阻塞性睡眠呼吸暂停低通气综合征伴耳鸣患者临床分析
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1.新疆医科大学第二附属医院;2.中南大学湘雅医院

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自治区卫生健康青年医学科技人才专项科研项目;项目名称:新疆地区喉癌前病变与HPV相关性研究;编号:WJWY-202038


Clinical analysis of patients with obstructive sleep hypopnea syndrome and tinnitus
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1.The Second Affiliated Hospital of Xinjiang Medical University;2.Xiangya Hospital of Central South University

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    目的 探讨阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)伴耳鸣患者的临床特点及意义。 方法 研究对象为经多导睡眠监测(PSG)确诊为OSAHS的患者71例,通过耳镜、纯音测听、前庭功能、多导睡眠等检查,采集病史后,分为普通组(单纯OSAHS患者)42例及伴有耳鸣的OSAHS患者29例。分别对比不同组间年龄、病史、BMI指数、血氧饱和、平均听阈值、血压的差异值。对不同音调耳鸣的患者听力情况进行分析。 结果 两组年龄间对比无统计学差异(P>0.05);其余各项指标比较,耳鸣组明显高于普通组;29名伴有不同程度的耳鸣,经比对,在不同程度的OSAHS患者中的发生率分别为64.3%(9/14);31.3%(5/16);36.6%(15/41),各组间无统计学差异。结论 OSAHS患者的严重程度与耳鸣的发生率有关,与年龄、病史、BMI指数、血氧饱和、平均听阈值、血压多种因素有相关性(P<0.05),其中与BMI、血氧饱和有明显相关性(P<0.01)。

    Abstract:

    Objective To investigate the clinical characteristics and significance of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) with tinnitus. Methods The subjects of the study were 71 patients diagnosed with OSAHS by polysomnography (PSG). After examinations such as otoscope, pure tone audiometry, vestibular function, and polysomnography, the medical history was collected, and they were divided into the ordinary group (simple OSAHS patients) 42 cases and 29 cases of OSAHS patients with tinnitus. The differences in age, medical history, BMI index, blood oxygen saturation, average hearing threshold, and blood pressure between different groups were compared. Analyze the hearing condition of patients with tinnitus in different tones. Results There was no significant difference in age between the two groups (P>0.05); in comparison of other indicators, the tinnitus group was significantly higher than that of the ordinary group; 29 patients with tinnitus of different degrees, after comparison, were found in different degrees of OSAHS patients The incidence of serotonin was 64.3% (9/14); 31.3% (5/16); 36.6% (15/41), and there was no statistical difference between the groups. Conclusion The severity of OSAHS patients is related to the incidence of tinnitus, and is related to age, medical history, BMI index, blood oxygen saturation, average hearing threshold, and blood pressure (P<0.05). Among them, it is related to BMI and blood oxygen saturation. Significant correlation (P<0.01).

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  • 收稿日期:2021-08-18
  • 最后修改日期:2021-11-07
  • 录用日期:2021-11-17
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