类风湿关节炎患者与对照组的听力评价

IF 0.2 Q4 OTORHINOLARYNGOLOGY
Zafer Volkan Gökçe, S. Öztürk, Ceki Paltura
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引用次数: 0

摘要

目的:探讨类风湿关节炎(rheumatoid arthritis, RA)对听力的影响,并与健康人群进行比较,探讨类风湿关节炎(rheumatoid arthritis, RA)与听力的关系。方法:选取30例RA患者和30例健康对照。对两组患者的年龄、身高、体重、发病(年)、诊断后的时间、既往手术、伴随的全身性疾病、药物使用、家族史、吸烟和饮酒习惯等人口统计学调查结果进行了询问。进行鼓室测听、纯音测听和耳声发射测试。结果:RA组气道传导听力阈值在0.25 ~ 6 kHz各频率均显著高于对照组。骨传导听力阈值比较,RA组仅在4 kHz和左耳受影响更大(p=0.006)。当检测空气-骨传导差异(AB-gap)时,RA组在0.5、1、4 kHz时差异有统计学意义。当评估鼓室测量和声反射测量结果时,组间差异无统计学意义。在短暂性OAE试验中,RA组3例(10%),对照组2例(6.6%)(p=0.064)。结论:传导性听力损失在RA患者中的发生率明显高于健康人,而骨传导在高频率时受到部分影响;而镫骨反射、顺应性和压力值无明显影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of hearing in patients with rheumatoid arthritis compared with controls
Objective: To demonstrate the effects of rheumatoid arthritis (RA) on hearing with audiometric and tympanometric measurements, and to reveal its relationship with the disease in comparison with healthy volunteers. Methods: The study included 30 RA patients and 30 healthy controls. Demographic findings such as age, height, weight, onset of complaint (year), time elapsed since diagnosis, previous surgery, accompanying systemic disease, drugs used, family history, habits of smoking and alcohol use were questioned for both groups. Tympanometry, pure voice audiometry and otoacoustic Emission tests were performed. Results: The hearing thresholds in the airway conduction in RA group were significantly higher in all frequencies (0.25-6 kHz) than in the control group. When bone conduction hearing thresholds were compared, RA group was more affected at only 4 kHz and left ear (p=0.006). When air-bone conduction differences (AB-gap) were examined, the differences in the RA group at 0.5, 1 and 4 kHz were statistically significant. When tympanometry and acoustic reflex measurement results were evaluated, there was no statistically significant difference between groups. In the transient OAE test, 3 (10 %) patients were in the RA and 2 (6.6 %) patients in the control group (p=0.064). Conclusion: Conductive hearing loss was significantly more frequent in patients with RA than in healthy individuals, whereas bone conduction was affected partially at high frequencies; whereas stapes reflex, compliance and pressure values were not significantly affected.
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来源期刊
ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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