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接受血液透析的慢性肾衰竭患者的听力损失

Hearing loss in chronic renal failure patient undergoing hemodialysis.

作者信息

Peyvandi Aliasghar, Roozbahany Navid Ahmady

机构信息

Department of Otolarungology and Head and Neck Surgery, Loghman Hakim Hospital, Shahid Beheshti Medical University, Tehran, Iran.

Department of Otolaryngology and Head and Neck Surgery, Imam Khomeyni Hospital, Urmia Medical University, Urmia, Iran.

出版信息

Indian J Otolaryngol Head Neck Surg. 2013 Dec;65(Suppl 3):537-40. doi: 10.1007/s12070-011-0454-9. Epub 2012 Jan 6.

Abstract

End stage renal failure patients, face to multiple complications. One of them is the involvement of auditory system. There are several proposed mechanisms for occurrence of hearing loss in these patients. There is no study performed in Iran for determining the status of hearing loss and results of audiometric tests in chronic renal failure patients. To assess prevalence, type and accompanying factors of auditory complications in end stage renal disease patients. Seventy chronic renal failure patients underwent clinical examination and audiometric tests. Their medical records reviewed to find out any contributing factor with auditory complications. There was higher prevalence of sensory neural hearing loss in CRF patients. The hearing loss was more obvious in higher frequencies. Its prevalence and severity increased with chronicity of renal failure and hemodialysis. There was not any difference regarding the sex. The hearing loss did not disturbed speech discrimination score and acoustic reflex. Sensory-neural hearing loss is common among CRF patients and deserves more attention than is paid by current approaches.

摘要

终末期肾衰竭患者面临多种并发症。其中之一是听觉系统受累。关于这些患者听力损失的发生有几种提出的机制。伊朗尚未进行过确定慢性肾衰竭患者听力损失状况和听力测试结果的研究。为了评估终末期肾病患者听觉并发症的患病率、类型及相关因素。七十名慢性肾衰竭患者接受了临床检查和听力测试。查阅他们的病历以找出任何与听觉并发症有关的因素。慢性肾衰竭患者中感音神经性听力损失的患病率较高。听力损失在高频更为明显。其患病率和严重程度随肾衰竭和血液透析的病程增加。性别方面没有差异。听力损失未影响言语辨别得分和听觉反射。感音神经性听力损失在慢性肾衰竭患者中很常见,值得比目前方法更多的关注。

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