老年性耳聋听力损失调查及其药物治疗效果评价

Investigation of hearing loss in senile deafness and the effect evaluation of drug treatment

目的了解≥60岁主诉听力下降老年人耳聋或听力损伤情况,探讨药物治疗方法的有效性。方法选取2018年1~9月我院门诊收治的60例主诉听力下降患者作为研究对象,均予以纯音听阈测定及声导抗检查。以世界卫生组织制定的听力损失分级对其进行评估;考察其不同年龄段的听阈情况;对听力损失患者进行改善微循环及营养神经治疗2~4周,1个月后测试其纯音听阈水平,评价干预效果。结果 60名患者有54例105耳存在不同程度的听力损失,听力损失主要集中在听阈为26~<90 dB的轻度、中度、中重度、重度;不同年龄段不同频率患者的纯音听阈比较,差异均有统计学意义(P<0.05),随年龄增长呈升高趋势;药物治疗的总有效率为14.81%。结论≥60岁的老年人多存在不同程度的听力损失,损失程度随年龄增长而加重,予以药物治疗效果欠佳。

Objective To understand the deafness or hearing impairment in the elderly who complained of hearing loss over 60 years old, and to explore the effectiveness of drug therapy. Methods Sixty patients with complaint of hearing loss admitted to our hospital from January to September 2018 were selected as the study subjects, all patients were examined by pure tone audiometry and acoustic immittance test. They were assessed according to the hearing loss classification established by the World Health Organization. The hearing thresholds of different age groups were investigated.The patients with hearing loss were treated with microcirculation improvement and neurotrophic therapy for 2 to 4 weeks, the pure tone hearing threshold level was tested after 1 month to evaluate the intervention effect. Results A total of 60 patients, 54 had hearing loss in 105 ears, hearing loss is mainly concentrated in the mild, moderate, moderate and severe and severe stages with hearing threshold of 26-<90 d B. There were significant differences in pure tone hearing thresholds between different age groups and different frequencies(P<0.05), which tended to increase with the increase of age. The total effective rate of drug treatment was 14.81%. Conclusion Elderly people over 60 years old mostly suffer from hearing loss in varying degrees, the degree of hearing loss increases with age, and the effect of drug treatment is not good.