阻塞性睡眠呼吸暂停低通气综合征与耳鸣的相关性研究
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自治区卫生健康青年医学科技人才专项科研项目(WJWY-202038)


Relationship between obstructive sleep apnea hypopnea syndrome and tinnitus
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    摘要:

    目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与耳鸣的相关性。方法选取经多导睡眠监测(PSG)确诊的OSAHS患者71例,根据患者睡眠呼吸暂停低通气指数(AHI)分组,比较各组间耳鸣的发生率及各组间年龄、体质指数(BMI)、血氧饱和度、血压、平均听阈(PTA)的差异。利用多因素Logistic分析患者AHI、BMI、最低血氧饱和度与耳鸣发生的相关性。结果71例OSAHS患者中,轻度14例,中度16例,重度41例;轻度缺氧41例,中度缺氧18例,重度缺氧12例。无耳鸣者42例,有耳鸣者29例。29例伴有耳鸣患者中,听力损失:轻度9例,中度3例,重度17例,听阈值以4~8 kHz为主。轻、中、重度OSAHS组耳鸣发生率分别为:44.4%(6/14)、58.3%(9/16)、34.1%(14/41)。结论OSAHS患者更易损伤高频听力,OSAHS患者耳鸣的发生率与其严重程度无关。OSAHS患者耳鸣的发生可能是多种因素共同作用的结果。

    Abstract:

    ObjectiveTo investigate the correlation between obstructive sleep apnea hypopnea syndrome (OSAHS) and tinnitus.MethodsA total of 71 patients with OSAHS diagnosed by polysomnography were selected. They were divided into groups according to sleep apnea hypopnea index (AHI). The incidence of tinnitus, age and body mass index (BMI), blood oxygen saturation, blood pressure, and pure tone threshold (PTA) were compared between each group.ResultsAmong all the 71 patients, 14 were mild, 16 moderate and 41 severe based on AHI, and 31 were mild, 18 moderate and 12 severe according to the degree of hypoxemia. Of them, 29 had tinnitus with mild hearing loss in 9 cases, moderate in 3 and severe in 17, and mainly in the frequency of 4 to 8 kHz. The incidences of tinnitus in mild, moderate and severe OSAHS groups were 44.4% (6/14), 58.3% (9/16) and 34.1% (14/41), respectively.ConclusionsPatients with OSAHS may be more likely to have high-frequency hearing impairment. And there is no significant correlation between the incidence of tinnitus and the severity of OSAHS, which indicates that the occurrence of tinnitus in OSAHS patients may be a result of the concerted action of multiple factors.

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高妍,王忠巧,黄东海.阻塞性睡眠呼吸暂停低通气综合征与耳鸣的相关性研究[J].中国耳鼻咽喉颅底外科杂志,2022,28(5):15-18

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  • 收稿日期:2021-08-18
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  • 在线发布日期: 2022-11-01
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