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75 岁以上人群听力随访 30 余年:听力改变了吗?

Hearing of 75-year old persons over three decades: has hearing changed?

机构信息

* Department of Audiology and Neurotology, Karolinska University Hospital, Stockholm and Department of Clinical Science, Intervention and Technology, Karolinska Institutet , Stockholm , Sweden.

出版信息

Int J Audiol. 2013 Nov;52(11):731-9. doi: 10.3109/14992027.2013.808381. Epub 2013 Sep 2.

Abstract

OBJECTIVE

The state of hearing in 75-year old persons was measured in a population based epidemiological study with the aim of studying if hearing had changed during a time span of 29 years.

DESIGN

An epidemiological study of generational effects in three age cohorts.

STUDY SAMPLE

Three age cohorts were included: cohort 1 (n: 267) born in 1976-77, cohort 4 (n: 197) in 1990-91, and cohort 6 (n: 570) in 2005. The same test procedures using pure-tone audiometry and a short questionnaire were applied to the three cohorts of 75-year old residents in the same city.

RESULTS

The hearing was essentially unchanged during the span of the investigation-almost three decades. Low-frequency hearing was up to about 10 dB poorer in the most recently studied cohort compared to the previously studied cohorts. The reason for this difference is considered to depend on methodological factors. Self-assessed hearing and tinnitus was mainly unchanged, or had minor changes both to the better and to the worse.

CONCLUSIONS

The hearing, both measured with pure-tone audiometry and with a short questionnaire, of 75-year old persons has not changed at all, or only marginally, over three decades.

摘要

目的

在一项基于人群的流行病学研究中测量 75 岁人群的听力状况,旨在研究听力在 29 年的时间跨度内是否发生了变化。

设计

对三个年龄队列的世代效应进行的流行病学研究。

研究样本

纳入了三个年龄队列:队列 1(n:267)出生于 1976-1977 年,队列 4(n:197)出生于 1990-1991 年,队列 6(n:570)出生于 2005 年。对同一城市的 75 岁居民的三个年龄队列应用相同的纯音测听和简短问卷测试程序。

结果

在调查期间,听力几乎没有变化——将近三十年。与之前研究的队列相比,最近研究的队列的低频听力差了约 10 分贝。这种差异的原因被认为取决于方法学因素。自我评估的听力和耳鸣基本上没有变化,或者有所改善或恶化。

结论

75 岁人群的听力,无论是通过纯音测听还是简短问卷测量,在三十年的时间里都没有发生任何变化,或者只有轻微的变化。

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