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耳鸣相关的认知和心理障碍:一项全面综述的荟萃分析。

Tinnitus-associated cognitive and psychological impairments: a comprehensive review meta-analysis.

作者信息

Yang Dong, Zhang Dan, Zhang Xinmiao, Li Xin

机构信息

Department of Otorhinolaryngology, Tianjin Medical University General Hospital, Tianjin, China.

Department of Psychology, Tsinghua University, Beijing, China.

出版信息

Front Neurosci. 2024 Feb 8;18:1275560. doi: 10.3389/fnins.2024.1275560. eCollection 2024.

Abstract

BACKGROUND

Tinnitus is strongly associated with an increased risk of cognitive disabilities. The findings of this research will provide valuable support for future investigations aimed at determining the correlation between tinnitus and the risk of cognitive impairments.

OBJECTIVES

We investigated the potential correlation between tinnitus and the risk of various cognitive impairments, such as dementia, compromised learning attention, anxiety, depression, and insomnia. The study examined this relationship collectively and by categorizing the data based on different age groups.

METHODS

We compiled data from case-control studies and cohort studies obtained from reputable databases such as PubMed, Cochrane Library, and Embase. To minimize potential bias, two reviewers independently assessed the selected articles. After extracting the data, we calculated the pooled odds ratios (ORs) using a random-effects model.

RESULTS

Seventeen relevant studies, comprising an adult population, were included in this analysis. Pooled estimated outcomes revealed a strong association between tinnitus and an elevated risk of dementia-compromised learning, auditory attention, anxiety, depression, and poor sleep quality (P<0.05). Furthermore, the pooled analysis stratified by age demonstrated that patients aged above 60 years, in comparison to those aged 18 to 60 years, exhibited more significant outcomes in relation to the progression of cognitive impairments.

CONCLUSION

Tinnitus has the potential to increase the risk of cognitive impairments. Moreover, geriatric patients aged above 60 shows a higher susceptibility to developing cognitive disabilities compared to their younger counterparts.

摘要

背景

耳鸣与认知障碍风险增加密切相关。本研究结果将为未来旨在确定耳鸣与认知障碍风险之间相关性的调查提供有价值的支持。

目的

我们调查了耳鸣与各种认知障碍风险之间的潜在相关性,如痴呆、学习注意力受损、焦虑、抑郁和失眠。该研究综合考察了这种关系,并按不同年龄组对数据进行分类。

方法

我们汇编了从知名数据库(如PubMed、Cochrane图书馆和Embase)获取的病例对照研究和队列研究的数据。为尽量减少潜在偏倚,两名审阅者独立评估所选文章。提取数据后,我们使用随机效应模型计算合并优势比(OR)。

结果

本分析纳入了17项涉及成年人群的相关研究。合并估计结果显示,耳鸣与痴呆、学习能力受损、听觉注意力、焦虑、抑郁和睡眠质量差的风险升高之间存在密切关联(P<0.05)。此外,按年龄分层的合并分析表明,60岁以上的患者与18至60岁的患者相比,在认知障碍进展方面表现出更显著的结果。

结论

耳鸣有可能增加认知障碍的风险。此外,60岁以上的老年患者比年轻患者更容易出现认知障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/542f/10881733/3e2633704640/fnins-18-1275560-g0001.jpg

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