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经过突然的神经感官听力损失 (SSNHL) 后,衰老对听力结果的影响:一项回顾性研究

Jelena Vukelic¹, Diana Marzic¹, Anja Liovic²

¹Department of Audiology and Phoniatrics, Clinical Hospital Center Rijeka, Kresimirova 42, 51000, Rijeka, Croatia; University of Rijeka Faculty of Medicine, Brace Branchetta 20, 51000, Rijeka, Croatia.

Archives of gerontology and geriatrics

|June 13, 2025

概括

年龄影响突然感觉神经听力损失 (SSNHL) 的听力恢复. 虽然不是一个重要的独立因素,但年轻的患者通常会经历更好的结果,强调早期治疗以改善听力增益.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
听力学听力学是指听力学.
老年学是指老年学的学科.

背景情况:

突然感觉神经听力损失 (SSNHL) 是一种需要及时管理的耳科紧急情况.
患者年龄对SSNHL治疗后听力恢复的影响仍然是一个感兴趣的领域.

研究的目的:

为了研究老龄化对接受SSNHL治疗的患者听力结果的影响.
确定影响不同年龄组SSNHL患者听力恢复的因素.

主要方法:

对106名SSNHL患者的回顾性分析,分为年轻 (<65岁) 和老 (≥65岁) 队列.
听力结果的评估,包括绝对听力增长,以及与年龄,性别,治疗时间,高压氧气疗法 (HBOT),听力图类型和逆侧耳朵值的相关性.
开发一个多变量逻辑回归模型来预测听力结果.

主要成果:

年龄组之间的治疗结果没有统计学上显著的差异 (p = 0.053),但年轻的年龄与更好的康复相关.
在年龄和绝对听力增长之间发现了显著的负相关性 (r = -0.296,p < 0.05).
早期治疗 (p < 0.01),正常的逆侧耳门 (p < 0.05),症状持续时间 (p < 0.05) 和入耳式治疗 (p < 0.05) 是听力结果的显著预测因素.

结论:

早期开始治疗是SSNHL听力恢复成功的关键预测因素.
虽然年龄作为一个独立的预测因素没有达到统计学意义,但它与更好的结果的关联和对模型匹配的贡献强调了它的临床相关性.
考虑到年龄和强调及时干预的个性化治疗策略对于管理SSNHL至关重要.

关键词:

衰老的衰老衰老的衰老反担保的耳朵门.听力结果的结果.突然的感官神经神经听力损失.

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