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目的 探讨老年人突发性聋 (突聋 )的发病特点、疗效及其影响因素。 方法 对 3 5例60岁以上老年突聋患者进行临床观察 ,并与 42例中青年突聋患者进行对比分析。 结果 初诊时对侧耳听阈平均值老年组为 (3 6 3± 10 2 )db ,对照组为 (10 5± 8 6)db ,老年组明显高于对照组 (P <0 0 5 ) ,且听力曲线主要为高频下降型 ;初诊时患耳听阈平均值老年组为 (89 5± 11 4)db ,对照组为(85 6± 13 2 )db ,治疗后老年组听力平均提高 2 1 3db ,对照组提高 3 6 3db(P <0 0 5 ) ,老年组治疗总有效率为 5 4 3 % (19/ 3 5 ) ,低于对照组 78 6% (3 3 / 42 ) ,且P <0 0 5 ;老年组 5 1 4% (18/ 3 5 )合并有心脑血管疾病 ,明显高于对照组 14 3 % (5 / 42 ) ,两组间比较差异有显著性 (P <0 0 1)。 结论老年人突聋发病前多已存在听觉系统退行性病变 ,且常合并较多的心脑血管疾病 ,这些因素均可影响其治疗效果和预后
Objective To explore the characteristics, therapeutic effect and influencing factors of sudden deafness (sudden deafness) in the elderly. Methods The clinical observation of 35 elderly patients with deafness over the age of 60 was performed and compared with 42 cases of young and middle-aged patients with sudden deafness. Results The average hearing threshold of contralateral ears was (3 6 3 ± 10 2) db in the old group and (10 5 ± 8 6) db in the control group at the time of first visit, which was significantly higher in the elderly group than in the control group (P 0 05) The mean value of hearing threshold was 89 5 ± 11 4 db in the elderly group and 85 ± 13 2 db in the control group, The control group increased 36 days (3d) (P <0.05), and the total effective rate in the elderly group was 54.3% (19/3 5), which was lower than 78.6% (33/42) in the control group and P <0 There was a significant difference between the two groups (P <0.01). There were 51.4% (18/3 5) patients with cardiovascular and cerebrovascular diseases in the elderly group, which was significantly higher than 14.3% (5/42) in the control group ). Conclusion There are many degenerative diseases of the auditory system before the onset of sudden deafness in the elderly, and they often have more cardiovascular and cerebrovascular diseases. All these factors may affect the therapeutic effect and prognosis