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关于宫前庭引起的肌性潜能调节急性低音感应神经听力损失的初步研究

Ji Hyeok Choi¹, Min Young Lee¹, Jae Yun Jung¹

¹Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Dankook University Hospital, Cheonan-si, Republic of Korea.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|September 3, 2025

概括

这项研究没有发现宫前庭引起的肌性潜能 (cVEMP) 调节变化与急性低音感神经听力损失 (ALHL) 的听力恢复之间有显著的联系. 然而,cVEMP调整转移可能表明听力结果的下降趋势.

科学领域:

耳鼻喉科
神经科学
听力学

背景情况:

急性低音神经听力损失 (ALHL) 经常与内淋巴水滴有关.
宫前庭唤起的肌性潜能 (cVEMP) 在梅尼尔病中检测出囊状水滴,但它们在ALHL中的作用尚不清楚.

研究的目的:

研究cVEMP调频率变化与ALHL患者的听力结果之间的初步关联.
探索cVEMP作为ALHL预后生物标志物的潜力.

主要方法:

对29名单边ALHL患者 (2016-2021) 的回顾性分析.
使用500Hz和1000Hz的音频爆发进行cVEMP测试.
通过1000/500赫兹的振幅比率评估频率调整变化,并评估听力恢复和复发.

主要成果:

在29名患者中,有11名患者 (37. 9%) 呈现cVEMP调节变化 (1000/ 500Hz比率≥0. 943).
听力恢复没有复发的患者中有55%与72%没有,非显著的差异 (p > 0. 05).
年龄较大是听力恢复较差的唯一显著预测因素 (OR = 1. 191, p = 0. 031).

结论:

在ALHL中没有发现cVEMP调节班次与听力结果之间具有统计意义的关系.
在cVEMP调节转移的患者中,听力恢复率较低,需要在更大的前性研究中进一步调查.

关键词:

急性低音感应神经听力损失内淋巴水频率调节转移听证结果静脉唤起的肌性潜能

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