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新型冠状病毒肺炎的听觉-前庭概况;系统评价与荟萃分析

Audio-Vestibular Profile of COVID-19; Systematic Review and Meta-analysis.

作者信息

Maleki Mehri, Maarefvand Mohammad, Nazeri Ahmad Reza, Akbarzadeh Baghban Ali Reza, Borna Azadeh

机构信息

Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.

Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Otorhinolaryngol. 2022 Jul;34(123):145-155. doi: 10.22038/IJORL.2022.60404.3079.

DOI:10.22038/IJORL.2022.60404.3079
PMID:36035653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9393004/
Abstract

INTRODUCTION

After more than a year of the COVID-19 pandemic, audio-vestibular problems have been reported as consequences. Several limited case report studies with different methodologies were published. This study aimed to describe the impact of COVID-19 on the auditory-vestibular system and communication problems in subjects with hearing impairment.

MATERIALS AND METHODS

The current systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. PubMed, Web of Science, and Google Scholar were searched to find relevant articles using combined keywords.

RESULTS

Out of 26 final studies, 20 studies dealt with the effects of COVID-19 on the auditory and vestibular system, and six articles examined the COVID-19 effects on hearing-impaired people and patients. In these studies, dizziness (17.8%), tinnitus (8.1%), and vertigo (2.8%) were common symptoms. Most studies were case reports (42.30%), and in terms of quality, nine studies (34.61%) were in the suitable quality group.

CONCLUSIONS

COVID-19 might cause auditory-vestibular system problems by directly affecting the structures or functions of the inner ear or by weakening the immune system. The need for taking preventive measures during the COVID-19 pandemic has caused communication and social challenges, particularly for people with hearing loss.

摘要

引言

在新冠疫情持续一年多之后,已有报道称出现了听觉前庭问题。已发表了几项采用不同方法的有限病例报告研究。本研究旨在描述新冠病毒对听力受损受试者的听觉前庭系统及沟通问题的影响。

材料与方法

本系统评价依据系统评价和Meta分析的首选报告项目(PRISMA)指南进行。通过在PubMed、科学网和谷歌学术上检索,使用组合关键词查找相关文章。

结果

在26项最终研究中,20项研究探讨了新冠病毒对听觉和前庭系统的影响,6篇文章研究了新冠病毒对听力受损者和患者的影响。在这些研究中,头晕(17.8%)、耳鸣(8.1%)和眩晕(2.8%)是常见症状。大多数研究为病例报告(42.30%),在质量方面,9项研究(34.61%)属于质量合适组。

结论

新冠病毒可能通过直接影响内耳结构或功能或削弱免疫系统而导致听觉前庭系统问题。在新冠疫情期间采取预防措施的必要性引发了沟通和社会挑战,尤其是对听力损失者而言。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c951/9393004/2a29378990c3/ijo-34-145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c951/9393004/4ec14e9c9534/ijo-34-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c951/9393004/2a29378990c3/ijo-34-145-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c951/9393004/4ec14e9c9534/ijo-34-145-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c951/9393004/2a29378990c3/ijo-34-145-g002.jpg

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Post-COVID-19 Benign Paroxysmal Positional Vertigo.新冠后良性阵发性位置性眩晕
Case Rep Med. 2021 Jun 1;2021:9967555. doi: 10.1155/2021/9967555. eCollection 2021.
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Hearing Loss, Tinnitus, and Dizziness in COVID-19: A Systematic Review and Meta-Analysis.新型冠状病毒肺炎相关听力损失、耳鸣和头晕:系统评价和荟萃分析。
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One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms.一年后:SARS-CoV-2、COVID-19 和听觉-前庭症状的更新系统评价。
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Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019.听力损失的患病率和残疾生存年数,1990-2019 年:来自 2019 年全球疾病负担研究的结果。
Lancet. 2021 Mar 13;397(10278):996-1009. doi: 10.1016/S0140-6736(21)00516-X.
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