在患有阻塞性睡眠呼吸暂停综合征的患者中,耳皮功能是否受到影响?
Merve Ozses1, Serpil Mungan Durankaya2, Enis A Guneri3
1Department of Otorhinolaryngology, Audiology Programme, Institute of Health Sciences, Dokuz Eylul University, İzmir, Türkiye.
Journal of the American Academy of Audiology
|December 18, 2024
概括
阻塞性睡眠呼吸暂停综合征 (OSAS) 显著影响前庭功能,以减少前庭引起的肌性潜能 (VEMP) 反应为标志. 这表明缺氧会影响OSAS患者的平衡和日常活动,需要有针对性的康复.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
背景情况:
- 阻塞性睡眠呼吸暂停综合征 (OSAS) 与心血管和神经系统问题有关.
- 由于OSAS引起的缺氧,神经瘤学效应尚未完全理解.
- 静脉和听力学测试评估脑干神经元退化从复发性缺氧.
研究的目的:
- 评估在OSAS患者中 vestibular-evoked myogenic potential (VEMP) 测试结果的结果.
- 在OSAS中检测缺氧对前庭反射弧的影响.
- 为了将VEMP结果与活动特定的余额信心 (ABC) 和伯格余额量表 (BBS) 分数相关联.
主要方法:
- 这是一项涉及40名年龄在18-60岁之间的参与者 (20名OSAS,20名对照) 的横截面研究.
- 用于OSAS诊断的多睡眠图.
- 进行了宫VEMP (cVEMP) 和眼部VEMP (oVEMP) 测试.
- 余额使用ABC和BBS规模进行评估.
主要成果:
- 在OSAS组中显著降低cVEMP (50%) 和oVEMP (45%) 的响应率和幅度.
- 组之间没有其他VEMP参数的显著差异.
- 在OSAS患者中,ABC和BBS得分的统计显著下降.
结论:
- 在OSAS患者中的VEMP变化表明缺氧对前庭反射通路的不良影响.
- 在OSAS中缺氧可能导致神经瘤学缺陷.
- ABC和BBS分数可以为OSAS患者提供个性化康复信息.
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