Nazeri Ahmadreza, Majidpour Amir, Nazeri Ali, Kamrani Ali, Aazh Hashir
Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Otorhinolaryngol. 2024 May;36(3):489-497. doi: 10.22038/IJORL.2024.71040.3414.
The aim was to assess prevalence of tinnitus, hyperacusis, hearing and balance problems among patients recovered from COVID-19 infection. Self-reported ear and hearing symptoms were compared in three groups comprising: confirmed COVID-19, possible COVID-19, and non-COVID-19.
1649 participants completed the survey in this cross-sectional study. The mean age was 34 years and 65% were female. Participants with confirmed and possible COVID-19 were asked if after their infection (compared to the past) they experienced hearing loss, ringing or whistling noises, fullness or blockage in their ears, loudness of the sounds that are normal to other people bother them more (an indication of hyperacusis), dizziness, giddiness, or imbalance.
Among participants with confirmed COVID-19, 16% reported that compared to the past their hearing has decreased, 21.5% noticed tinnitus, 22.5% aural fullness, 26.1% hyperacusis and 17.3% balance problems. Regression models showed that compared to the non-COVID-19 group, participants with confirmed COVID-19 had odds ratios (ORs) of significantly greater than 1 in predicting presence of self-reported symptoms of hearing loss, tinnitus, aural fullness, hyperacusis and balance problems, OR=1.96 (=0.001), OR=1.63 (=0.003), OR=1.8 (<0.001), OR=2.2 (<0.001), and OR=2.99 (<0.001), respectively.
There seem to be higher prevalence of self-report symptoms of ear-related problems among individuals with confirmed COVID-19 infection compared to a non-COVID-19 group during the pandemic.
目的是评估从新冠病毒感染中康复的患者中耳鸣、听觉过敏、听力和平衡问题的患病率。在包括确诊新冠病毒感染、可能感染新冠病毒和未感染新冠病毒的三组患者中，比较了自我报告的耳部和听力症状。
在这项横断面研究中，1649名参与者完成了调查。平均年龄为34岁，65%为女性。询问确诊和可能感染新冠病毒的参与者，在感染后（与过去相比）是否经历过听力损失、耳鸣或哨声、耳部胀满或堵塞、其他人认为正常的声音对他们来说更响亮（听觉过敏的迹象）、头晕、眩晕或失衡。
在确诊感染新冠病毒的参与者中，16%报告称与过去相比听力下降，21.5%注意到耳鸣，22.5%感到耳部胀满，26.1%有听觉过敏，17.3%有平衡问题。回归模型显示，与未感染新冠病毒的组相比，确诊感染新冠病毒的参与者在预测自我报告的听力损失、耳鸣、耳部胀满、听觉过敏和平衡问题症状方面的优势比（OR）显著大于1，分别为OR = 1.96（P = 0.001）、OR = 1.63（P = 0.003）、OR = 1.8（P < 0.001）、OR = 2.2（P < 0.001）和OR = 2.99（P < 0.001）。
在疫情期间，与未感染新冠病毒的组相比，确诊感染新冠病毒的个体中自我报告的耳部相关问题症状的患病率似乎更高。
