动脉狭窄和听力功能障碍:对机制和干预措施的系统审查
Gulruh Shodmonkulova1, Gavkhar Khaydarova1, Abdurasul Yulbarisov2
1Department of Otorhinolaryngology, Tashkent State Medical University, Uzbekistan.
Acta otorrinolaringologica espanola
|February 28, 2026
概括
动脉狭窄 (CAS) 可能导致听力损失和耳. 早期的听力学症状可能表明大脑缺血,这表明常规动脉查对于不明原因的听力投诉.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血管医学 血管医学
背景情况:
- 冠状动脉狭窄 (CAS) 是由动脉样硬化导致的冠状动脉狭窄,越来越多地与听觉功能障碍有关.
- CAS与听力障碍之间的关联是多因素的,可能涉及减少耳血流,氧化应激和血管-听力系统相互作用.
研究的目的:
- 系统地审查证据,将动脉狭窄症 (CAS) 与听力障碍联系起来.
- 探索听力学症状作为脑血管疾病早期指标的潜力.
主要方法:
- 在PROSPERO.中注册的PRISMA 2020指南的系统审查.
- 在主要数据库 (PubMed,Scopus,Web of Science,Google Scholar) 中进行全面的文献搜索.
- 包括同行评审的临床研究,系统性审查和使用听力测量,多普勒超声波,血管学或MRI的实验研究;通过JBI批判性评估工具评估质量.
主要成果:
- 包括26项研究,评估了CAS与听力功能障碍的关系.
- 高频感应神经听力损失和耳是常见的,往往在神经症状之前.
- 多普勒超声波和MRI是评估血管和听觉参数的关键,提高了诊断准确度.
结论:
- 越来越多的证据支持CAS作为听力损失的潜在风险因素.
- 听力损失和耳可能是脑缺血的早期预警信号.
- 对于有不明原因的听力问题的患者,建议进行常规的尾动脉查;再血管化可能会改善脑血管和听力结果.
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