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滥用物质对听觉和前庭功能的影响:系统性审查

Amanda Chiao^1,2, Michelle L Hughes², Priya Karimuddanahalli Premkumar²

¹Department of Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.

Ear and hearing

|October 3, 2023

概括

慢性物质滥用会导致暂时或永久的听力和前庭功能障碍. 听力学家和耳鼻喉学家应该意识到在有物质使用障碍 (SUD) 的患者中这些耳毒效应.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经科学是一个神经科学.
公共卫生公共卫生

背景情况:

慢性物质滥用是一个重要的公共卫生问题,具有潜在的耳毒性影响.
药物使用障碍 (SUD) 可以导致暂时或永久的听觉和前庭功能障碍.
对于听力学家和耳鼻喉学家来说,了解这些耳毒作用至关重要.

研究的目的:

综合有关非法药物,处方阿片类药物和滥用酒精及其对听觉和前庭系统的影响的文献.
为了确定与每个物质类别相关的常见听力和前庭功能障碍.
讨论文献的局限性,潜在的机制,临床影响和未来的研究机会.

主要方法:

对来自PubMed,Scopus和Google Scholar的同行评审文章进行了系统的审查.
研究包括了长期滥用药物和听力/前体病情的成年人.
专注于急性影响,已知的耳毒药物或非英语出版物的文章被排除在外;由于研究设计的局限性,元分析是不可行的.

主要成果:

非法药物滥用 (安非他命,可卡因) 与突然的,暂时的听力损失 (HL) 有关.
处方阿片类药物的滥用通常会导致突然,永久的双边听力损失和偶尔的外周前置损失 (VL).
慢性滥用酒精与感官神经性HL和中央前庭功能障碍有关.

结论:

慢性物质滥用与耳毒性影响有关,导致暂时或永久的听力和前庭功能障碍.
局限性包括缺乏客观措施,样本规模小,依赖案例研究.
未来需要大规模的前性研究来澄清风险因素,并为临床管理提供信息.

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