摘要
目的观察老年性聋患者认知功能障碍特点,并探讨其影响因素。方法横断面研究,采用蒙特利尔认知评估(MoCA)量表对2015年6月至2017年6月就诊于扬州大学附属医院耳鼻咽喉科门诊的117例老年性聋患者(耳聋组)及同期97例健康体检老年人(对照组)进行认知功能测定,计算其MoCA总分,并收集电测听检查听力损失值,分析老年性聋患者听力损失程度与MoCA的相关性。结果耳聋组患者MoCA总得分(21.6±5.8)分,低于对照组(26.8±1.5)分(P<0.01);耳聋组患者与对照组视空间与执行功能(4.1±0.9)分比(4.8±0.5)分、命名(2.2±1.0)分比(3.0±0.0)分、注意(5.2±1.7)分比(5.9±0.5)分、语言(2.0±0.9)分比(3.0±0.2)分、抽象(1.6±0.5)分比(1.9±0.3)分、延迟回忆(1.8±0.7)分比(2.2±0.4)分、定向(4.4±1.2)分比(5.8±0.4)分,均低于对照组(均P<0.05);老年性聋患者听力丧失程度与MoCA总分及其各分项目呈负相关(均P<0.01)。单因素分析结果显示,年龄、教育程度、婚姻状况、听力损失程度、耳聋病程及是否佩带助听器对老年性聋患者认知功能MoCA总分有影响(均P<0.05)。多元线性回归分析结果显示,婚姻状况(t=6.596,P<0.05)、佩戴助听设备(t=2.182,P<0.01)与老年性聋患者认知功能MoCA总得分呈正相关;年龄(t=-5.048)、教育程度(t=-2.691)、听力损失程度(t=-7.626)及耳聋病程(t=-6.11)与老年性聋患者认知功能MoCA总得分呈负相关(均P<0.05)。结论老年性聋患者认知功能降低,年龄、教育程度、婚姻状况、耳聋病程、听力丧失程度和是否佩戴助听器影响老年性聋患者的认知功能。
Objective To explore the characteristics of cognitive impairment in elderly adults with deafness and assess its influencing factors.Methods This was a cross-sectional study.From July 2015 to July 2017,117 elderly patients with age-related hearing loss(presbyacusis group)admitted to Otolaryngology Clinic of the Yangzhou University Affiliated Hospital and 97 healthy elderly adults(control group)undergoing healthy physical examination in the same period were included.We evaluated the cognitive function was with Montreal cognitive assessment(MoCA)scale Chinese version,and calculated their MoCA total score,and recorded the clinical data and the hearing loss level.The correlation between hearing loss level and MoCA was analyzed.Results The total scores of MoCA was significantly lower in the presbyacusis group(21.6±5.8)than that in the control group(26.8±1.5)(t=8.49,P<0.05).Patients in the presbyacusis group were associated with significantly lower levels of visuospatial and executive function(4.1±0.9 vs.4.8±0.5),naming(2.2±1.0 vs.3.0±0.0),attention(5.2±1.7 vs.5.9±0.5),language(2.0±0.9 vs.3.0±0.2),abstraction(1.6±0.5 vs.1.9±0.3),delayed recall(1.8±0.7 vs.2.2±0.4),orientation(4.4±1.2 vs.5.8±0.4)than the control group(all P<0.05).The level of hearing loss was negatively correlated with the total scores of MoCA and all the subscale of MoCA(all P<0.01).Univariate analysis showed that age,educational level,marital status,hearing loss level,course of hearing loss,and hearing aid were correlated with MoCA total score in elderly patients with presbcyusis(all P<0.05).Multiple linear regression analysis showed that marital status(t=6.596,P<0.05),and hearing aid(t=2.182,P<0.05)were positively correlated with MoCA total score,and age(t=-2.691),the educational level(t=-2.691),hearing loss level(t=-7.626),and course of hearing loss(t=-6.11)was negatively associated with MoCA total score(all P<0.05).Conclusions Cognitive function is generally decline in elderly patients with presbycusis,and age,educational level,marital status,the course of hearing loss,hearing loss level and whether or not hearing aid are important factor affecting cognitive function in elderly patients with presbycusis.
作者
余爵波
程泽星
郑海洲
庄远岭
Yu Juebo;Cheng Zexing;Zheng Haizhou;Zhuang Yuanling(Department of Otolaryngology,the First People's Hospital of Yangzhou,Yangzhou 225009,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2020年第5期578-581,共4页
Chinese Journal of Geriatrics
关键词
老年性聋
认知障碍
助听器
Presbycusis
Cognition disorders
Hearing aids
