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台湾南部老年人群中持续性耳鸣和头晕的患病率

Prevalence of Persistent Tinnitus and Dizziness in an Elderly Population in Southern Taiwan.

作者信息

Chang Ning Chia, Dai Chia Yen, Lin Wen Yi, Yang Hua Ling, Wang Hsun Mo, Chien Chen Yu, Ho Kuen Yao

机构信息

Department of Otorhinolaryngology, Kaohsiung Medical University, School of Medicine, Kaohsiung, Taiwan;Health Management Center, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.

Department of Internal Medicine, Kaohsiung Medical University, School of Medicine, Kaohsiung, Taiwan.

出版信息

J Int Adv Otol. 2019 Apr;15(1):99-105. doi: 10.5152/iao.2019.6257.

Abstract

OBJECTIVES

Tinnitus and dizziness are common among the elderly. The conditions may increase depression, and patients may become susceptible to falls, thereby affecting the quality of life of the geriatric population. Investigating the prevalence of persistent tinnitus and chronic/recurrent dizziness in an elderly population and analyzing the association of certain comorbidities with tinnitus and dizziness in southern Taiwan were the main purposes of this study.

MATERIALS AND METHODS

This was a cross-sectional study performed in a metropolitan hospital. Hearing tests were conducted in a total of 597 volunteers aged ≥65 years involving 322 (53.9%) men and 275 (46.1%) women recruited in the study. The pure tone average (PTA) and hearing handicap (HH) score were calculated. Patients completed questionnaires regarding the history of hypertension and diabetes and symptoms of tinnitus and dizziness. The association of gender, age, PTA/HH, body mass index (BMI), hypertension, diabetes, and metabolic syndrome (MetS) with tinnitus and dizziness were analyzed.

RESULTS

The prevalence of persistent tinnitus and chronic/recurrent dizziness was 32.0% and 24.1%, respectively. Tinnitus or dizziness were not associated with age, BMI, hypertension, diabetes, and MetS but was associated with hearing impairment. Women and those with fasting glucose levels <100 mg/dL were more likely to experience dizziness.

CONCLUSION

Persistent tinnitus and dizziness were common in an elderly population in southern Taiwan. These findings may help develop strategies to promote the quality of life in the elderly population.

摘要

目的

耳鸣和头晕在老年人中很常见。这些情况可能会增加抑郁情绪,患者可能容易跌倒,从而影响老年人群的生活质量。本研究的主要目的是调查台湾南部老年人群中持续性耳鸣和慢性/复发性头晕的患病率,并分析某些合并症与耳鸣和头晕的关联。

材料与方法

这是一项在一家大都市医院进行的横断面研究。对总共597名年龄≥65岁的志愿者进行了听力测试,其中包括322名(53.9%)男性和275名(46.1%)女性参与了该研究。计算了纯音平均听阈(PTA)和听力障碍(HH)得分。患者完成了关于高血压和糖尿病病史以及耳鸣和头晕症状的问卷调查。分析了性别、年龄、PTA/HH、体重指数(BMI)、高血压、糖尿病和代谢综合征(MetS)与耳鸣和头晕的关联。

结果

持续性耳鸣和慢性/复发性头晕的患病率分别为32.0%和24.1%。耳鸣或头晕与年龄、BMI、高血压、糖尿病和MetS无关,但与听力障碍有关。女性和空腹血糖水平<100 mg/dL的人更容易出现头晕。

结论

持续性耳鸣和头晕在台湾南部老年人群中很常见。这些发现可能有助于制定提高老年人群生活质量的策略。

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