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高脂血症伴全频突发性特发性感音神经性听力损失的特征及预后因素分析

Analysis of Characteristics and Prognostic Factors of Full-Frequency Idiopathic Sudden Sensorineural Hearing Loss with Hyperlipidemia.

作者信息

Qin Feng, Wang Mingxing, Qiu Jibing, Guo Jinbao

机构信息

The Changzhou Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, People's Republic of China.

Department of Otorhinolaryngology, Changzhou Third People's Hospital, Changzhou, Jiangsu, People's Republic of China.

出版信息

Int J Gen Med. 2024 Oct 29;17:4985-4990. doi: 10.2147/IJGM.S487553. eCollection 2024.

DOI:10.2147/IJGM.S487553
PMID:39494360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11531281/
Abstract

PURPOSE

To explore the relationship between hyperlipidemia and full-frequency idiopathic sudden sensorineural hearing loss (FFHL).

PATIENTS AND METHODS

A total of 145 FFHL patients admitted from September 2021 to May 2024 were analyzed. Eighty-five patients with hyperlipidemia and 60 patients with normal serum lipids statistically analyze the patient's gender, age, onset time, accompanying symptoms, and serum lipids. Measure the pure tone hearing threshold before and after treatment, and calculate the average increase in hearing threshold. Compare the correlation between various factors and prognosis.

RESULTS

The hyperlipidemia group had a higher proportion of males (=0.043) and vertigo (=0.044) compared to the control group, while other information between the two groups lacked statistical significance. Effective patients (n=44) in the hyperlipidemia group showed significant differences in vertigo (=0.020), age (=0.032), and onset (=0.030) compared to ineffective patients (n=41). Analysis showed that these were independent correlated factors affecting prognosis. Other indicators, including serum lipids, have no significance in predicting the prognosis of patients with hyperlipidemia and complete frequency decline in hearing loss.

CONCLUSION

Patients with hyperlipidemia have higher rates of males and vertigo. The age, onset, and vertigo of patients with hyperlipidemia are related to prognosis, while various lipid indicators are not related to the prognosis of sudden hearing loss.

摘要

目的

探讨高脂血症与全频突发性特发性感音神经性听力损失(FFHL)之间的关系。

患者与方法

对2021年9月至2024年5月收治的145例FFHL患者进行分析。其中85例高脂血症患者和60例血脂正常患者,对患者的性别、年龄、发病时间、伴随症状及血脂进行统计学分析。测量治疗前后的纯音听力阈值,并计算听力阈值平均升高值。比较各因素与预后的相关性。

结果

高脂血症组男性比例(=0.043)和眩晕比例(=0.044)高于对照组,而两组间其他信息无统计学意义。高脂血症组有效患者(n = 44)与无效患者(n = 41)相比,在眩晕(=0.020)、年龄(=0.032)和发病(=0.030)方面存在显著差异。分析表明这些是影响预后的独立相关因素。其他指标,包括血脂,在预测高脂血症和全频听力损失下降患者的预后方面无意义。

结论

高脂血症患者男性和眩晕发生率较高。高脂血症患者的年龄、发病及眩晕与预后相关,而各项血脂指标与突发性听力损失的预后无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/11531281/a305f1ddf901/IJGM-17-4985-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/11531281/a305f1ddf901/IJGM-17-4985-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5a1/11531281/a305f1ddf901/IJGM-17-4985-g0001.jpg

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本文引用的文献

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Associations of Blood Lipids with the Risk and Prognosis of Sudden Sensorineural Hearing Loss: A Meta-analysis.血脂与突发性聋风险和预后的关系:一项荟萃分析。
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Cardiovascular Risk Factors, Cerebral Small Vessel Disease, and Subsequent Risk of Stroke in Patients with Idiopathic Sudden Sensorineural Hearing Loss: Systematic Review and Meta-Analyses of the Current Literature.
心血管危险因素、脑小血管病与特发性突发性聋患者卒中风险的相关性:当前文献的系统评价和荟萃分析。
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Hydrophilic and lipophilic statin use and risk of hearing loss in hyperlipidemia using a Common Data Model: multicenter cohort study.采用通用数据模型研究亲脂性和亲水性他汀类药物的使用与高血脂相关听力损失风险:多中心队列研究。
Sci Rep. 2023 Jul 31;13(1):12373. doi: 10.1038/s41598-023-39316-x.
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Cardiovascular Risk Factors and Sudden Sensorineural Hearing Loss: A Case-Control Study.心血管危险因素与突发性感音神经性听力损失:一项病例对照研究。
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