Otol Neurotol:不对称听力损失是前庭功能障碍的风险因子么?

2019-10-08 AlexYang MedSci原创

最近,有研究人员调查了是否不对称听力损失能够影响前庭功能。研究是一个回顾性的代表性研究,研究的数据来自于2010年韩国国家健康和营养调查,并且只使用了年龄不小于40岁成年人的数据。研究发现,前庭功能障碍的总的发生率为3.3%(95% CI,2.5-4.3%)。在年龄不小于40岁的成年人中,调整了与前庭功能障碍异常因素后,多变量线性回归分析表明了前庭功能障碍的风险比(OR)要比双听力阈值耳差异30d

最近,有研究人员调查了是否不对称听力损失能够影响前庭功能。

研究是一个回顾性的代表性研究,研究的数据来自于2010年韩国国家健康和营养调查,并且只使用了年龄不小于40岁成年人的数据。研究发现,前庭功能障碍的总的发生率为3.3%(95% CI,2.5-4.3%)。在年龄不小于40岁的成年人中,调整了与前庭功能障碍异常因素后,多变量线性回归分析表明了前庭功能障碍的风险比(OR)要比双听力阈值耳差异30dB参照高3.067倍(CI, 1.481-6.351; p=0.007)。在这些个体中,平衡扰动的风险在低频不对称听力损失患者中更高(OR, 2.148; CI, 1.216-3.793; p=0.009);另一方面,高频不对称听力损失并没有导致更高的风险。

最后,研究人员指出,在成年人中,低频不对称听力阈值倾向于与前庭功能障碍共存。因此,那些不对称听力损失的患者应该进行密切的监测。

原始出处:

Young Suh MJ, Yi HJ, Kim HJ et al. Is Asymmetric Hearing Loss a Risk Factor for Vestibular Dysfunction? Lesson From Big Data Analysis Based on the Korean National Health and Nutrition Survey. Otol Neurotol. 07 Oct 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=2080495, encodeId=855b208049532, content=<a href='/topic/show?id=db063259162' target=_blank style='color:#2F92EE;'>#前庭功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32591, encryptionId=db063259162, topicName=前庭功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9fe6351, createdName=flyingeagle77, createdTime=Sun Apr 26 22:09:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306433, encodeId=2523130643350, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421256, encodeId=4e1e1421256c0, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529273, encodeId=b50c15292e363, content=<a href='/topic/show?id=6eb91008e03b' target=_blank style='color:#2F92EE;'>#风险因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100870, encryptionId=6eb91008e03b, topicName=风险因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c2d411920658, createdName=cenghis, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538330, encodeId=90e61538330de, content=<a href='/topic/show?id=e1983258976' target=_blank style='color:#2F92EE;'>#前庭功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32589, encryptionId=e1983258976, topicName=前庭功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ddff12959974, createdName=sjq031, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2080495, encodeId=855b208049532, content=<a href='/topic/show?id=db063259162' target=_blank style='color:#2F92EE;'>#前庭功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32591, encryptionId=db063259162, topicName=前庭功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9fe6351, createdName=flyingeagle77, createdTime=Sun Apr 26 22:09:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306433, encodeId=2523130643350, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421256, encodeId=4e1e1421256c0, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529273, encodeId=b50c15292e363, content=<a href='/topic/show?id=6eb91008e03b' target=_blank style='color:#2F92EE;'>#风险因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100870, encryptionId=6eb91008e03b, topicName=风险因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c2d411920658, createdName=cenghis, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538330, encodeId=90e61538330de, content=<a href='/topic/show?id=e1983258976' target=_blank style='color:#2F92EE;'>#前庭功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32589, encryptionId=e1983258976, topicName=前庭功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ddff12959974, createdName=sjq031, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=)]
    2019-10-10 ysjykql
  3. [GetPortalCommentsPageByObjectIdResponse(id=2080495, encodeId=855b208049532, content=<a href='/topic/show?id=db063259162' target=_blank style='color:#2F92EE;'>#前庭功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32591, encryptionId=db063259162, topicName=前庭功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9fe6351, createdName=flyingeagle77, createdTime=Sun Apr 26 22:09:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306433, encodeId=2523130643350, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421256, encodeId=4e1e1421256c0, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529273, encodeId=b50c15292e363, content=<a href='/topic/show?id=6eb91008e03b' target=_blank style='color:#2F92EE;'>#风险因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100870, encryptionId=6eb91008e03b, topicName=风险因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c2d411920658, createdName=cenghis, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538330, encodeId=90e61538330de, content=<a href='/topic/show?id=e1983258976' target=_blank style='color:#2F92EE;'>#前庭功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32589, encryptionId=e1983258976, topicName=前庭功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ddff12959974, createdName=sjq031, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2080495, encodeId=855b208049532, content=<a href='/topic/show?id=db063259162' target=_blank style='color:#2F92EE;'>#前庭功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32591, encryptionId=db063259162, topicName=前庭功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9fe6351, createdName=flyingeagle77, createdTime=Sun Apr 26 22:09:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306433, encodeId=2523130643350, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421256, encodeId=4e1e1421256c0, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529273, encodeId=b50c15292e363, content=<a href='/topic/show?id=6eb91008e03b' target=_blank style='color:#2F92EE;'>#风险因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100870, encryptionId=6eb91008e03b, topicName=风险因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c2d411920658, createdName=cenghis, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538330, encodeId=90e61538330de, content=<a href='/topic/show?id=e1983258976' target=_blank style='color:#2F92EE;'>#前庭功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32589, encryptionId=e1983258976, topicName=前庭功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ddff12959974, createdName=sjq031, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2080495, encodeId=855b208049532, content=<a href='/topic/show?id=db063259162' target=_blank style='color:#2F92EE;'>#前庭功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32591, encryptionId=db063259162, topicName=前庭功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9fe6351, createdName=flyingeagle77, createdTime=Sun Apr 26 22:09:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1306433, encodeId=2523130643350, content=<a href='/topic/show?id=aeb639230b7' target=_blank style='color:#2F92EE;'>#听力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39230, encryptionId=aeb639230b7, topicName=听力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=96d4340, createdName=ysjykql, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421256, encodeId=4e1e1421256c0, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529273, encodeId=b50c15292e363, content=<a href='/topic/show?id=6eb91008e03b' target=_blank style='color:#2F92EE;'>#风险因子#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100870, encryptionId=6eb91008e03b, topicName=风险因子)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c2d411920658, createdName=cenghis, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1538330, encodeId=90e61538330de, content=<a href='/topic/show?id=e1983258976' target=_blank style='color:#2F92EE;'>#前庭功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32589, encryptionId=e1983258976, topicName=前庭功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ddff12959974, createdName=sjq031, createdTime=Thu Oct 10 08:09:00 CST 2019, time=2019-10-10, status=1, ipAttribution=)]

