老年人突发性聋的临床特征

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

A clinical study on sudden deafness in the elderly

Objective To study the clinical features, therapeutic efficacy and the affecting factors of sudden deafness(SD) in the elderly Methods Thirty five SD patients aged more than 60 years, and forty two young SD patients as a control were investigated Results The mean threshold of hearing for the control ears in the elders was higher than that in the young controls ( P <0 05); the total effective therapy rate in the elderly patients was 54 3%(19/35), lower than that in the young patients( P <0 05) The results also showed higher incidence in cardiovascular diseases in the elderly group than that in young group( P <0 01) Conclusions The treatment and the prognosis for hearing loss in elderly patients are not as effective as that in the controls