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梅尼埃病与他汀类药物:存在关联吗?一项单机构研究。

Meniere's Disease and Statins: Is There an Association? A Single Institution Study.

作者信息

Bulbul Mustafa G, Wanstreet Tyler, Kais Amani, Jones Garrett H, Kellermeyer Brian M

机构信息

Department of Otolaryngology-Head and Neck Surgery West Virginia University Morgantown West Virginia USA.

出版信息

OTO Open. 2024 Jul 24;8(3):e177. doi: 10.1002/oto2.177. eCollection 2024 Jul-Sep.

Abstract

Meniere's disease (MD) is a complex inner ear disease related to endolymphatic hydrops and with multiple other etiologies suggested including autoimmunity and vascular insufficiency. Statins are lipid-lowering medications with additional effects including reduction of oxidative stress and inflammation. We performed a cross-sectional study comparing patients with MD on statins to those not on statins to see if there is any difference in disease activity (major vertigo spells) and hearing stage utilizing linear and logistic regression. Our analysis showed no difference in the average number of major vertigo spells per month ( = .07,  = .9) between statin users and nonusers; however, statin users were found to have lower odds of worse hearing (odds ratio = 0.46,  = .047). Further studies are needed to confirm our results.

摘要

梅尼埃病(MD)是一种与内淋巴积水相关的复杂内耳疾病,还存在包括自身免疫和血管功能不全等多种其他病因。他汀类药物是降脂药物,具有包括减轻氧化应激和炎症在内的其他作用。我们进行了一项横断面研究,比较服用他汀类药物的梅尼埃病患者和未服用他汀类药物的患者,以观察在疾病活动(严重眩晕发作)和听力阶段方面是否存在差异,采用线性回归和逻辑回归分析。我们的分析表明,他汀类药物使用者和非使用者每月严重眩晕发作的平均次数没有差异(P = 0.07,df = 0.9);然而,发现他汀类药物使用者听力恶化的几率较低(优势比 = 0.46,P = 0.047)。需要进一步的研究来证实我们的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7b/11269622/c1eb4d7dcd5f/OTO2-8-e177-g001.jpg

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