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轻度阻塞性睡眠呼吸暂停综合征和单纯打鼾患者的听力损失

Hearing loss in mild OSAS and simple snoring patients.

作者信息

Spinosi Maria Carla, D'Amico Francesca, Passali Giulio, Cingi Cemal, Rodriguez Hugo, Passali Desiderio

机构信息

ENT clinic, Policlinico S.M. alle Scotte, viale Bracci n.16 , Siena, Italy.

ENT Department, University of Siena, Siena, Italy.

出版信息

Otolaryngol Pol. 2017 Apr 30;71(2):11-15. doi: 10.5604/01.3001.0009.8409.

DOI:10.5604/01.3001.0009.8409
PMID:28485295
Abstract

Introduction Obstructive Sleep Apnea Syndrome (OSAS) is characterized by recurrent episodes of prolonged partial or complete obstruction of the upper airways. Several study groups studied the effect of snoring and OSAS on auditory function, showing an increase in the incidence of hearing loss in apneic patients, an earlier onset and/or a degree of hearing loss deeper than in peers. The aim of our study is to evaluate the audiological performance of a population of simple-snoring patients and patients suffering from mild OSAS, and the impact that such pathological condition can have on the auditory function, considering the significant levels of chronic noise. Materials and Methods Data was collected by analyzing audiometric exams on snoring patients and a control group of non-snoring patients. Our study included simple snoring patients without OSAS (AHI < 5) or with low level of OSAS (5< AHI < 15). Possible hearing loss was classified in a crescent scale (A-B-C-D-E), from greater to minor auditory performance, according to the indications of the national protocol of occupational medicine for evaluation of hearing loss in patients exposed to chronic noise. Results We have found independence between simple snorers, mild-OSAS snorers and non-snoring patients compared to the scale of hearing performance classification. Conclusions Our results show a distribution of hearing loss in the different groups that appear independent of the presence or absence of snoring, complicated or uncomplicated by mild OSAS.

摘要

引言

阻塞性睡眠呼吸暂停综合征(OSAS)的特征是上呼吸道反复出现长时间的部分或完全阻塞。多个研究小组研究了打鼾和OSAS对听觉功能的影响,结果显示呼吸暂停患者的听力损失发生率增加,发病更早和/或听力损失程度比同龄人更深。我们研究的目的是评估单纯打鼾患者和轻度OSAS患者的听力学表现,以及考虑到慢性噪声的显著水平,这种病理状况对听觉功能可能产生的影响。

材料与方法

通过分析打鼾患者和非打鼾对照组的听力测试来收集数据。我们的研究包括无OSAS(呼吸暂停低通气指数[AHI]<5)或轻度OSAS(5<AHI<15)的单纯打鼾患者。根据国家职业医学协议中关于评估暴露于慢性噪声患者听力损失的指示,将可能的听力损失按照从更好到更差的听觉表现分为递增等级(A - B - C - D - E)。

结果

与听力表现分类量表相比,我们发现单纯打鼾者、轻度OSAS打鼾者和非打鼾患者之间没有关联。

结论

我们的结果显示,不同组中的听力损失分布似乎与是否存在打鼾无关,无论是否合并轻度OSAS。

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