棉兰亚当马利克总医院听音图影响老年性耳聋的因素综述

Frenky Sorimuda Manullang, Adlin Adnan, D. Munir
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引用次数: 0

摘要

背景:老年性耳聋的发病与遗传因素、代谢、动脉粥样硬化、噪声和生活方式有关。老年性耳聋的分类包括感觉耳蜗(外毛细胞)、神经节耳蜗(神经节细胞)、代谢性耳蜗(颞叶萎缩)和传导性耳蜗(基底膜僵硬)。影响先兆的因素包括年龄、性别、遗传、高血压、痛风、糖尿病、高胆固醇血症、噪音暴露和吸烟。本研究旨在探讨老年性耳聋患者在棉兰亚当马利克医院的听力图图像的影响因素。对象和方法:本研究是一项分析性研究,采用横断面设计,在综合诊所的老年患者中进行。该研究于2019年11月至12月进行。因变量为老年性耳聋的发病率。自变量为尿酸水平、血糖水平、吸烟习惯、高胆固醇血症和高血压。数据分析采用卡方检验。结果:45 ~ 59岁年龄组有39例(54.2%),60 ~ 74岁年龄组有33例(45.8%)。在本研究中,男性受访者多于女性受访者,其中男性为58人(80.6%),女性为14人(19.4%)。按类型分,正常型33例(45.9%),颞型18例(25%),神经型7例(7.9%),感觉型7例(7.9%),耳蜗型7例(7.9%)。含糖量高(OR= 3.33;95% CI= 1.81 ~ 6.13;p <0.001),尿酸水平(OR= 2.36;95% CI= 1.19 ~ 4.70;p= 0.005),总胆固醇水平(OR= 3.33;95% CI= 1.81 ~ 6.13;p <0.001),吸烟(OR= 1.90;95% CI = 1.21 ~ 2.97;P = 0.016)会增加患老年性耳聋的风险。结论:高糖水平、尿酸水平、总胆固醇水平和吸烟习惯会增加老年性老年性痴呆的风险。关键词:老年性耳聋;听力图;对应性;印尼苏门答腊北部大学医学院,棉兰。电子邮件:manulangdr-fren-ky@-gmail -.com。手机:+ 62 - 8126394830。流行病学与公共卫生杂志(2021),06(01):12-20 https://doi.org/10.26911/jepublichealth.2021.06.01.02
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Affecting Presbycusis on Audiogram Overview at H. Adam Malik General Hospital Medan
Background: Presbycusis incidence is thought to have a relationship with hereditary factors, metabolism, atherosclerosis, noise and lifestyle. The presbycusis classification consists of Sensory (outer hair-cell), neural (ganglion-cell), metabolic (strial atrophy), and conductive cochlea (stiffness of the basi­lar membrane). Factors that influence pres­bycusis include age, gender, genetics, hyper­tension, gout, diabetes mellitus, hyper­choles­terolemia, noise exposure, and smoking. This study aims to determine the factors that influ­ence presbycusis on the audiogram image at H. Adam Malik Hospital Medan. Subjects and Method: This study was an analytical study with a cross sectional design in elderly patients at the polyclinic. The study was conducted in November to Decem­ber 2019. The dependent variable was the inci­dence of presbycusis. The independent vari­ables were uric acid levels, blood sugar levels, smoking habits, hypercholesterolemia, and hypertension. Data were analyzed by using chi square test. Results: The prevalence of presbycusis in the 45-59 years age group was 39 people (54.2%) and the 60-74 years age group was 33 people (45.8%). In this study, it shows that male respondents are more than female respondents, where the number of men is 58 people (80.6%) and women are 14 people (19.4%). Based on presbycusis type, there were 33 (45.9%) people (normal), 18 (25%) people (strrial type), 7 (7.9%) people (neural type), 7 (7.9%) people (sensory type), 7 (7.9%) people (cochlear type). High sugar content (OR= 3.33; 95% CI= 1.81 to 6.13; p <0.001), uric acid levels (OR= 2.36; 95% CI= 1.19 to 4.70; p= 0.005), total cholesterol levels (OR= 3.33; 95% CI= 1.81 to 6.13; p <0.001), and smoking (OR= 1.90; 95% CI = 1.21 to 2.97; p= 0.016) increased the risk of presbycusis. Conclusion: High sugar levels, uric acid levels, total cholesterol levels, and smoking habits increase the risk of presbycusis. Keywords: presbycusis, audiogram image Correspondence:  Frenky Sorimuda Manullang. Faculty of Me­dicine, Universitas Sumatera Utara, Medan, Indonesia. Email: manulangdr­fren­ky@­gmail­.com. Mobile: +62-8126394830. Journal of Epidemiology and Public Health (2021), 06(01): 12-20 https://doi.org/10.26911/jepublichealth.2021.06.01.02
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