【摘要】 目的:分析老年突发性耳聋患者药物治疗的近期疗效。方法:将突发性耳聋患者依据年龄分为老年组(年龄≥60岁,70例)和对照组(年龄<60岁,70例),7 d一疗程,复查纯音测听结果,比较治疗前后听力改善情况。结果:老年组患者治疗前后患耳言语频率平均听阈提高,差异有统计学意义(P<0.05);老年组突聋患者发病时间(≤7 d)治疗有效率为61.76%,老年组(发病时间>7 d)治疗有效率为38.89%,差异有统计学意义(P<0.05),老年性突聋患者总有效率为49.9%;老年突发性耳聋患者在中度耳聋以下(听阈<55 dB)有效率52%,对照组有效率84.62%,差异有统计学意义(P<0.05),而在中重度耳聋患者治疗率差异无统计学意义。结论:病程对于老年突发性耳聋患者预后有重要的影响,尽早的改善末梢血管微循环障碍,可以明显的改善预后;老年突聋患者的预后比年轻患者差。更多还原

【Abstract】 Objective:To analysis the short-term medicinal treating effects in senile sudden deafness.Method:According the age,The sudden deafness patients were divided into two groups,older age-group( age≥60,a total of 70 cases),control group( age < 60,a total of 70 cases),period of treatment was 7 days,the result of pure tone test were reviewed,compared the improvement before and after treatment.Result:After treatment,the average hearing threshold of the older age-patients was improved,There was statistical difference( P < 0.05); effective rate of the senile sudden deafness patients( disease tim ≤7 days) was 61.76%,( disease time > 7 days) was 38.89%,There was statistical difference( P < 0.05); the total effective rate of the senile sudden deafness patients was 49.9%; the senile sudden deafness patients which following moderate deafness( hearing threshold < 55 dB),effective rate was 52%,control group was 84.62%,There was statistical difference( P < 0.05),but there was no significant difference in the patients with severe hearing loss.Conclusion:The Course of disease has important significance for the prognosis of the senile sudden deafness patients,As soon as possible to improve peripheral vascular microcirculation,the prognosis could be improve conspicuously;the prognosis of the senile sudden deafness patients were worse than the young patients.更多还原