Eur Arch Otorhinolaryngol:鼓室内infliximab给药是难治性免疫介导性听力损失的一种安全和有效的挽救疗法

2019-11-23 AlexYang MedSci原创

最近,有研究人员确定了鼓室内infliximab给药对难治性免疫介导性听力损失跟踪调查患者听力阈值的效果和安全性情况。研究包括了17名复发患者,19只耳朵进行了infliximab给药。研究群体的平均年龄为50.68岁(±15.23岁)。在进行infliximab给药后,研究人员发现在500-3000 Hz (p=0.004)、125-8000 Hz (p=0.001)和250-8000 Hz (

最近,有研究人员确定了鼓室内infliximab给药对难治性免疫介导性听力损失跟踪调查患者听力阈值的效果和安全性情况。

研究包括了17名复发患者,19只耳朵进行了infliximab给药。研究群体的平均年龄为50.68岁(±15.23岁)。在进行infliximab给药后,研究人员发现在500-3000 Hz (p=0.004)、125-8000 Hz (p=0.001)和250-8000 Hz (p=0.006)时推算的纯音听觉阈值(PTA)具有显著的改善。研究人员同时也观察到了在低频时听力的立马改善:125、250、500和1000Hz,显著性分别为p=0.009、 p=0.002、p<0.001和p=0.004,并且对低频的影响持续了3个月:125Hz(p=0.020), 250Hz(p=0.006)和500Hz(p=0.002)。

最后,研究人员指出,鼓室内infliximab给药能够改善免疫介导性听力损失患者的听力阈值。听力阈值改善的效果在低频下更好并且能够持续3个月。因此,鼓室内infliximab给药是有效的和安全的。

原始出处:

Mata-Castro N, Sanz-López L, Varillas-Delgado D et al. Intratympanic infliximab is a safe and effective rescue therapy for refractory immune-mediated hearing loss. Eur Arch Otorhinolaryngol. 05 Nov 2019

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1912255, encodeId=028919122557a, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Mon Apr 27 22:08:00 CST 2020, time=2020-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306451, encodeId=3cce1306451a5, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443898, encodeId=026d14438987a, content=<a href='/topic/show?id=840298480f' target=_blank style='color:#2F92EE;'>#Infliximab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9848, encryptionId=840298480f, topicName=Infliximab)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=omYmgNOOfmaNqcIWAibjeQg&s=100, createdBy=f67c5121442, createdName=ms4657536712156177, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454860, encodeId=a0581454860f5, content=<a href='/topic/show?id=ca5f12e51d4' target=_blank style='color:#2F92EE;'>#NFL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12751, encryptionId=ca5f12e51d4, topicName=NFL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90805606164, createdName=xiaoyeshuang, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528619, encodeId=e2c6152861904, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=)]
    2020-04-27 snf701207
  2. [GetPortalCommentsPageByObjectIdResponse(id=1912255, encodeId=028919122557a, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Mon Apr 27 22:08:00 CST 2020, time=2020-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306451, encodeId=3cce1306451a5, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443898, encodeId=026d14438987a, content=<a href='/topic/show?id=840298480f' target=_blank style='color:#2F92EE;'>#Infliximab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9848, encryptionId=840298480f, topicName=Infliximab)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=omYmgNOOfmaNqcIWAibjeQg&s=100, createdBy=f67c5121442, createdName=ms4657536712156177, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454860, encodeId=a0581454860f5, content=<a href='/topic/show?id=ca5f12e51d4' target=_blank style='color:#2F92EE;'>#NFL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12751, encryptionId=ca5f12e51d4, topicName=NFL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90805606164, createdName=xiaoyeshuang, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528619, encodeId=e2c6152861904, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1912255, encodeId=028919122557a, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Mon Apr 27 22:08:00 CST 2020, time=2020-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306451, encodeId=3cce1306451a5, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443898, encodeId=026d14438987a, content=<a href='/topic/show?id=840298480f' target=_blank style='color:#2F92EE;'>#Infliximab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9848, encryptionId=840298480f, topicName=Infliximab)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=omYmgNOOfmaNqcIWAibjeQg&s=100, createdBy=f67c5121442, createdName=ms4657536712156177, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454860, encodeId=a0581454860f5, content=<a href='/topic/show?id=ca5f12e51d4' target=_blank style='color:#2F92EE;'>#NFL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12751, encryptionId=ca5f12e51d4, topicName=NFL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90805606164, createdName=xiaoyeshuang, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528619, encodeId=e2c6152861904, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1912255, encodeId=028919122557a, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Mon Apr 27 22:08:00 CST 2020, time=2020-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306451, encodeId=3cce1306451a5, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443898, encodeId=026d14438987a, content=<a href='/topic/show?id=840298480f' target=_blank style='color:#2F92EE;'>#Infliximab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9848, encryptionId=840298480f, topicName=Infliximab)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=omYmgNOOfmaNqcIWAibjeQg&s=100, createdBy=f67c5121442, createdName=ms4657536712156177, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454860, encodeId=a0581454860f5, content=<a href='/topic/show?id=ca5f12e51d4' target=_blank style='color:#2F92EE;'>#NFL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12751, encryptionId=ca5f12e51d4, topicName=NFL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90805606164, createdName=xiaoyeshuang, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528619, encodeId=e2c6152861904, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=)]
    2019-11-25 xiaoyeshuang
  5. [GetPortalCommentsPageByObjectIdResponse(id=1912255, encodeId=028919122557a, content=<a href='/topic/show?id=4de7112046c' target=_blank style='color:#2F92EE;'>#mAb#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11204, encryptionId=4de7112046c, topicName=mAb)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=25e7304, createdName=snf701207, createdTime=Mon Apr 27 22:08:00 CST 2020, time=2020-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306451, encodeId=3cce1306451a5, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443898, encodeId=026d14438987a, content=<a href='/topic/show?id=840298480f' target=_blank style='color:#2F92EE;'>#Infliximab#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9848, encryptionId=840298480f, topicName=Infliximab)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/g?b=oidb&k=omYmgNOOfmaNqcIWAibjeQg&s=100, createdBy=f67c5121442, createdName=ms4657536712156177, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1454860, encodeId=a0581454860f5, content=<a href='/topic/show?id=ca5f12e51d4' target=_blank style='color:#2F92EE;'>#NFL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12751, encryptionId=ca5f12e51d4, topicName=NFL)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90805606164, createdName=xiaoyeshuang, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528619, encodeId=e2c6152861904, content=<a href='/topic/show?id=74b798601a1' target=_blank style='color:#2F92EE;'>#难治性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98601, encryptionId=74b798601a1, topicName=难治性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Nov 25 05:08:00 CST 2019, time=2019-11-25, status=1, ipAttribution=)]

