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莱姆神经病中的感觉神经听力损失

Elisa Skovgaard Jensen¹, Per Cayé-Thomasen^2,3, Jacob Bodilsen⁴

¹Department of Otorhinolaryngology, Nordsjællands Hospital, University of Copenhagen, Hillerød, Denmark.

Annals of medicine

|October 11, 2024

概括

莱姆病神经病变 (LNB) 可能会导致由于耳功能障碍而导致神经感官听力损失 (SNHL). 虽然一些听力功能可能会恢复,但长期的SNHL是可能的.

科学领域:

耳神经病学耳神经病学
传染性疾病传染性疾病
听力学听力学是指听力学.

背景情况:

感觉神经听力损失 (SNHL) 是莱姆神经病 (LNB) 的潜在并发症.
此前还没有确定LNB和SNHL之间的最终关联.
这项研究前性地评估了LNB患者的SNHL,使用扭曲产品-音响发射 (DPOAE).

研究的目的:

调查诊断为LNB.患者的SNHL的发生率和进展情况.
用DPOAE测量评估LNB患者的耳功能.
为了确定LNB是否导致暂时或长期听力损伤.

主要方法:

在入院时测量了25名LNB患者和随访时测量了18名LNB患者的扭曲产品-音响排放 (DPOAE).
在出院和出院后60天进行纯色音量计 (PTA3).
患者接受了标准的14天静脉注射塞夫triaxone或口服多西环林治疗.

主要成果:

在78%的患者中,在低,中,中高频率下观察到DPOAE排放值 (ETL) 的改善.
在高频类别中注意到ETL的下降.
排放时SNHL (PTA3>20dB) 存在于48%和排放后60天的56%,与对照群明显不同.

结论:

莱姆神经病可以导致耳外毛细胞功能障碍.
这种功能障碍可以导致暂时和持续的感觉神经神经听力损失.
这些发现确定了LNB和SNHL之间的联系,强调了需要进行听觉监测的必要性.

关键词:

听力损失听力损失莱姆病神经病变性疾病.声波排放的排放情况.

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