Harshvardhan Rekha, Phageria Kuldeep, Meena Ramlakhan, Meena Neelam, Singh Shashank Nath, Jat Prem Singh, Rajpurohit Pragya
Department of Otorhinolaryngology and Head and Neck Surgery, Sawai ManSingh Medical College, Jaipur, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2196-2200. doi: 10.1007/s12070-023-03844-9. Epub 2023 May 6.
: Chronic kidney disease (CKD) is becoming a great concern, especially in developing countries and SNHL among patients with CKD is considerably higher than general population. So, current study aims evaluation and assessment of degree of hearing loss in chronic kidney disease patients using pure tone audiogram and correlation of hearing loss with its contributing factors. :70 patients with CKD were included in this prospective observational cross sectional study performed in tertiary care hospital. A detailed history; general physical, otological examination, blood investigation was done.CKD staging was done using KDIGO guidelines and hearing assessment using pure tone audiometry. Hearing loss association with CKD and contributing factors were studied. : Out of 70 participants, SNHL was seen in twenty one participants. Hearing loss was present in 3 out of 22 participants of CKD-3; 6 out of 12 participants of CKD-4 and 12 out of 15 participants of stage CKD-5. A statistically significant association of hearing loss was found with CKD stage, albuminuria, hemodialysis, hypertension and other factors. : Since hearing impairment may well have a negative impact on the social function of an affected individual, the use of pure tone audiogram to monitor CKD patients should be considered as a routine procedure. Patients with CKD would benefit from early detection of hearing loss which will allow for early rehabilitative measures to be taken.
慢性肾脏病（CKD）正成为一个重大问题，尤其是在发展中国家，CKD患者中感音神经性听力损失（SNHL）的发生率显著高于普通人群。因此，本研究旨在使用纯音听力图评估CKD患者的听力损失程度，并探讨听力损失与其相关因素的关系。本前瞻性观察性横断面研究在一家三级医院进行，纳入了70例CKD患者。进行了详细的病史询问、全身体格检查、耳科检查及血液检查。采用KDIGO指南进行CKD分期，使用纯音听力测定法进行听力评估。研究了听力损失与CKD及其相关因素的关系。在70名参与者中，21人出现了SNHL。CKD-3期的22名参与者中有3人出现听力损失；CKD-4期的12名参与者中有6人出现听力损失；CKD-5期的15名参与者中有12人出现听力损失。发现听力损失与CKD分期、蛋白尿、血液透析、高血压及其他因素之间存在统计学上的显著关联。由于听力障碍可能会对受影响个体的社会功能产生负面影响，因此应将使用纯音听力图监测CKD患者视为一项常规程序。CKD患者将受益于听力损失的早期检测，这将有助于采取早期康复措施。
