Grossman T W, Kerr H D, Byrd J C
Medical College of Wisconsin, Milwaukee, USA.
J Am Geriatr Soc. 1996 Sep;44(9):1089-92. doi: 10.1111/j.1532-5415.1996.tb02945.x.
To describe the prevalence, degree, and types of hearing loss present in a group of older American veterans who had been prisoners of war of the Japanese.
A descriptive study.
A Veterans Affairs university hospital.
Seventy-five male veterans, mean age 68 (+/- 3.6) years.
Hearing aids were prescribed for eight veterans.
Subjects were examined, and pure tone air and bone conduction, speech reception threshold, and speech discrimination were determined. Results were compared with age- and sex-matched controls from the largest recent American population study of hearing loss.
95% of subjects had been imprisoned longer than 33 months. Starvation conditions (100%), head trauma (85%), and trauma-related loss of consciousness (23%) were commonly reported. A total of 73% complained of hearing loss, and 29% (22/75) dated its onset to captivity. Most of those with the worst losses in hearing and speech discrimination were found in this subgroup. When the entire group was compared with published age- and sex-matched controls from the Framingham Study, no significant differences were found.
We advocate screening examinations and long-term follow-up of populations with similar histories of starvation, head trauma, and torture.
描述一群曾被日军俘虏的美国老年退伍军人中听力损失的患病率、程度和类型。
一项描述性研究。
一所退伍军人事务大学医院。
75名男性退伍军人，平均年龄68（±3.6）岁。
为8名退伍军人配备了助听器。
对受试者进行检查，测定纯音气导和骨导、言语接受阈和言语辨别力。将结果与最近美国最大规模听力损失人群研究中年龄和性别匹配的对照组进行比较。
95%的受试者被囚禁时间超过33个月。普遍报告存在饥饿状况（100%）、头部创伤（85%）和与创伤相关的意识丧失（23%）。共有73%的人抱怨有听力损失，29%（22/75）称听力损失始于囚禁期间。听力和言语辨别力损失最严重的人大多在这个亚组中。当将整个组与弗雷明汉研究中已发表的年龄和性别匹配的对照组进行比较时，未发现显著差异。
我们主张对有类似饥饿、头部创伤和酷刑史的人群进行筛查检查和长期随访。
