NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York.
Department of Medicine, Weill Cornell Medicine, New York, New York.
J Clin Sleep Med. 2024 Mar 1;20(3):399-405. doi: 10.5664/jcsm.10882.
Poor sleep is a prevalent complaint in the population with chronic tinnitus, but the relationship between the two is not well-characterized. The objective of this study was to understand how subjective and objective measures of sleep compare in patients with or without chronic tinnitus.
This prospective cohort study included consecutive adult patients who presented to a sleep laboratory between January 19, 2017, and January 10, 2020. All patients underwent an in-laboratory nocturnal polysomnogram and filled out questionnaires including the Pittsburgh Sleep Quality Index (PSQI), Tinnitus Screener, and Tinnitus Handicap Inventory, among others.
The study included 1,968 participants, out of which 284 (14.4%) reported chronic tinnitus. Patients with chronic tinnitus were younger (51.6 years vs 54.1 years; < .05) and more likely female (16.4% vs 11.7%; < .005). They demonstrated worse subjective sleep quality (PSQI: 11.3 vs 9.5; < .0005) and increased sleepiness (Epworth Sleepiness Scale: 9.8 vs 8.6; < .005). In the objective sleep parameters only the total sleep time was increased in chronic tinnitus (311.5 vs 294.5 minutes; < .05) and total arousals were decreased (41.7 vs 47; < .005). Sleep stage N3 was higher in those with chronic tinnitus (14.9% vs 13.0%; < .05). In multivariable analyses, as PSQI increases the odds of chronic tinnitus increases. This effect was modified by age: In those younger than 55 years of age, the odds of the presence of chronic tinnitus was 1.10 (95% confidence interval, 1.03, 1.17) times higher as PSQI increased.
Chronic tinnitus is associated with significant changes in qualitative sleep (higher PSQI) but no major differences in quantitative sleep measures were observed.
Weingarten JA, Islam A, Dubrovsky B, Gharanei M, Coelho DH. The association of subjective and objective sleep measures with chronic tinnitus. . 2024;20(3):399-405.
慢性耳鸣人群普遍存在睡眠质量差的问题，但两者之间的关系尚未明确。本研究旨在了解慢性耳鸣患者的主观和客观睡眠测量结果有何不同。
这是一项前瞻性队列研究，纳入了 2017 年 1 月 19 日至 2020 年 1 月 10 日期间在睡眠实验室就诊的连续成年患者。所有患者均接受了夜间多导睡眠图检查，并填写了匹兹堡睡眠质量指数（PSQI）、耳鸣筛查器和耳鸣残疾量表等问卷。
研究共纳入 1968 名参与者，其中 284 名（14.4%）报告患有慢性耳鸣。慢性耳鸣患者更年轻（51.6 岁比 54.1 岁；<0.05），女性比例更高（16.4%比 11.7%；<0.005）。他们的主观睡眠质量更差（PSQI：11.3 比 9.5；<0.0005），嗜睡程度更高（Epworth 嗜睡量表：9.8 比 8.6；<0.005）。在客观睡眠参数方面，只有慢性耳鸣患者的总睡眠时间增加（311.5 分钟比 294.5 分钟；<0.05），总唤醒次数减少（41.7 次比 47 次；<0.005）。睡眠阶段 N3 在慢性耳鸣患者中更高（14.9%比 13.0%；<0.05）。多变量分析显示，PSQI 增加，患慢性耳鸣的几率增加。这种影响受年龄影响：在年龄小于 55 岁的患者中，PSQI 每增加 1 分，患慢性耳鸣的几率就会增加 1.10 倍（95%置信区间，1.03 至 1.17）。
慢性耳鸣与睡眠质量的明显变化有关（PSQI 更高），但在定量睡眠测量方面没有观察到明显差异。
Weingarten JA, Islam A, Dubrovsky B, Gharanei M, Coelho DH. 主观和客观睡眠测量与慢性耳鸣的关系。 2024;20(3):399-405.
