Departamento de Saúde Comunitária, Faculdade de Medicina, Universidade Federal do Ceará.
Braz J Otorhinolaryngol. 2009 Mar-Apr;75(2):249-55. doi: 10.1016/s1808-8694(15)30786-2.
Population aging it is a current reality in Brazil and tinnitus appears as a very prevalent symptom, having a high impact on the quality of life of elderly patients.
To evaluate and to characterize tinnitus in this group.
A research questionnaire randomly given to 100 elderly patients in a tertiary hospital, asking about tinnitus characteristics, its impact on the life of the patient, and personal medical history.
61% of the participants were female, average age average was 69.53 years. The results associated with tinnitus features were: no-pulsatile 76%, continuous 54%, bilateral 57%, recent 62% and alone 83%;32,5% had emotional disorders, 31.8% had sleep disorders, 22.5% had difficulties concentration and 13.2% had social problems; 39% classified their tinnitus in moderate; 35% had intense tinnitus and 26% considered it a mild one: as to comorbidities: relation with neurotology symptoms and hypertension; as for associations with audiometry findings: descending, sensorineural and symmetrical curves prevailed.
Tinnitus has a relevant impact on the lives of the elderly; there was no correlation between the level of hearing loss and the level of patient dissatisfaction caused by tinnitus; and presbycusis was the most common finding in the audiometric tests.
目的:评估和描述该人群中的耳鸣情况。
材料和方法:在一家三级医院,我们随机向 100 名老年患者发放了一份研究问卷,询问他们耳鸣的特征、对生活的影响以及个人病史。
结果:61%的参与者为女性,平均年龄为 69.53 岁。与耳鸣特征相关的结果为:无搏动性 76%、持续性 54%、双侧性 57%、近期发生 62%、单独发生 83%;32.5%有情绪障碍,31.8%有睡眠障碍,22.5%有注意力集中困难,13.2%有社会问题;39%将耳鸣评定为中度,35%评定为重度,26%评定为轻度。关于合并症:与神经耳科学症状和高血压有关;与听力测试结果的关联:下降、感音神经性和对称曲线居多。
结论:耳鸣对老年人的生活有显著影响;听力损失的程度与耳鸣引起的患者不满程度之间没有相关性;而老年性聋是听力测试中最常见的发现。