听力障碍,心理困扰和心力衰竭:一个前性队列研究
Yu Huang1, Yanjun Zhang1, Yuanyuan Zhang1
1State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Renal Failure Research, National Clinical Research Center for Kidney Disease, Guangdong Provincial Institute of Nephrology, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Heart (British Cardiac Society)
|April 8, 2025
概括
听力不好会增加心力衰竭的风险,心理压力起着关键作用. 解决听力健康和心理健康问题对于预防心血管疾病至关重要.
科学领域:
- 心脏病学 心脏病学
- 听力学 听力学是指听力学.
- 心理学 心理学 心理学
背景情况:
- 客观测量的听力能力与发生心力衰竭 (HF) 风险之间的联系尚未得到充分理解.
- 现有研究尚未充分探索这种关联中潜在的修饰或调解因素.
研究的目的:
- 调查听力能力和发生心力衰竭 (HF) 之间的关联.
- 识别可能改变这种关系的因素.
- 检查心理因素在听力能力-HF链接中的调解作用.
主要方法:
- 利用了来自164,431名没有基线HF的参与者的英国生物库数据.
- 使用数字三测试 (用语音接收值量化,SRT) 评估语音噪音听力.
- 通过医院记录和死亡数据确定HF事件;调解分析探讨了心理痛苦,社会隔离和神经病症.
主要成果:
- 较高的SRT水平与增加的HF风险相关 (每次SD增加的aHR为1.05;95%CI为1.021.08).
- 听力不佳和助听器使用与高频风险增加有关 (aHRs:1.151.26).
- 心理困扰占SRT-HF协会的16.9%;社会孤立和神经病症分别占3.0%和3.1%.
结论:
- 听力减弱与患心力衰竭的风险更高显著相关.
- 心理压力成为听力障碍和心力衰竭之间的关系中的重要调解者.
- 建议将听力健康和心理健康纳入心血管风险评估和预防策略.
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