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Tinnitus in the elderly – Comorbidities, impact on life quality and enhanced treatment strategies

机译:老年人耳鸣–合并症,对生活质量的影响和改善的治疗策略

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Abstract Introduction: Tinnitus is a common sensation that affects between 7-32% of the population. In elderly population there are many causes of tinnitus: age – hearing loss related and other otologic problems, neurologic and cardiovascular conditions, some medications or rheumatologic problems. The purpose of this study was to determine the possible causes of tinnitus in elderly population and the psychosocial implications resulted. Material and methods: Our clinical study was a retrospective on 590 patients hospitalized in our ENT service aged up to 60 years during 1 year. All subjects were assessed only for subjective tinnitus and for different comorbidities. For the patients diagnosed with subjective tinnitus we prescribed medical therapy and alternative medicine treatments. Tinnitus severity was assessed using the tinnitus handicap inventory – screening version.Results: Tinnitus was reported at 28% patients with no significant difference related to sex, origin, drinking or smoking, but a significant association with risk factors – exposure to noise, cardiovascular problems, diabetes and associated auricular pathology. Regarding the treatment, the 2 groups were compared in relation to the intensity of tinnitus, the degree of depression and the treatment benefits. In 2/3 of the cases patients treated with alternative medicine treatments or with electronic devices showed an improvement in life quality compared with those who received medical treatment.Conclusion: Although tinnitus isn’t a condition in itself but a symptom, it represents a common problem of the elderly population. Its association with treatable conditions reduces the quality of life and argues the necessity of using complementary strategies.Keywords: Tinnitus, treatment, quality of lifeDer Erstautor gibt keinen Interessenkonflikt an.
机译:摘要简介:耳鸣是一种常见的感觉,会影响7-32%的人口。在老年人口中,耳鸣的原因有很多:年龄-与听力损失有关的和其他耳科问题,神经系统和心血管疾病,某些药物或风湿病问题。这项研究的目的是确定老年人耳鸣的可能原因及其产生的社会心理影响。材料和方法:我们的临床研究是对ENT医院住院的590名患者进行的回顾性研究,这些患者在1年内年龄不超过60岁。仅对主观耳鸣和不同合并症进行了评估。对于诊断为主观耳鸣的患者,我们规定了药物治疗和替代药物治疗。结果:据报道,有28%的患者发生耳鸣,与性别,血统,饮酒或吸烟无明显差异,但与危险因素显着相关–接触噪音,心血管疾病,评估了耳鸣严重程度。 ,糖尿病和相关的耳廓病理。关于治疗,比较了两组的耳鸣强度,抑郁程度和治疗益处。与接受药物治疗的患者相比,在接受替代药物治疗或电子设备治疗的患者中,有2/3的患者生活质量有所改善。结论:虽然耳鸣本身不是病症,而是一种症状,但它代表了一种常见现象老年人口问题。它与可治疗的疾病的关系降低了生活质量,并提出了使用补充策略的必要性。关键词:耳鸣,治疗,生活质量耳鸣,治疗,生活质量。

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