血液透析患者的听力学发现
S Azria1, S S Elkhayat1, K Chaaoun1
1Department of Nephrology, Hemodialysis and Renal Transplantation, Faculty of Medicine of Casablanca, University of Hassan 2, Casablanca.
概括
在末期慢性功能衰竭的患者中,听力损失很常见. 这项研究发现,听力障碍的患病率很高,特别是在低频和高频时,但血液透析对听力没有显著的影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 末期慢性功能衰竭 (CRF) 与听力损失的发病率较高,与普通人群相比.
- 潜在的原因包括耳毒药物,高血压,电解质失衡以及血液透析相关的因素,如低血压和免疫反应.
研究的目的:
- 评估末期CRF患者的听觉功能.
- 为了确定这些患者的听力损失和相关因素的患病率.
- 评估单次血液透析治疗对听力参数的影响.
主要方法:
- 在30名65岁以下的血液透析患者中进行了一项描述性和分析性的横截面研究,这些患者没有耳部病理或耳部毒性史.
- 收集的数据包括人口统计,临床信息和实验室结果. 所有患者在血液透析前都接受了耳科检查和纯色音量测试; 一部分患者在透析后进行了音量测试.
主要成果:
- 13.3%的患者在所有测试频率上表现出听力损失. 在10%的患者中观察到严重的高频 (4000-8000 Hz) 听力损失. 低频率 (125-200赫兹) 在61.67%受影响,高频率在63.33%.
- 发言频率 (500-4000 Hz) 在33.3%的病例中受到影响 (20%的轻度,13.33%的中度). 感觉神经听力损失存在于16.6%,导电性在10%,混合在6.67%.
- 听力障碍与年龄,性别,透析持续时间,BMI,耳毒药史,高血压或生物化学参数之间没有显著的相关性. 周透性与听力损失有显著的相关性. 在血液透析前后没有观察到听力值的显著变化.
结论:
- 在接受血液透析的患者中,听力障碍的患病率仍然很高.
- 这项研究没有证明单次血液透析对听力参数有显著影响.
- 听力损失可能会对CRF患者的生活质量产生负面影响,这表明需要进行例行听力学评估,以促进早期干预和减轻社会后果.
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