睡眠呼吸暂停真的与听力损失有关吗？一项基于全国人群的 STOP-BANG 问卷的研究。
Is sleep apnea truly associated with hearing loss? A nationwide, population-based study with STOP-BANG questionnaire.
机构信息
Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
出版信息
Front Public Health. 2023 May 25;11:1170470. doi: 10.3389/fpubh.2023.1170470. eCollection 2023.
OBJECTIVES
We aimed to investigate the effect of obstructive sleep apnea (OSA) on hearing ability.
METHODS
We retrospectively reviewed the population-based survey data collected by the Korean National Health and Nutrition Examination Survey between January 1, 2019 and December 31, 2020. The data included 3,575 participants who completed the STOP-BANG questionnaire (SBQ) and pure-tone audiometry. OSA risk was assessed using the SBQ, and the hearing level was compared between the risk groups.
RESULTS
Among the 3,575 participants, 2,152 (60.2%), 891 (24.9%), and 532 (14.9%) were classified as being low, intermediate, and high risk, respectively. The intermediate- and high-risk groups showed significantly worse hearing levels than the low-risk group. When age and sex were adjusted, the hearing level did not differ between the risk groups.
CONCLUSION
The study found that the presence of OSA minimally affected hearing level. Because hearing loss due to hypoxic damage develops over a long period of time, further research on the association between the duration of OSA, rather than the presence or severity of OSA, and hearing loss is needed.
目的
研究阻塞性睡眠呼吸暂停（OSA）对听力能力的影响。
方法
我们回顾性分析了 2019 年 1 月 1 日至 2020 年 12 月 31 日期间进行的韩国国家健康和营养检查调查的数据。该数据包括完成 STOP-BANG 问卷（SBQ）和纯音测听的 3575 名参与者。使用 SBQ 评估 OSA 风险，并比较风险组之间的听力水平。
结果
在 3575 名参与者中，分别有 2152 名（60.2%）、891 名（24.9%）和 532 名（14.9%）被归类为低、中、高风险。中危和高危组的听力水平明显差于低危组。调整年龄和性别后，风险组之间的听力水平无差异。
结论
研究发现 OSA 的存在对听力水平影响不大。由于缺氧损伤引起的听力损失需要很长时间才能发展，因此需要进一步研究 OSA 持续时间而不是 OSA 的存在或严重程度与听力损失之间的关系。
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