相关资讯

Metabolites:耳蜗移植患者外淋巴代谢组学与听力损失持续时间的关系研究

外淋巴代谢组学是改善人们对感觉神经性耳聋病理生理认识的一种新兴的创新方法。最近,有研究人员对人类外淋巴进行了代谢组学分析来评估代谢组与听力损失持续时间之间的关系。研究参与者的入选标准为符合耳蜗移植并在手术期间容易接近卵圆窗,排除了那些进行移植的耳蜗具有残余声学听力的患者。研究人员在耳蜗移植手术期间对19名受试者进行了外淋巴样本采集并对其进行了分析。研究人员共鉴定了106种不同的代谢物。研究发现,代

J Audiol Otol:突发性感音神经性耳聋不同时间段进行鼓室内类固醇注射治疗效果比较

全身性类固醇治疗(SST)和鼓室内类固醇注射(ISI)治疗是突发性感音神经性耳聋(SSNHL)的治疗选择。最近,有研究人员研究了在不同时间段进行ISI治疗对SSNHL患者听结果的影情况。研究人员对427名诊断为SSNHL的患者进行了回顾性研究,其中51名SSNHL患者接受了SST治疗和4次ISIs治疗。研究人员对患者进行4次的ISIs治疗,时间分别为每天1次,共4天(组1),或者是4次治疗平均间隔

Otolaryngol Head Neck Surg:感觉神经听力损失儿童生活质量研究

最近,有研究人员使用PedsQL 4.0、HEAR-QL-26和HEAR-QL-28调查问卷在感觉神经听力损失(SNHL)儿科患者中评估了生活质量(QOL)情况。研究是一个前瞻性的纵向研究,在年龄为2-18岁的SNHL患者中进行,时间为2016年7月到2018年12月。研究共包括了100名患者,平均年龄为7.7岁(SD,4.5岁):62名参与者具有双边SNHL;63名具有轻度到重度SNHL;37名

Eur Arch Otorhinolaryngol:爆炸环境下鼓膜穿孔引起的听力损失评估

最近,有研究人员通过使用一个人类中耳模型提供了一种评估鼓膜穿孔引起的听力损失(HL)的方法。研究包括了61个烟花爆炸引起的鼓膜穿孔案例。研究人员整理了耳镜,听力测量数据和诊断记录,并将性别、年龄、病因、穿孔大小及耳旁病变归类为独立的变量。研究发现,听力测定数据表明了高频HL(f>2 kHz)要比语音频段(f<1kHz)HL严重的多。与轻度HL(<15dB)相比,中度HL(15-3

Proc Natl Acad Sci U S A:扩展高频听力能够增强噪音中言语的感知

年轻健康的成年人能够最多听到20kHz的声音。然而,听力损失诊断的方法-临床听力测试最多只能测到8kHz。有证据表明更高频率时(EHFs;8到20kHz)具有显著的信息,且能够影响语言清晰度,而是否该信息用于具有挑战性的条件仍旧未知。在噪音条件下对言语理解困难是最常见的听力问题,通常是年龄相关听力损失的征兆。最近,有研究人员在Digits-in-noise(DIN)测试中使用标准和EHF听力测定、

Hear Res:轮班工作与听力损失相关性分析

轮班工作与听力损失的相关性仍旧不清楚。最近,有研究人员在一个中国人群体中评估了上述相关性,并分别考虑了结合和不结合职业噪音情况下的相关性结果。研究的群体Dongfeng-Tongji包括了11196名参与者。他们自我报告轮班工作并定义听力损失为在0.5、1、2和4?kHz时纯音均值为25dB或者更高。研究人员使用Robust Poisson方法聘雇了轮班工作与听力损失之间的关系,并计算了患病率(P