未经治疗的耳硬化患者的残疾、生活质量和听力功能

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-07-16 DOI:10.1002/lio2.70198

Ylva Dahlin Redfors, Andreas Björsne, Caterina Finizia

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引用次数: 0

摘要

目的本研究的目的是评估新发听力损失受试者耳硬化的表现。方法本研究是一项前瞻性研究的一部分，该研究包括新诊断为耳硬化并打算接受治疗的受试者。为了进行比较，使用了瑞典公共卫生局和瑞典统计局（SCB）的统计数据。受试者回答了包括人口统计数据、SF-36简表（SF-36）、格拉斯哥助听器受益概况（GHABP）和医院焦虑和抑郁量表（HADS）在内的调查问卷。进行纯音测听和语音测听。结果共纳入158名受试者，其中62%为女性。平均年龄为45.8岁，女性明显低于男性（p值0.001）。72%的人报告耳鸣，明显高于一般人群。研究人群具有高水平的健康相关生活质量。听力障碍通常在更具挑战性的听力环境中表现出来，比如与几个人交谈。平均听力水平为中度（平均PTA4 AC 48 dB HL），大多数病例伴有单侧听力损失(双侧听力损失；女性32%，男性25%)。结论耳硬化症患者尽管有听力障碍，但生活质量较高，特别是在听力困难的情况下，并且在寻求帮助时耳鸣水平较高。证据级别3

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Disability, Quality of Life and Hearing Function in Patients With Untreated Otosclerosis

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Disability, Quality of Life and Hearing Function in Patients With Untreated Otosclerosis

Objectives

The aim of this study was to assess the presentation of otosclerosis in subjects with newly developed hearing loss.

Methods

This study was part of a prospective study that included subjects with newly diagnosed otosclerosis with the intention to undergo treatment. For comparison, statistical data from the Public Health Agency of Sweden and Statistics Sweden (SCB) were used. The subjects answered questionnaires covering demographic data, the Short Form SF 36 (SF-36), the Glasgow Hearing Aid Benefit Profile (GHABP) and the Hospital Anxiety and Depression Scale (HADS). Pure tone and speech audiometry were performed.

Results

One hundred and fifty-eight subjects were included, of whom 62% were women. The mean age was 45.8 years, and women were significantly younger than men were (p value 0.001). Tinnitus was reported by 72%, which was significantly greater than that reported by the general population. The study population had a high level of health-related quality of life. Hearing disability was most often displayed in more challenging listening situations, such as engaging in conversations with several people. The mean hearing level was of moderate severity (mean PTA₄ AC 48 dB HL), with unilateral hearing loss in most cases (bilateral hearing loss; female 32% and male 25%).

Conclusions

The otosclerosis cohort had a high level of quality of life despite experiencing hearing disability, especially in challenging listening situations, and a high level of tinnitus when seeking help.