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手机使用对耳鸣的影响:系统评价和荟萃分析。

The Impact of Mobile Phone Use on Tinnitus: A Systematic Review and Meta-Analysis.

机构信息

Department of Biophysics, Jagiellonian University Medical College, Cracow, Poland.

Doctoral School in Medical and Health Sciences, Jagiellonian University Medical College, Cracow, Poland.

出版信息

Bioelectromagnetics. 2021 Feb;42(2):105-114. doi: 10.1002/bem.22316. Epub 2021 Jan 13.

DOI:10.1002/bem.22316
PMID:33440459
Abstract

Tinnitus is a perception of sound in the absence of an external source. The aim of our study was to investigate with a meta-analytical approach, whether mobile phone (MP) use increases the risk of tinnitus. Eight studies reporting the risk of tinnitus in relation to MP use were identified, and six high-quality studies (two cohort studies, one case-control study, and three cross-sectional ones) were included in the meta-analysis. The quality assessment was performed using the Newcastle-Ottawa scale. The risk of tinnitus was analyzed depending on the exposure to MPs in subgroups according to the study design and method of exposure assessment. Two cohort studies, which assessed the exposure to MPs using network operator data, indicated no significantly increased risk of tinnitus among highly exposed MP users in comparison to lightly exposed individuals (odds ratio [OR]: 1.03 [95% confidence interval [CI]: 0.93-1.15]). Likewise, the self-reported exposure data from two cohorts/case-control and four cross-sectional studies did not find an association between exposure to MPs and tinnitus (OR: 1.20 [95% CI: 0.40-3.61] and OR: 1.73 [95% CI: 0.67-4.49], respectively). Current scientific knowledge, including high-quality studies with a reliable exposure assessment based on network operator data, does not support the hypothesis that MP use is associated with tinnitus. © 2020 Bioelectromagnetics Society.

摘要

耳鸣是指在没有外部声源的情况下感知到声音。我们的研究目的是通过荟萃分析方法来研究使用移动电话(MP)是否会增加耳鸣的风险。确定了八项研究报告了与 MP 使用相关的耳鸣风险,并且有六项高质量的研究(两项队列研究,一项病例对照研究和三项横断面研究)被纳入荟萃分析。使用纽卡斯尔-渥太华量表进行了质量评估。根据研究设计和暴露评估方法,根据暴露于 MP 的情况将耳鸣风险进行了分析。两项使用网络运营商数据评估 MP 暴露的队列研究表明,与轻度暴露个体相比,高暴露于 MP 的使用者患耳鸣的风险没有显著增加(比值比 [OR]:1.03 [95%置信区间 [CI]:0.93-1.15])。同样,来自两项队列/病例对照和四项横断面研究的自我报告暴露数据也没有发现 MP 暴露与耳鸣之间存在关联(OR:1.20 [95% CI:0.40-3.61]和 OR:1.73 [95% CI:0.67-4.49])。包括基于网络运营商数据进行可靠暴露评估的高质量研究在内的当前科学知识并不支持使用 MP 与耳鸣相关的假设。 © 2020 生物电磁学学会。

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