·38·医药前沿2024年2月第14卷第6期综述老年梅尼埃病治疗研究进展全熙妤,田成华(通信作者)(浙江中医药大学医学技术与信息工程学院浙江杭州310053)【摘要】梅尼埃病(MD)是临床常见的耳科疾病,目前认为内淋巴积水是该病的标志性特征。随着人口老龄化和生活习惯的改变,60岁以上人群MD的发病率在不断增加。老年人身体机能下降,MD发生后易导致跌倒。意外跌倒是导致≥65岁人群致命和非致命伤害的主要原因。同时老年MD导致的神经性听力损失、长期耳鸣困扰更易使其出现精神疾患,潜在危害性较大。鉴于老年MD患者常伴有高血压、糖尿病等多种系统性基础疾病,多病共治时易发生药物治疗效果不佳、手术治疗风险加大等情况。本文将老年群体MD治疗相关研究进行系统性综述,旨在为临床提供参考依据。【关键词】综述;老年人群;梅尼埃病;治疗【中图分类号】R592【文献标识码】A【文章编号】2095-1752(2024)06-0038-05ResearchprogressinthetreatmentofsenileMénière'sdiseaseQUANXiyu,TIANChenghua(Correspondingauthor)SchoolofMedicalTechnologyandinformatlonEnglneerlng,zhejiangChineseMedicalUniversity,Hangzhou,zhejiang310053,China【Abstract】Ménière'sdisease(MD)isacommonclinicalotologicaldisease,andendolymphatichydropsarecurrentlyconsideredtobethehallmarkfeatureofthisdisease.Withtheagingofthepopulationandthechangeoflivinghabits,theincidenceofMDafter60yearsoldisincreasing.TheelderlyarepronetofallduetothedeclineofphysicalfunctionandMD.Accidentalfallsaretheleadingcauseoffatalandnon-fatalinjuriesinpeopleaged65andover.Atthesametime,theneurogenichearinglossandlong-termtinnituscausedbyMDintheelderlyaremorelikelytocausementaldisorders,whicharepotentiallyharmful.Inviewofthefactthatelderlypatientsareoftenaccompaniedbyavarietyofsystemicunderlyingdiseasessuchashypertensionanddiabetes,itiseasytohavepoorefficacyofdrugtreatmentandincreasedriskofsurgicaltreatmentwhencomorbidwithMD.ThisarticlesystematicallyreviewstherelatedstudiesonthetreatmentofMDintheelderly,aimingtoprovideareferenceforclinicalpractice.【Keywords】Review;Senium;Ménière'sdisease;Treatment梅尼埃病(Ménière'sdisease,MD)是临床常见的耳科疾病,目前认为该病的标志性特征是内淋巴积水[1],6...