风险因素和先前的事件预示着高级运河脱综合征的发展
Oren Wei1, Pavan S Krishnan1,2, Eric J Formeister1,3
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
概括
某些职业和职业因素,如暴露于大声噪音和体育炼,可能会使个人倾向于患上道脱声综合征 (SCDS). 创伤事件也可以导致SCDS症状,包括头和耳.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 听力学 听力学是指听力学.
背景情况:
- 上腔通道脱综合征 (SCDS) 是一种症状,其特征是上半圆通道覆盖的骨头变薄或开口.
- 导致SCDS发展的确切风险因素和先前事件尚未完全理解.
研究的目的:
- 确定与SCDS相关的职业和职业风险因素.
- 为了确定可能导致SCDS症状出现的诱发性事件的类型.
主要方法:
- 对经过手术修复的SCDS成年患者进行回顾性队列研究.
- 从医疗记录中收集的数据包括职业/娱乐史,煽动事件和呈现症状.
- 研究对405名接受454次手术的患者进行了评估.
主要成果:
- 报告了职业暴露于大噪声 (22%) 和压力变化 (23%) 的情况. 爱好包括体育运动 (66%) 和音乐 (27%).
- 之前的事件包括内部原因 (33%),外部创伤 (32%),外部非创伤原因 (27%),自发发生 (5%),以及术后事件 (3%).
- 常见的症状包括自发声 (78%),声音诱导的头 (73%),体声 (70%),压力诱导的头 (68%) 和脉动性耳 (66%).
结论:
- 某些职业和职业活动可能会增加患SCDS的倾向.
- 内部和外部的创伤事件可以加速SCDS症状的出现.
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