Int J Environ Res Public Health:CPAP治疗能改善睡眠呼吸障碍感音神经性听力损失患者的纯音测听阈值

2021-07-15 AlexYang MedSci原创

感音神经性听力损失(SNHL)是由耳蜗毛细胞损失和相关的听觉神经功能障碍引起的,是最常见的老年疾病之一。听力损失导致的语言交流障碍可能与社会孤立、焦虑、抑郁、认知障碍和生活质量下降有关。近年来,SNH

感音神经性听力损失(SNHL)是由耳蜗毛细胞损失和相关的听觉神经功能障碍引起的,是最常见的老年疾病之一。听力损失导致的语言交流障碍可能与社会孤立、焦虑、抑郁、认知障碍和生活质量下降有关。近年来,SNHL已被世界卫生组织列为全球第三大残疾原因。SNHL与遗传、血管、激素、毒性、肿瘤、感染性、创伤和先天性因素以及吸烟和饮酒习惯、系统性疾病、环境噪音和社会经济地位有关。

近期,有研究人员调查了持续气道正压(CPAP)对患有睡眠呼吸障碍(SDB)的感音神经性听力损失(SNHL)患者听力损伤的影响

该回顾性和观察性研究在2016年9月至2021年2月进行,累计77名患有SNHL和SDB的受试者(60.7±11.1岁)。其中,28人接受了CPAP治疗(63.0±8.5年)。在研究人员的方法中,低、中、高和平均频率的听力阈值在基线(BL)、三(3个月)、六(6个月)和十二(12个月)个月时通过纯音测听进行评估。

结果显示,所有受试者BL听力阈值至少在三个频率与老龄、男性性别、吸烟、酗酒、冠状动脉疾病、高血压和呼吸暂停-呼吸暂停指数[AHI]呈正相关(所有P<0.05)。此外,在CPAP-6个月(-5.60±2.33,-5.82±2.56和-5.10±2.26分贝;所有P<0.05)和CPAP-12个月(-7.97±2.74,-8.15±2.35和-6.67±2.37分贝;所有P<0.01),低、中、平均频率与CPAP-BL的相应测量值呈负相关关系。高、中、平均频率与年龄呈正相关(高和平均频率的P<0.001,中频率<0.01)。

CPAP治疗对听力阈值的影响

综上所述,对于患有SDB的SNHL患者,在使用CPAP六个月后,低频和中频的听力阈值会有所改善,这种改善情况至少会持续一年

原始出处:

Jessie Chao-Yun Chi, Shin-Da Lee, Ren-Jing Huang et al. CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing. Int J Environ Res Public Health. Jun 2021

 

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    2022-05-03 shizhenshan
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  5. 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    2021-07-22 ms3000000449926787

    不错,学习了

    0

  6. 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盘点:近期听力损失与治疗进展(八)

【1】Otol Neurotol:经皮骨传导植入物的长期和多中心结果