类风湿性关节炎对中耳和内耳功能的影响
Serpil Demir1, Melih Pamukcu2, Selim S Erbek1
1Department of Otorhinolaryngology, Başkent University Faculty of Medicine, Ankara, Türkiye.
Turkish archives of otorhinolaryngology
|September 11, 2024
概括
类风湿性关节炎 (RA) 患者表现出听力功能障碍,包括听力值升高和听觉系统功能受损. 建议在RA诊断时进行早期听力学评估,以解决潜在的听力损失.
科学领域:
- 听力学 听力学是指听力学.
- 类风湿病学 类风湿病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 类风湿性关节炎 (RA) 是一种全身性自身免疫性疾病.
- RA 可以影响各种器官,但其对听觉功能的影响尚未完全理解.
- 了解RA中听觉系统的参与对于全面的患者护理至关重要.
研究的目的:
- 为了研究 RA 患者的中耳和内耳功能.
- 评估RA患者的听觉系统.
- 为了确定与类风湿性关节炎相关的听觉特征.
主要方法:
- 该研究包括35名RA患者和40名健康对照.
- 听力学评估包括纯色调和高频听力测量,多频 tympanometry,短暂唤起的耳声发射 (TEOAEs) 和 contralateral 抑制测试.
- 这些方法评估听觉敏感性,中耳功能,耳功能和不同的听觉通路.
主要成果:
- 与对照组相比,RA患者在大多数测试频率上显示出明显更高的纯色听力值.
- 在RA患者中,共振频率值显著较低,表明中耳特征发生变化.
- 逆侧抑制,一种衡量非耳性听觉功能的指标,在RA患者中在特定频率下受损,这表明非耳性听觉系统的功能障碍.
结论:
- 该研究表明,在患有类风湿性关节炎的患者中,听力功能障碍显著.
- 听力学评估应该是RA管理的常规部分.
- 诊断为RA的患者应被告知听力学参与和听力损失的可能性.
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