阻断性睡眠呼吸暂停综合征中的氧化应激:听力系统损伤的假定途径
Pierluigi Mastino1, Davide Rosati1, Giulia de Soccio1
1Division of Otolaryngology-Head and Neck Surgery, Ospedale San Camillo de Lellis, ASL Rieti-Sapienza University, Viale Kennedy, 02100 Rieti, Italy.
Antioxidants (Basel, Switzerland)
|July 29, 2023
概括
阻塞性睡眠呼吸暂停综合征 (OSAS) 与听力损失有显著的相关性,主要是由间歇性缺氧引起的氧化应激驱动的. 持续正气道压力 (CPAP) 没有影响听力功能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 心血管健康 心血管健康
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 影响2%的男性和4%的女性,对公共健康构成重大风险.
- 未经治疗的OSAS可能导致心血管,代谢和脑血管并发症.
- 间歇性缺氧引起的氧化应激是OSAS病理生理学的关键因素,导致内皮损伤.
研究的目的:
- 调查OSAS和听力损失之间的相关性.
- 评估持续正气道压力 (CPAP) 对OSAS患者听力功能的影响.
- 确定氧化应激在与OSAS相关的听觉系统损伤中的作用.
主要方法:
- 进行了一次文献综述.
- 七篇文章重点关注OSAS-听力系统的相关性,一篇文章研究了CPAP的影响.
- 两篇文章探讨了氧化应激在间歇性缺氧中的作用.
主要成果:
- 在所有审查的研究中,在OSAS和听力功能之间观察到显著的相关性 (p <0.05).
- 由于间歇性缺氧而引起的氧化压力成为听力损伤的主要病原遗传机制.
结论:
- 在多个层面上,OSAS对听觉系统产生负面影响.
- 氧化应激是OSAS听力损伤的主要原因.
- CPAP疗法不会影响听力功能.
- 建议进行进一步的研究,包括扩展高频评估,噪音语音测试和氧化应激生物标志物分析.
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