在突然的感觉神经听力损失中,NAD+ 增强了听力恢复:随机对照试验
Minqian Gao1,2,3, Yingting Guan1, Xuejing Yue1
1Department of Otolaryngology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
The Laryngoscope
|October 2, 2025
概括
尼古丁胺胺二核酸 (NAD+) 治疗显著改善了听力,并减少了突然感觉神经听力损失 (SSNHL) 患者的康复时间. 此外,NAD+还减轻了耳和听觉充实,提供了一个有前途的治疗选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 生物化学 生化学
背景情况:
- 突发感应神经听力损失 (SSNHL) 是一种复杂的疾病,有争议的最佳治疗方法.
- 尼古丁胺胺氨基二核酸 (NAD+) 在细胞能量代谢和修复过程中起着至关重要的作用.
研究的目的:
- 评估NAD+作为SSNHL辅助疗法的疗效.
- 为了比较接受NAD+加标准治疗和单独接受标准治疗的SSNHL患者的听力改善,恢复率和恢复时间.
主要方法:
- 从2022年6月到2024年6月进行了一项随机,双盲,受控的临床试验.
- 38名SSNHL患者被随机分为两个组:NAD+ (n=18) 和对照组 (n=20).
- 主要结局包括纯色平均 (PTA) 改善,恢复率 (西格尔标准) 和3个月的平均恢复时间.
主要成果:
- 与对照组 (23.06 dB HL,p=0.010) 相比,NAD+组的听力改善显著更大 (40.21 dB HL).
- 在NAD+组中,有效恢复率更高 (94.44%与60.00%,p=0.003),平均恢复时间明显更短 (62.97天与175.98天,p=0.028).
- 在NAD+组中, tinnitus和听觉充实度的改善更为明显,特别是在3个月后.
结论:
- NAD+是一种有效的治疗方法,可以改善SSNHL患者的听力结果.
- NAD+疗法加快了恢复时间,并为 tinnitus 和听觉充实等相关症状提供了额外的好处.
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