[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fDd93LgMEZzM_ZtlD-ff_bTdVDc5KiVyrEfm1dV2GGTQ":8,"$fROz4Sd5z534wGoseI4byiddqh2brbKwaORSRgWcCzaI":59,"$fn6xCvNBvxoqDuBXhxtpzyRL6aRLYGE5G8UggaLxVRA8":60,"$fquJgIuzHywFMnPcv8r7N1MQm85tT3y6UIMfue8sN1ow":64},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":58},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":6,"postsTitle":20,"materialTotal":17,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":21,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":31,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":37,"type":25,"quality":55,"commentCount":17,"isComment":21,"deviceType":56,"url":57},6620,868907,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//QIttNW4cvn4HQAJkOEnK6LksHYtghLK7.png","张兆宏",0,"高血压，糖尿病，冠心病，心衰等疾病。擅长内科急重症的抢救治疗。","北京国都医院","主治医师",1,"老年性耳聋的临床诊断","https://cdn.yishi-tong.com/console/3/jGHL68BL6pLU3kSV9zjT5BRmvP0PK71F.png","https://cdn.yishi-tong.com/console/3/JftC5yhDoyaulbLwMkRAbU9TxYVY-Fjz.png",2,"\u003Cp style=\"margin:15px 0\">大家好，\u003C/p>\u003Cp style=\"margin:15px 0\">我是北京国都医院内科的张医生。\u003C/p>\u003Cp style=\"margin:15px 0\">今天我和大家共同分享老年性耳聋疾病。\u003C/p>\u003Cp style=\"margin:15px 0\">老年性耳聋目前呢，\u003C/p>\u003Cp style=\"margin:15px 0\">发病率较高，\u003C/p>\u003Cp style=\"margin:15px 0\">60岁至75岁的发病率高达60%，\u003C/p>\u003Cp style=\"margin:15px 0\">老年性耳聋是什么原因引起的呢？\u003C/p>\u003Cp style=\"margin:15px 0\">老年性耳聋主要是由于老年人自然的衰老。\u003C/p>\u003Cp style=\"margin:15px 0\">遗传因素，\u003C/p>\u003Cp style=\"margin:15px 0\">慢性疾病、噪音暴露。\u003C/p>\u003Cp style=\"margin:15px 0\">耳毒性药物的使用。\u003C/p>\u003Cp style=\"margin:15px 0\">内耳的供血不足等多种因素引起，\u003C/p>\u003Cp style=\"margin:15px 0\">表现为逐渐加重的双耳对称性听力下降。\u003C/p>\u003Cp style=\"margin:15px 0\">严重影响老年人的生活质量。\u003C/p>\u003Cp style=\"margin:15px 0\">那么老年性耳聋主要的病因是什么呢？\u003C/p>\u003Cp style=\"margin:15px 0\">主要是自然的衰老，\u003C/p>\u003Cp style=\"margin:15px 0\">器官功能的退化，\u003C/p>\u003Cp style=\"margin:15px 0\">表现在耳蜗毛细胞退化。\u003C/p>\u003Cp style=\"margin:15px 0\">内耳毛细胞负责将声波转化为神经信号，\u003C/p>\u003Cp style=\"margin:15px 0\">随着年龄的增长逐渐的凋亡，\u003C/p>\u003Cp style=\"margin:15px 0\">而且呢，\u003C/p>\u003Cp style=\"margin:15px 0\">不可再生，\u003C/p>\u003Cp style=\"margin:15px 0\">导致声音感知能力的下降。\u003C/p>\u003Cp style=\"margin:15px 0\">那么改善微循环的药物，\u003C/p>\u003Cp style=\"margin:15px 0\">那么。\u003C/p>\u003Cp style=\"margin:15px 0\">还有就是听神经功能功能的减退，\u003C/p>\u003Cp style=\"margin:15px 0\">听觉神经纤维数量的减少。\u003C/p>\u003Cp style=\"margin:15px 0\">传导速度的变慢。\u003C/p>\u003Cp style=\"margin:15px 0\">影响声音信号的传递，\u003C/p>\u003Cp style=\"margin:15px 0\">还有呢，\u003C/p>\u003Cp style=\"margin:15px 0\">就是鼓膜及听小骨的硬化。\u003C/p>\u003Cp style=\"margin:15px 0\">中耳结构弹性降低，\u003C/p>\u003Cp style=\"margin:15px 0\">声波传导的效率下降，\u003C/p>\u003Cp style=\"margin:15px 0\">产生听力下降导致的耳聋。\u003C/p>\u003Cp style=\"margin:15px 0\">那么，\u003C/p>\u003Cp style=\"margin:15px 0\">老年性耳聋的治疗有哪些呢？\u003C/p>\u003Cp style=\"margin:15px 0\">主要有三个方面，\u003C/p>\u003Cp style=\"margin:15px 0\">第一就是药物治疗。