Yazici Demet, Cihan Mehmet Celalettin
Department of Otorhinolaryngology, Adana City Training and Research Hospital, Adana, Turkey.
Department of Audiology, Cappadocia University, Nevşehir, Turkey.
Int Arch Otorhinolaryngol. 2023 Oct 23;27(4):e608-e612. doi: 10.1055/s-0042-1758216. eCollection 2023 Oct.
Tinnitus etiopathogenesis is still unclear and treatment options are controversial despite current advances in medicine. To analyze the correlation between patients' symptom scores, systemic inflammation, and trombosis biomarkers. In this prospective study, we evaluated the degree of complaints of subjective tinnitus patients with the tinnitus severity index (TSI) and tinnitus handicap inventory (THI), and correlated these symptom scores with hematological parameters such as the neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), mean thrombocyte volume (MPV), and platelet distribution width (PDW). A total of 44 patients with subjective tinnitus, 25 (56.8%) men and 19 (43.2%) women, were included in this study. The mean age of the patients was 42.3 ± 14.8 years. When the correlation between TSI and NLR, PLR, PDW, and MPV values of the patients were analyzed, no statistically significant correlation was found between TSI, NLR, and PLR ( > 0.05). However, there was a statistically weak positive correlation between TSI, MPV, and PDW.( < 0.05). When the correlation between THI and NLR, PLR, PDW, and MPV values of the patients were analyzed, no statistically significant correlation was found between THI, NLR, and PLR ( > 0.05). There was a statistically weak positive correlation between THI, MPV, and PDW ( < 0.05). We were unable to detect any relationship between systemic inflammation markers (NLR and PLR) and symptom scores, but a weakly positive correlation was observed between thrombosis markers (MPV and PDW) and symptom scores, and as the subclinical thrombosis markers elevated, so did the symptom scores.
耳鸣的病因发病机制仍不明确,尽管目前医学取得了进展,但治疗方案仍存在争议。
分析患者症状评分、全身炎症和血栓形成生物标志物之间的相关性。
在这项前瞻性研究中,我们使用耳鸣严重程度指数(TSI)和耳鸣障碍量表(THI)评估了主观性耳鸣患者的主诉程度,并将这些症状评分与血液学参数进行关联,如中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、平均血小板体积(MPV)和血小板分布宽度(PDW)。
本研究共纳入44例主观性耳鸣患者,其中男性25例(56.8%),女性19例(43.2%)。患者的平均年龄为42.3±14.8岁。分析患者TSI与NLR、PLR、PDW和MPV值之间的相关性时,未发现TSI、NLR和PLR之间存在统计学显著相关性(P>0.05)。然而,TSI、MPV和PDW之间存在统计学上较弱的正相关(P<0.05)。分析患者THI与NLR、PLR、PDW和MPV值之间的相关性时,未发现THI、NLR和PLR之间存在统计学显著相关性(P>0.05)。THI、MPV和PDW之间存在统计学上较弱的正相关(P<0.05)。
我们未能检测到全身炎症标志物(NLR和PLR)与症状评分之间存在任何关系,但观察到血栓形成标志物(MPV和PDW)与症状评分之间存在弱正相关,并且随着亚临床血栓形成标志物升高,症状评分也升高。