Sanyelbhaa Hossam, Kabel Abdelmagied, Abo El-Naga Heba Abd El-Rehem, Sanyelbhaa Ahmed, Salem Hatem
Audiology Unit, ENT Dept., Menoufia University, Egypt.
Audiology Unit, ENT Dept., Menoufia University, Egypt.
Int J Pediatr Otorhinolaryngol. 2017 Oct;101:7-10. doi: 10.1016/j.ijporl.2017.07.020. Epub 2017 Jul 19.
This study aims to define the relative risk of development of hearing loss in offspring of consanguineous marriages.
This is a retrospective case-control study conducted in a tertiary referral center in Jeddah, KSA. The study group included 1600 probands (848 males, 752 females), with age range 0.5-12 years (6.6 ± 3.6). The study group comprised of two equal, age and sex matched subgroups; Hearing Loss (HL) group and Normal Hearing (NH) group. The children included in the HL group should have idiopathic or non syndromic genetic sensorineural hearing loss.
The HL Group comprised 800 children with variable degrees of sensorineural hearing loss. Profound and severe degrees of hearing loss were the most prevalent degrees (P <0.05%). The prevalence of consanguineous marriage offspring in the NH group was 42.5%, while in the HL group it was 68.9% (P < 0.05). The differences between both study subgroups regarding the distribution of different degrees of parental consanguinity (first, second, double first, and first once removed cousins) were insignificant (P > 0.05). The relative risk and 95% confidence interval (RR, 95% CI) for development of hearing loss in offspring of consanguineous marriage was 1.76 (95% CI 1.57-1.97, P < 0.001).
There was 76% increased risk for consanguineous marriage progeny to develop SNHL when compared to non consanguineous progeny.
本研究旨在确定近亲结婚后代发生听力损失的相对风险。
这是一项在沙特阿拉伯吉达的三级转诊中心进行的回顾性病例对照研究。研究组包括1600名先证者(848名男性,752名女性),年龄范围为0.5至12岁(6.6±3.6)。研究组由两个年龄和性别匹配的相等亚组组成;听力损失(HL)组和正常听力(NH)组。HL组纳入的儿童应患有特发性或非综合征性遗传性感音神经性听力损失。
HL组包括800名患有不同程度感音神经性听力损失的儿童。重度和极重度听力损失最为普遍(P<0.05%)。NH组中近亲结婚后代的患病率为42.5%,而HL组中为68.9%(P<0.05)。两个研究亚组在不同程度的父母近亲关系(一级、二级、双重一级和一级旁系表亲)分布方面的差异不显著(P>0.05)。近亲结婚后代发生听力损失的相对风险和95%置信区间(RR,95%CI)为1.76(95%CI 1.57 - 1.97,P<0.001)。
与非近亲结婚后代相比,近亲结婚后代发生感音神经性听力损失的风险增加了76%。