He Xi, Huang Chao, Jiang Fan, Lan Hongli, Huang Yu, Liu Maojie, Lai Dan
Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
Department of Otolaryngology Head and Neck Surgery, Zigong First People's Hospital, Zigong, Sichuan, China.
Front Neurol. 2024 Nov 15;15:1480216. doi: 10.3389/fneur.2024.1480216. eCollection 2024.
It is difficult to detect acute low-tone sensorineural hearing loss (ALHL) because of only low-frequency hearing loss and atypical early symptoms. The etiology of ALHL is still elusive, and psychosomatic factors influence deafness and tinnitus. Therefore, this study aimed to clarify the correlation between psychosomatic factors and the incidence of ALHL to facilitate the prevention of ALHL.
Patients with stuffy ears and tinnitus who were admitted to the Outpatient Clinic of the Affiliated Hospital of Southwestern Medical University (Luzhou, China) from July 2020 to May 2023 were identified in this retrospective study. The general data, hearing screening form, the Life Event Scale, and the Pittsburgh Sleep Quality Index scale were employed to assess patients' hearing levels and stimuli of psychosomatic symptoms. Finally, the correlation among the stimuli of life events, sleep quality, and ALHL was statistically analyzed.
A total of 97 ALHL patients and 97 healthy participants were enrolled in the case group and control group, respectively. The two groups had no significant differences in general information (all > 0.05). The amount of negative life event stimuli was significantly larger in ALHL patients than in the normal population ( = 0.000). Patients with ALHL had significantly poorer sleep quality than the healthy population ( = 0.000). There was a positive correlation between sleep quality and ALHL severity (250 Hz: = 0.336, = 0.001; 500 Hz: = 0.299, = 0.003), and a positive correlation between the stimuli of life events and sleep quality ( = 0.535, = 0.000).
Sleep quality was found to be closely associated with the degree of hearing loss in ALHL patients, and there was also a strong correlation between sleep quality and the stimuli of life events. Therefore, psychosomatic factors may play an important role in the occurrence of ALHL.
由于仅存在低频听力损失且早期症状不典型，急性低频感音神经性听力损失（ALHL）难以被检测出来。ALHL的病因仍不明确，身心因素会影响耳聋和耳鸣。因此，本研究旨在阐明身心因素与ALHL发病率之间的相关性，以促进ALHL的预防。
在这项回顾性研究中，确定了2020年7月至2023年5月期间在西南医科大学附属医院（中国泸州）门诊就诊的耳闷和耳鸣患者。采用一般资料、听力筛查表、生活事件量表和匹兹堡睡眠质量指数量表来评估患者的听力水平和身心症状刺激。最后，对生活事件刺激、睡眠质量和ALHL之间的相关性进行统计学分析。
病例组和对照组分别纳入了97例ALHL患者和97名健康参与者。两组在一般信息方面无显著差异（均>0.05）。ALHL患者的负面生活事件刺激量显著大于正常人群（=0.000）。ALHL患者的睡眠质量明显比健康人群差（=0.000）。睡眠质量与ALHL严重程度之间存在正相关（250Hz：=0.336，=0.001；500Hz：=0.299，=0.003），生活事件刺激与睡眠质量之间存在正相关（=0.535，=0.000）。
发现睡眠质量与ALHL患者的听力损失程度密切相关，睡眠质量与生活事件刺激之间也存在很强的相关性。因此，身心因素可能在ALHL的发生中起重要作用。
