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在急性传染性脑膜炎后通过正式的听力学测试检测听力损失:全球系统性审查和元分析

Luisa F Alviz¹, Carla Y Kim¹, Ana Claudia Benevides-Tadinac²

¹Program in Neuroinfectious Diseases, Department of Neurology, Columbia University Irving Medical Center, Milstein Hospital, 177 Fort Washington Avenue, New York, NY, 8GS-39910032, USA.

|February 27, 2026

概括

脑膜炎患者的早期听力学测试对于检测听力损失至关重要. 建议在出院和随访时进行标准化评估,以确保及时诊断和护理神经感官听力损失 (SNHL).

科学领域:

神经学神经学
听力学听力学是指听力学.
传染性疾病传染性疾病

背景情况:

细菌性脑膜炎对全球健康构成重大风险,导致死亡率和神经系统缺陷,如感觉神经听力损失 (SNHL).
在脑膜炎患者中迅速识别SNHL至关重要,以预防永久性聋和相关并发症,如认知能力下降和心理健康问题.

研究的目的:

系统地审查和评估在成人和儿科脑膜炎患者的听觉诊断测试和随访的最佳时间.
确定有效的策略,以检测急性脑膜炎后的听力损失 (HL) 结果.

主要方法:

在Medline,Embase和Cochrane数据库中进行了全面的文献搜索.
包括包括包括在脑膜炎患者中检测HL的正式声学测试的研究,并对数据进行描述性分析.
一项元分析确定了HL的综合流行率,根据听力学评估时间进行了分组分析.

主要成果:

分析了41项包括8105名患者 (17.2%的成年人,82.8%的儿童) 的研究.
在成人 (45.5%) 和儿童 (33.9%) 中,听力损失的诊断在出院前比出院后更频繁.
在住院/出院期间HL的综合患病率最高 (30.4%),并在随后的随访期间下降.

结论:

脑膜炎后听力学评估的时间存在显著的变化,这强调了对标准化方案的需求.
听力损失可以在不同阶段表现和解决,需要在出院和随访期间进行协调评估.
标准化的听力评估对于有效检测和管理脑膜炎幸存者的听力损失至关重要.

关键词:

急性脑膜炎是一种急性脑膜炎.听力学测试听力学测试听力损伤听力损伤感官神经神经听力损失是什么

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