高血压对老年人纯音听阈的作用.pdfVIP

摘 要 高血压对老年人纯音听阈的影响 研究生：田欢 导师：刘立中 摘 要 目的：探讨高血压对听力的影响及老年人听力障碍的变化规律。方法：选择于 新疆医科大学第一附属医院就诊的无中耳疾病史、爆震史、耳毒性药物中毒、噪音 性聋及脑外伤史者，根据2003 年世界卫生组织（WHO ）/ 国际高血压联盟（ISH）关 于高血压的诊断标准，诊断为原发性高血压的老年及老年前期住院患者 135 例，及 健康志愿者88 例采用丹麦Madsen 公司生产的Orbiter 922 纯音听力计进行了听力检 测和对比分析。结果：（l）高血压组与健康组的平均听阈均随增龄而增高，但疾病组 在0.125~8kHz 各频率的平均听阈均显著高于同龄健康组 （P 值＜0.05 ）；（2 ）听力损 伤发生率在高血压三个年龄组分别为59.8%、90.91%及100%，健康组分别为21.43%、 45.65%及100%，疾病组中的三个年龄组也均明显高于同龄健康组（P 值＜0.05 ）。结 论：高血压对老年人听力有明显影响，是加重老年聋的危险因素。 关键词：高血压；纯音听阈测听；老年聋；危险因素 —1— 新疆医科大学医学硕士学位论文 The effect of hyPertension on hearing threshold in the elderly Postgraduate ：Tian Huan Supervisor：Lizhong Liu Abstract Objective ：To investigate the influence of hypertension on hearing and elderly hearing loss were studied. Methods ：in the first Affiliated Hospital of Xinjiang Medical University, free of middle ear disease history, knock history, ototoxic drug toxicity, noise- induced hearing loss and a history of traumatic brain injury, according to 2003 World Health Organization (WHO) / International Society of Hypertension Union (ISH) on the diagnostic criteria of hypertension, diagnosis of hypertension in Elderly hospitalized patients, with 135 cases and 88 cases of healthy volunteers produced by the Danish Madsen Orbiter 922 audiometer was pure tone hearing test and analyzed. Results ： (l) hypertensive group and healthy group, the average hearing threshold increased with increasing age and higher, but the disease groups in the 0.125 ~ 8kHz each frequency average hearing thresholds were sig