Bogardus Sidney T, Yueh Bevan, Shekelle Paul G
Department of Medicine, Yale University School of Medicine, New Haven, Conn, USA.
JAMA. 2003 Apr 16;289(15):1986-90. doi: 10.1001/jama.289.15.1986.
Hearing loss is one of the most common chronic health conditions and has important implications for patient quality of life. However, hearing loss is substantially underdetected and undertreated. We present clinical cases to illustrate common situations in which primary care physicians may be called on to identify or to manage hearing loss. With the data reported in the companion scientific review as a guide, we present potential answers to important questions pertaining to hearing loss and suggest ways in which primary care physicians can improve the detection, evaluation, and treatment of hearing loss. The cases focus on screening for chronic hearing loss, evaluation of hearing loss, and treatment of patients with presbycusis.
听力损失是最常见的慢性健康问题之一,对患者的生活质量有重要影响。然而,听力损失的检测和治疗严重不足。我们展示临床病例以说明基层医疗医生可能需要识别或管理听力损失的常见情况。以配套科学综述中报告的数据为指导,我们给出与听力损失相关重要问题的潜在答案,并建议基层医疗医生改善听力损失检测、评估和治疗的方法。这些病例侧重于慢性听力损失的筛查、听力损失的评估以及老年性聋患者的治疗。