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导电性听力损失病理与痴呆症有关 在我们所有人的研究计划中
S Dillon Powell1, Hannah N W Weinstein1, Lauren H Tucker1
1Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, New York-Presbyterian/Columbia University Irving Medical Center, 180 Fort Washington Avenue, HP8, New York, 10032, New York, USA.
概括
导电性听力损失由于胆固醇瘤和耳膜穿孔与更高的痴呆率有关. 治疗可能会减少这种关联,这表明感官剥夺会影响认知.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 流行病学 流行病学
背景情况:
- 在之前的研究中,导电性听力损失 (CHL) 与痴呆症有关.
- 与痴呆症相关的特定CHL病理仍然不清楚.
研究的目的:
- 在一个大型的国家队列中调查特定CHL病理和痴呆症之间的关联.
- 为了确定CHL的治疗是否会影响痴呆症的相关性.
主要方法:
- 对来自NIH我们所有人研究计划的396,194名参与者的横截面研究.
- 通过ICD-10代码识别的CHL病理 (胆固醇瘤,耳膜穿孔,耳硬化).
- 使用ICD-10代码评估痴呆症结果;多变量回归分析了关联.
主要成果:
- 胆固醇瘤 (OR 1.77) 和耳膜穿孔 (OR 2.09) 与更高的痴呆率有显著的相关性.
- 耳硬化与痴呆症没有显著的关联.
- 手术治疗减弱了胆固醇瘤的相关性,但对TM穿孔没有显著的影响.
结论:
- 胆固醇瘤和 tympanic 膜穿孔与痴呆症风险增加有关.
- 对这些疾病的治疗可以减轻痴呆症的相关性.
- 研究结果支持感官剥夺对认知的影响,即使是从可纠正的听力损失.
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