号：R764[医药卫生—耳鼻咽喉科]