在慢性阻塞性肺病患者中评估听觉功能
Hoda A Eid1, Heba H Eltrawy1, Shaimaa E Kabil2
1Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt.
SAGE open medicine
|December 5, 2023
概括
慢性阻塞性肺病 (COPD) 患者经历了显著的听力损失,这会随着呼吸衰竭而恶化. 这种听力障碍与较低的氧气水平和更高的吸烟影响有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 听力学 听力学是指听力学.
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种多系统性疾病,有许多并发症.
- 听力功能,依赖于耳功能,可以受到氧化问题的损害.
- 听力障碍是COPD患者的一个重大问题和潜在的并发症.
研究的目的:
- 评估诊断为慢性阻塞性肺病 (COPD) 的患者的听觉状态.
主要方法:
- 该研究包括120名参与者:60名健康对照,30名没有呼吸衰竭的COPD患者和30名呼吸衰竭的COPD患者.
- 听力功能使用纯音调听力测量和听觉脑干响应 (ABR) 来评估.
主要成果:
- 与对照组相比,COPD患者表现出统计学上显著的听力损伤.
- 听力障碍在患有呼吸衰竭的COPD患者中更为明显.
- 听力障碍与氧气张力 (PaO2) 有负相关,与吸烟指数有正相关.
结论:
- 听力障碍在COPD患者中显著增加,特别是那些呼吸衰竭患者.
- 缺氧导致纯音声听力测试结果较差和ABR延长的延迟,这表明后耳干涉.
- 慢性肺炎患者在不同频率的听力值上升,表明轻度至中度的听力损失.
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