Wang Y J, Wang M M, Hou Z Q, Fang Z M, Wang H B
Department of Otolaryngology Head and Neck Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Shandong Provincial Key Laboratory of Otology, Ji'nan, 250021, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Feb;32(3):209-213. doi: 10.13201/j.issn.1001-1781.2018.03.013.
To analyze the characteristics of sleep quality and its correlation with the clinical features and hearing curative effects in patients with unilateral idiopathic sudden sensorineural hearing loss (ISSHL). Pittsburgh sleep quality index (PSQI) was applied to evaluate the sleep quality of unilateral ISSHL patients in our department. Patient group is divided into poor sleep quality subgroup (total PSQI score>7 points) and normal sleep subgroup (total PSQI score≤7 points). The differences of Patient group and two subgroups between hearing curative effect in the 30 days after treatment and sleep quality scores were compared and analyzed. Questionnaire survey was applied to control group, which contained 70 healthy people with normal hearing level and age matched. A total of 75 cases were collected. To compare with control group, there were statistical difference in the scores of subjective sleep quality, habitual sleep efficiency, sleep disturbance and PSQI before treatment and in the score of habitual sleep efficiency after the treatment for 30 d (<0.05). The sleep quality between poor sleep quality subgroup and normal sleep subgroup, total therapeutic effect after treatment for 30 d was no significant difference (>0.05). The proportion for poor sleep quality were no statistically significant differences in the different efficacy of two subgroups (>0.05). Two subgroups before treatment, in addition to sleep duration, there were statistically significant in all the sleep quality dimensions (<0.05); after treatment for 30 d, in addition to subjective sleep quality, sleep duration, all have statistical difference (<0.05). The poor sleep quality subgroup in the case group compared before and after treatment for 30 d, there was statistically significant in subjective sleep quality (<0.05). The sleep disturbance before treatment, the sleep duration and PSQI scores after treatment for 30 d were associated with clinical features in patients with unilateral ISSHL (<0.05). The sleep quality of patients with Unilateral SSNHL was significantly lower than that of normal hearing patients, the sleep quality had no significant effect on the general efficacy of unilateral SSNHL, but some sleep quality dimensions are associated with the clinical features before and after treatment.
分析单侧特发性突发性感音神经性听力损失(ISSHL)患者的睡眠质量特征及其与临床特征和听力疗效的相关性。应用匹兹堡睡眠质量指数(PSQI)评估我科单侧ISSHL患者的睡眠质量。将患者组分为睡眠质量差亚组(PSQI总分>7分)和正常睡眠亚组(PSQI总分≤7分)。比较分析患者组及两个亚组治疗后30天听力疗效与睡眠质量评分的差异。对对照组进行问卷调查,对照组为70名听力水平正常且年龄匹配的健康人。共收集75例病例。与对照组比较,治疗前主观睡眠质量、习惯性睡眠效率、睡眠障碍及PSQI评分以及治疗30天后习惯性睡眠效率评分差异有统计学意义(<0.05)。睡眠质量差亚组与正常睡眠亚组治疗30天后总疗效差异无统计学意义(>0.05)。两个亚组不同疗效中睡眠质量差的比例差异无统计学意义(>0.05)。两个亚组治疗前,除睡眠时间外,所有睡眠质量维度差异均有统计学意义(<0.05);治疗30天后,除主观睡眠质量、睡眠时间外,均有统计学差异(<0.05)。病例组睡眠质量差亚组治疗30天前后比较,主观睡眠质量差异有统计学意义(<0.05)。治疗前的睡眠障碍、治疗30天后的睡眠时间及PSQI评分与单侧ISSHL患者临床特征相关(<0.05)。单侧SSNHL患者的睡眠质量明显低于听力正常患者,睡眠质量对单侧SSNHL的总体疗效无显著影响,但部分睡眠质量维度与治疗前后临床特征相关。