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阻塞性睡眠呼吸暂停与听力损失:是否存在关联?

Obstructive Sleep Apnea and Hearing Loss: Is There Any Correlation?

作者信息

Chauhan Pankaj, Guleria Trilok Chand, Sharma Sunil, Minhas Ravinder S, Dadwal Madhuri, Mohindroo Narender K

机构信息

Department of Otolaryngology - Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Department of Otolaryngology - Head and Neck Surgery, Dr. Radhakrishnan Govt. Medical College, Hamirpur, Himachal Pradesh, India.

出版信息

Int Arch Otorhinolaryngol. 2022 Jun 24;27(3):e435-e439. doi: 10.1055/s-0042-1748809. eCollection 2023 Jul.

Abstract

Obstructive sleep apnea (OSA) is a breathing disorder related to sleep that has a negative effect on the behavior and health of people around the globe. Chronic hypoxemia and variations in the concentration of oxygen in the blood noticed in OSA individuals may have adverse effects on the process of auditory transduction and transmission.  To assess the effect of OSA on hearing and to find out the parameters that have more influence on hearing recorded during polysomnography of patients with OSA.  The present is a hospital-based, observational, analytical, cross-sectional study conducted over a period of one year. After application of the exclusion criteria, the patients were then submitted to the application of the Berlin questionnaire, as well as polysomnography, impedance, and pure tone audiometry (PTA).  A total of 58 individuals were studied. Age, gender, and height were comparable among cases and controls, while weight, body mass index (BMI), and neck circumference were significantly higher in cases in comparison to controls. The mean PTA was significantly higher at 10 kHz or higher frequencies in cases in comparison to controls.  We observed that there is evidence that the auditory mechanism is affected in OSA patients. We recommend early auditory screening of OSA patients for timely diagnosis and to raise awareness about its prevention.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种与睡眠相关的呼吸障碍,对全球各地人们的行为和健康都有负面影响。OSA患者中出现的慢性低氧血症和血液中氧浓度的变化可能会对听觉转导和传导过程产生不利影响。

为了评估OSA对听力的影响,并找出在OSA患者多导睡眠图记录中对听力影响更大的参数。

本研究是一项基于医院的观察性、分析性横断面研究,为期一年。在应用排除标准后,患者随后接受柏林问卷、多导睡眠图、阻抗和纯音听力测定(PTA)。

共研究了58名个体。病例组和对照组在年龄、性别和身高方面具有可比性,而病例组的体重、体重指数(BMI)和颈围明显高于对照组。与对照组相比,病例组在10kHz或更高频率时的平均PTA明显更高。

我们观察到有证据表明OSA患者的听觉机制受到影响。我们建议对OSA患者进行早期听力筛查,以便及时诊断并提高对其预防的认识。

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Obstructive Sleep Apnea and Hearing Loss: Is There Any Correlation?阻塞性睡眠呼吸暂停与听力损失:是否存在关联?
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