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年龄相关性听力损失:干预措施的最新全面综述

Age-related hearing loss: An updated and comprehensive review of the interventions.

作者信息

Tavanai Elham, Rahimi Vida, Khalili Mohammad Ehsan, Falahzadeh Somayeh, Motasaddi Zarandy Masoud, Mohammadkhani Ghassem

机构信息

Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

Department of Audiology, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Basic Med Sci. 2024;27(3):256-269. doi: 10.22038/IJBMS.2023.72863.15849.

Abstract

Aging causes progressive degenerative changes in many organs, particularly the auditory system. Several attempts have been conducted to investigate preventive and therapeutic strategy/strategies for age-related auditory dysfunction, such as maintaining a healthy lifestyle through good nutrition, lower anxiety levels, and noise exposure, different pharmacological approaches, gene and cell therapy, and other strategies. However, it is not clear which approach is the best to slow down these dysfunctions because several different underlying mechanistic pathways are associated with presbycusis which eventually leads to different types of this disease. A combination of several methods is probably required, whereas the effectiveness for some people needs to be monitored. The effectiveness of treatments will not be the same for all; therefore, we may need to have a unique and personalized approach to the prevention and treatment of ARHL for each person. In addition, each method needs to specify what type of presbycusis can prevent or treat and provide complete information about the extent, duration of treatment, persistency of treatment, side effects, and whether the approach is for treatment or prevention or even both. This paper reviews the updated literature, which targets current interventions for age-related hearing loss.

摘要

衰老会导致许多器官出现渐进性退行性变化,尤其是听觉系统。人们已经进行了多项尝试来研究针对年龄相关性听觉功能障碍的预防和治疗策略,例如通过良好的营养、降低焦虑水平以及减少噪音暴露来保持健康的生活方式,采用不同的药理学方法、基因和细胞疗法以及其他策略。然而,目前尚不清楚哪种方法最能减缓这些功能障碍,因为与老年性聋相关的潜在机制途径有多种,最终会导致不同类型的该疾病。可能需要多种方法联合使用,同时需要监测某些人使用这些方法的有效性。治疗效果因人而异;因此,我们可能需要针对每个人制定独特的个性化方法来预防和治疗年龄相关性听力损失。此外,每种方法都需要明确可以预防或治疗哪种类型的老年性聋,并提供有关治疗范围、持续时间、治疗持续性、副作用以及该方法是用于治疗还是预防甚至两者兼具的完整信息。本文综述了最新的文献,这些文献针对当前年龄相关性听力损失的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dac/10849199/178b1641e0da/IJBMS-27-256-g001.jpg

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