\u003C/p>\u003Cp style=\"margin:15px 0\">第二呢，\u003C/p>\u003Cp style=\"margin:15px 0\">手术治疗。\u003C/p>\u003Cp style=\"margin:15px 0\">第三呢，\u003C/p>\u003Cp style=\"margin:15px 0\">可以佩戴助听器，\u003C/p>\u003Cp style=\"margin:15px 0\">人工耳蜗。\u003C/p>\u003Cp style=\"margin:15px 0\">药物治疗呢，\u003C/p>\u003Cp style=\"margin:15px 0\">可采取不同的病因治疗。\u003C/p>\u003Cp style=\"margin:15px 0\">那么，\u003C/p>\u003Cp style=\"margin:15px 0\">第一呢，\u003C/p>\u003Cp style=\"margin:15px 0\">使用改善微循环及扩血管的药物，\u003C/p>\u003Cp style=\"margin:15px 0\">第二，\u003C/p>\u003Cp style=\"margin:15px 0\">营养神经的药物，\u003C/p>\u003Cp style=\"margin:15px 0\">第三呢，\u003C/p>\u003Cp style=\"margin:15px 0\">是激素类激素激素类药物。\u003C/p>\u003Cp style=\"margin:15px 0\">第四呢，\u003C/p>\u003Cp style=\"margin:15px 0\">是对症治疗。\u003C/p>\u003Cp style=\"margin:15px 0\">那么，\u003C/p>\u003Cp style=\"margin:15px 0\">改善微循环的药物呢，\u003C/p>\u003Cp style=\"margin:15px 0\">多采用的是银杏叶提取物。\u003C/p>\u003Cp style=\"margin:15px 0\">银杏叶提取物能够促进内耳的血液供应。\u003C/p>\u003Cp style=\"margin:15px 0\">缓解神经细胞的损伤。\u003C/p>\u003Cp style=\"margin:15px 0\">银杏叶提取物具有抗氧化神经细胞的保护。\u003C/p>\u003Cp style=\"margin:15px 0\">这个多种治疗作用。\u003C/p>\u003Cp style=\"margin:15px 0\">对老年性耳聋的恢复起到良好的效果，\u003C/p>\u003Cp style=\"margin:15px 0\">同时呢，\u003C/p>\u003Cp style=\"margin:15px 0\">还可以使用营养神经的药物。\u003C/p>\u003Cp style=\"margin:15px 0\">如维生素B一。\u003C/p>\u003Cp style=\"margin:15px 0\">维生素B十二神经营养因子等。\u003C/p>\u003Cp style=\"margin:15px 0\">促进听力的恢复。\u003C/p>\u003Cp style=\"margin:15px 0\">发病的早期还可以使用糖皮质、糖皮质激素类、糖皮质激素类药物。\u003C/p>\u003Cp style=\"margin:15px 0\">伯尼松。\u003C/p>\u003Cp style=\"margin:15px 0\">还可以应用扩血管的药物进行综合性的治疗。\u003C/p>\u003Cp style=\"margin:15px 0\">老年性的耳聋随着年龄的增长，\u003C/p>\u003Cp style=\"margin:15px 0\">发病率逐渐的增加，\u003C/p>\u003Cp style=\"margin:15px 0\">早期诊断，\u003C/p>\u003Cp style=\"margin:15px 0\">早期治疗能够收到良好的治疗效果。\u003C/p>","v0247cg10004d2tq8b2ljht8gjbc9mg0",265,515,"2025-05-26 16:44:58","老年性耳聋的临床诊断：症状、检查与治疗方案解析  ","老年性耳聋, 听力下降诊断, 老年人耳聋治疗, 耳聋临床检查, 感音神经性耳聋, 助听器选配  ","本文详细介绍老年性耳聋的临床诊断方法，包括典型症状、听力检测技术（如纯音测听、言语识别率）、鉴别诊断要点及个性化治疗方案（助听器、人工耳蜗等），帮助患者及家属科学应对年龄相关性听力损失。","2025-05-28 09:46:00",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":21,"status":17,"createDept":6,"remark":45,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":40,"componentInfo":41},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video","慢性病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/868907/51424b23-9607-4024-8454-e7e0f1a80faa.tmp?a=0&auth_key=1789021247-176ca4e86b054113a2bbe93563b79c68-0-2142b689c65b410980a97d24843b6d0b&br=941&bt=941&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d2tq8b2ljht8gjbc9mg0&er=0&l=20260811041616C1DEA247E37D9B338019&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3BmbTtrb2V0NTczNGY3M0ApajxlandtNTt3ZzMzajo1eWdkNl9kcWcvNXFhLS1kNC9zcy1qYGc1ZWlfbi8xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":21,"pageSize":62,"result":63,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]