Kum Rauf Oğuzhan, Ozcan Muge, Baklaci Deniz, Yurtsever Kum Nurcan, Yilmaz Yavuz Fuat, Unal Adnan, Avci Yonca
Ankara Numune Education and Research Hospital ENT Clinic, Ankara, Turkey.
Ankara Numune Education and Research Hospital ENT Clinic, Ankara, Turkey.
Braz J Otorhinolaryngol. 2015 Nov-Dec;81(6):636-41. doi: 10.1016/j.bjorl.2015.08.009. Epub 2015 Sep 7.
Several theories attempt to explain the pathophysiology of sudden hearing loss.
The objective of this study was to investigate the possible role of inflammation and atherothrombosis in sudden hearing loss patients through the neutrophil-to-lymphocyte ratio and mean platelet volume.
Study design - retrospective cross-sectional historical cohort. This study was conducted on two groups: one with 59 individuals diagnosed with sudden hearing loss, and other with 59 healthy individuals with the same characteristics of gender and age distribution, neutrophil-to-lymphocyte ratio and mean platelet volume levels were measured in patients diagnosed with sudden hearing loss as well as in the control group, and it was verified whether these results interfered for a better or worse prognosis with treatment of sudden deafness.
Neutrophil-to-lymphocyte ratio levels are much higher in patients diagnosed with sudden hearing loss compared to the control group. Similarly, mean levels of neutrophil-to-lymphocyte ratio are higher in non-recovered versus recovered patients (p=0.001). However, we could not find a correlation with mean platelet volume levels (p>0.05).
Neutrophil-to-lymphocyte ratio is a quick and reliable indicator regarding diagnosis and prognosis of sudden hearing loss; on the other hand, mean platelet volume may be considered a less important indicator in this aspect.
有几种理论试图解释突发性听力损失的病理生理学。
本研究的目的是通过中性粒细胞与淋巴细胞比值和平均血小板体积,探讨炎症和动脉粥样硬化血栓形成在突发性听力损失患者中的可能作用。
研究设计——回顾性横断面历史队列研究。本研究针对两组人群开展:一组为59例被诊断为突发性听力损失的个体,另一组为59例具有相同性别和年龄分布特征的健康个体,对被诊断为突发性听力损失的患者以及对照组测量中性粒细胞与淋巴细胞比值和平均血小板体积水平,并验证这些结果是否会对突发性耳聋的治疗预后产生更好或更差的影响。
与对照组相比,被诊断为突发性听力损失的患者中性粒细胞与淋巴细胞比值水平要高得多。同样,未恢复患者的中性粒细胞与淋巴细胞比值平均水平高于已恢复患者(p = 0.001)。然而,我们未发现其与平均血小板体积水平存在相关性(p>0.05)。
中性粒细胞与淋巴细胞比值是突发性听力损失诊断和预后的快速且可靠指标;另一方面,平均血小板体积在这方面可能被认为是不太重要的指标。