海南省百岁老人听力敏锐度调查。
A survey on hearing acuity of centenarians in Hainan Province.
作者信息
Li Jianhui, Zhao Hui, Huang Bangqing, Zhang Shanshan, Sun Kaihua, Jiang Xinying, Luan Fuxin
机构信息
Department of Otolaryngology, Hainan Branch of PLA General Hospital, Sanya, 572000, China.
Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, #28 Fuxing Road, Beijing, 100853, China.
出版信息
J Otol. 2018 Dec;13(4):135-137. doi: 10.1016/j.joto.2018.11.008. Epub 2018 Nov 23.
OBJECTIVE
This study aimed to investigate hearing acuity of centenarians in Hainan Province and provide basis for interventional considerations.
METHOD
Door-to-door follow-up was conducted to investigate hearing acuity of centenarians (aged 100 years or above) in Hainan Province. Physical examination, pure tone audiometry and acoustic impedance test were performed, and the results were analyzed.
RESULT
A total of 460 centenarians (920 ears) were tested by pure tone audiometry. The rate of normal hearing was 0.2%, the rate of mild hearing loss was 1.5%, 12% for moderate hearing loss, 33.9% for moderate to severe hearing loss, 37.4% for severe hearing loss is and 15% for profound hearing loss. Acoustic impedance test was performed in 340 centenarians (668 ears). Tympanogram was type A in 41.2% of the ears, type As in 34.1% ears, type Ad in 6.4%, type B in 11.8%, and type C in 4.9% of the ears, while no response was elicited in 1.5% of the ears.
CONCLUSION
Age related sensorineural hearing loss is prevalent among centenarians in Hainan Province. A probably beneficial intervention may be the use of hearing aids for effective communication.
目的
本研究旨在调查海南省百岁老人的听力情况，为干预措施的制定提供依据。
方法
对海南省百岁及以上老人进行逐户随访，调查其听力情况。进行体格检查、纯音听力测试和声阻抗测试，并对结果进行分析。
结果
共对460名百岁老人（920只耳）进行了纯音听力测试。听力正常率为0.2%，轻度听力损失率为1.5%，中度听力损失率为12%，中度至重度听力损失率为33.9%，重度听力损失率为37.4%，极重度听力损失率为15%。对340名百岁老人（668只耳）进行了声阻抗测试。鼓室图A型耳占41.2%，As型耳占34.1%，Ad型耳占6.4%，B型耳占11.8%，C型耳占4.9%，1.5%的耳未引出反应。
结论
年龄相关性感音神经性听力损失在海南省百岁老人中普遍存在。使用助听器进行有效沟通可能是一种有益的干预措施。
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