相关资讯

BMJ Open:老年人中与听力损失相关的社会经济和生活方式因素

最近,有研究人员调查了是否社会经济地位(SEP)与听力损失(HL)在老年人中存在相关性,以及在控制了不可改变的地理因素和SEP后,主要的可改变的生活因素(高身体质量指数、身体活动、抽烟和饮酒)是否与HL相关。研究包括了8529名参与者,年龄在50-89岁之间,他们经历了听力测定并不具有任何的耳朵感染。研究人员在32.1%的男性和22.3%的女性(年龄为50-89岁)中鉴定出了HL。那些具有更低的S

Int J Audiol:慢性鼻窦炎患者中存在隐性听力损失么?

最近,有研究人员调查了是否在慢性鼻窦炎(CRS)中听觉功能具有损伤。研究总共包括了85名患者,并分配到CRS组(n=65)或者单纯鼻中隔偏曲组(n=20)。两个小组均没有感觉神经性耳聋的其他风险因子,并表现出了正常的听觉阈值。研究还包括了没有CRS或者单纯鼻中隔偏曲的对照组(n=30),并且性别和年龄上与患者组匹配。研究人员进行了听觉测试分析,包括了纯音听觉、声阻抗测试、畸变产物耳声发射(DPOA

盘点:听力损失治疗进展

【1】Sci Rep:电触觉增强人工耳蜗使用者的噪声中语音表现研究 https://www.ncbi.nlm.nih.gov/pubmed/31388053耳蜗移植(CI)使用者通过他们的移植体仅能够获得有限的信息,意味着他们在噪音环境下理解语言仍旧存在困难。之前的研究表明了组合CI电信号和触觉信号能够提供关键的丢失的声音信息(电触觉刺激,EHS),从而改善噪音中的言语识别能力。最近,有研究人

European Journal of Human Genetics:中国SNHL患者的综合遗传测试和变异解释

遗传性听力损失是一种单基因遗传病,并且具有高度的异质性。不少于100个耳聋基因在病理发生过程中具有作用。最近,有研究人员评估了SNVs在已知的耳聋基因中的比例,从而对中国散发性和家族性感感觉神经性耳聋患者的病因进行解释。研究人员手搜集了1127名个体的DNA样本,包括616名正常听力的健康对照,433名散发性SNHL患者和来源于30个听力损失谱系的78名耳聋患者。NGS测试包括了129个基因中的序

Genes (Basel):中频听力损失是OTOA相关听力损失的临床特性

OTOA基因(DFNB22)是非综合中常染色体隐性听力损失的致病基因。该基因的拷贝数变异(CNVs)也能够引起听力损失,但是在日本患者听力损失中尚未得到鉴定。另外,OTOA相关的听力损失的临床特性也没有阐明。最近,有研究人员对一个大的日本听力损失患者群体进行了CNV分析,在2262名常染色体隐性听力损失患者中鉴定了234名患者存在CNVs(10.3%, 234/2262)。在鉴定的CNVs中,OT

Ear Hear:慢性传导性听力损失与言语理解力缺陷相关

最近,有研究人员确定了是否慢性声音剥夺能够导致人类更差的言语分别能力。研究人员对240名患者的听力情况进行了分析,这些患者具有正常的和对称的两侧骨传导听力阈值,且这些患者与不同病因的急性或者慢性单边传导性听力损失有关。研究人员发现,患有慢性传导性听力损伤和中度到一定程度的重度听力损失的患者的认知得分更低。受损的严重程度与言语认知表现显著相关,尤其是那些先天性畸形的患者中更为明显。当传导性损伤为急性