与血造干细胞移植相关的耳毒性;有哪些风险因素?
Eray Uzunoğlu1, Muhittin Akalın2, Zübeyde Nur Özkurt3
1Department of Otorhinolaryngology/Head and Neck Surgery, Izmir Ekol Hospital, Ankara, Turkey.
Acta oto-laryngologica
|October 29, 2024
概括
高龄和先前存在的听力损失增加了血造干细胞移植 (HSCT) 后的耳毒性风险. 对HSCT患者来说,监测听力对于预防听力损失和改善生活质量至关重要.
科学领域:
- 耳毒性研究研究
- 血液瘤学 血液瘤学
- 移植医学是一种移植医学.
背景情况:
- 造血干细胞移植 (HSCT) 对于治疗血液性恶性瘤至关重要.
- 耳毒性是HSCT后的一个显著并发症.
- 了解患者特定的耳毒性风险因素至关重要.
研究的目的:
- 研究患者特异性因素与成年HSCT接受者的耳毒性之间的关系.
- 为了确定HSCT后显著听力损失 (SHL) 的预测因素.
主要方法:
- 对129名成年HSCT患者 (2003-2020年) 的回顾性分析.
- 收集了关于年龄,性别,移植指示,调节方案和听力测试的数据.
- 定义SHL为10dB或更大的损失在两个连续频率或20dB在一个频率.
主要成果:
- 显著的听力损失 (SHL) 在16.3%的患者中发生.
- 年龄较大 (p=.035) 和移植前听力较差的4000 Hz (p=.039) 和6000 Hz (p=.014) 是SHL的显著预测因素.
- 没有发现捐赠者类型或调节方案与耳毒性之间有显著的关联.
结论:
- 患者的年龄和先前存在的听力状况是HSCT后耳毒性的关键预测因素.
- 积极的管理和定期的听力监测对于HSCT患者至关重要.
- 干预措施可以帮助减轻听力损失,提高HSCT幸存者的生活质量.
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