一个预后值估计的脉冲波速度在异形突发感应神经神经听力损失的预后值
Hee Won Seo1, Seok Hwa Ko1, Jae Ho Chung2
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, College of Medicine, Hanyang University, 222-Wangshimni-ro, Seongdong-gu, Seoul, 133-792, Republic of Korea.
概括
通过估计的脉冲波速度 (ePWV) 测量较高的动脉硬度,与突然感神经听力损失 (SSNHL) 患者的听力恢复较差有关. 这一发现强调了ePWV作为SSNHL治疗结果的潜在预测因素.
科学领域:
- 心脏病学和耳鼻喉学.
- 血管健康和听力医学
背景情况:
- 动脉硬度,以估计的脉冲波速度 (ePWV) 表示,是心血管风险的关键标志物.
- 异形性突发感神经听力损失 (SSNHL) 是一种复杂的疾病,治疗反应具有变化.
研究的目的:
- 为了研究动脉硬度 (ePWV) 与异常性SSNHL患者的治疗结果之间的关联.
- 确定ePWV是否可以作为SSNHL听力恢复的预测标记.
主要方法:
- 评估了110名在2019年4月至2022年3月期间接受治疗的特异性SSNHL患者.
- 计算的ePWV和其他心血管参数 (BMI,脂质).
- 在治疗后6个月评估听力恢复 (全身和内类固醇).
主要成果:
- 听力恢复不佳的患者的EPWV,BMI和腰围显著增加.
- 多变量分析证实,较高的ePWV,BMI和延迟治疗开始与较差的听力恢复有关.
- 54.5%的患者实现了听力恢复.
结论:
- 动脉硬的标志物EPWV升高与SSNHL的不良听力恢复有关.
- ePWV可能是预测SSNHL患者治疗成功的有价值指标.
- 进一步研究血管健康在SSNHL中的作用是有必要的.
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