Presbycusis
Presbycusis
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DOI：
10.1016/s0140-6736(05)67423-5
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发表时间：
2005-09-24
期刊：
影响因子：
168.9
通讯作者：
Mills, JH
中科院分区：
文献类型：
--
作者：
Gates, GA;Mills, JH
与年龄相关的听力不可避免的下降——老年性耳聋——是一个多因素的过程，其严重程度可从轻度到重度不等。如果不加以治疗，中度或更严重的老年性耳聋会影响交流，并可能导致孤立、抑郁，甚至可能导致痴呆。这些心理影响在很大程度上可通过康复治疗逆转。全面的康复治疗广泛可用，但未得到充分利用，部分原因是社会对听力重视不足的态度，以及助听器的成本和耻辱感。老年性耳聋的治疗是老年医学中提高生活质量的一个重要因素，可包括有关交流效果的教育、助听器、辅助听力设备以及针对严重听力损失的人工耳蜗植入。初级保健医生应该对老年患者进行筛查，并将他们转诊进行评估和治疗。在助听器不再有效的情况下，人工耳蜗植入是首选的治疗方法，即使在八九十岁的老年人中也能取得良好的效果。
The inevitable deterioration in hearing ability that occurs with age-presbycusis-is a multifactorial process that can vary in severity from mild to substantial. Left untreated, presbycusis of a moderate or greater degree affects communication and can contribute to isolation, depression, and, possibly, dementia. These psychological effects are largely reversible with rehabilitative treatment. Comprehensive rehabilitation is widely available but underused because, in part, of social attitudes that undervalue hearing, in addition to the cost and stigma of hearing aids. Remediation of presbycusis is an important contributor to quality of life in geriatric medicine and can include education about communication effectiveness, hearing aids, assistive listening devices, and cochlear implants for severe hearing loss. Primary care physicians should screen and refer their elderly patients for assessment and remediation. Where hearing aids no longer provide benefit, cochlear implantation is the treatment of choice with excellent results even in octogenarians.