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动脉粥样硬化加剧与主观性耳鸣严重程度相关。

Increased Atherosclerosis Correlates with Subjective Tinnitus Severity.

作者信息

Yüksel Fatih, Karataş Duran, Türkdoğan Figen Tunalı, Yüksel Özlem

机构信息

Department of Otolaryngology, Şehitkamil Government Hospital, Pirsultan Mh. Çetin Emeç Cad, Gaziantep, Turkey.

Department of Otolaryngology, Versa Hospital, Nevşehir, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2018 Mar;70(1):119-124. doi: 10.1007/s12070-015-0845-4. Epub 2015 Apr 28.

Abstract

The aim of the present study was to investigate whether increased intima media thickness was associated with the severity of subjective non-pulsatile tinnitus and hearing loss. Data of the patients who came to Otorhinolaryngology Department of Isparta Government Hospital with subjective non-pulsatile tinnitus complaint, between January 2012 and June 2013, were evaluated retrospectively. A total of 215 patients were included in the present study. Hearing tests, biochemical analysis, tinnitus handicap inventory (THI), visual analogue scale (VAS) and doppler ultrasonography results of the patients were reviewed and recorded. The patients were classified into two groups as those having an increased intima media thickness and those having a normal intima media thickness. The said groups were compared with respect to age, gender, THI, VAS, hearing test findings and lipid values. Moreover, THI and VAS groups were compared with respect to intima-media thickness. In the group having increased intima-media thickness, THI and VAS average, frequency of hypertension, total cholesterol, low density lipoprotein and triglyceride averages and mean frequencies obtained by hearing test were significantly higher. Comparison of THI and VAS groups showed that intima-media thickness was significantly different between those having a mild tinnitus and those having a severe tinnitus. Increased intima-media thickness was associated with the severity of subjective non-pulsatile tinnitus and hearing loss. For this reason, the carotid system should be examined in subjective non-pulsatile tinnitus patients.

摘要

本研究的目的是调查内膜中层厚度增加是否与主观性非搏动性耳鸣及听力损失的严重程度相关。对2012年1月至2013年6月期间因主观性非搏动性耳鸣主诉前来伊斯帕尔塔政府医院耳鼻喉科就诊的患者数据进行回顾性评估。本研究共纳入215例患者。对患者的听力测试、生化分析、耳鸣障碍量表(THI)、视觉模拟量表(VAS)及多普勒超声检查结果进行回顾并记录。将患者分为内膜中层厚度增加组和内膜中层厚度正常组。比较上述两组在年龄、性别、THI、VAS、听力测试结果及血脂值方面的差异。此外,比较THI组和VAS组在内膜中层厚度方面的差异。在内膜中层厚度增加组中,THI和VAS平均值、高血压发生率、总胆固醇、低密度脂蛋白及甘油三酯平均值以及听力测试获得的平均频率均显著更高。THI组和VAS组的比较显示,轻度耳鸣患者和重度耳鸣患者在内膜中层厚度方面存在显著差异。内膜中层厚度增加与主观性非搏动性耳鸣及听力损失的严重程度相关。因此,对于主观性非搏动性耳鸣患者,应检查其颈动脉系统。

相似文献

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Increased Atherosclerosis Correlates with Subjective Tinnitus Severity.动脉粥样硬化加剧与主观性耳鸣严重程度相关。
Indian J Otolaryngol Head Neck Surg. 2018 Mar;70(1):119-124. doi: 10.1007/s12070-015-0845-4. Epub 2015 Apr 28.
2
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Int Arch Otorhinolaryngol. 2020 Apr;24(2):e191-e197. doi: 10.1055/s-0039-1697994. Epub 2020 Jan 28.

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Neural plasticity in tinnitus.耳鸣中的神经可塑性。
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