The effect of active rheumatoid arthritis on hearing impairment.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Journal of the Pakistan Medical Association Pub Date : 2024-10-01 DOI:10.47391/JPMA-BAGH-16-71

Hayder Kadhim Essa, Hussain Hasan, Hassan Thabit Saeed

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Abstract

Objective: To assess hearing loss in rheumatoid arthritis (RA) patients, and to explore its association with disease attributes and activity.

Methods: The cross-sectional case-control study was conducted from June to December 2022 at Al-Imamein Al- Kadhimein Hospital, Medical City, Baghdad, Iraq, and comprised rheumatoid arthritis patients and healthy controls of either gender aged 18-45 years. Data was collected using electronic instruments and a physical examination, including pure tone audiometry and tympanogram. Data was analysed using SPSS 24.

Results: Of the 90 subjects, 60(66.7%) were patients; 45(75%) female and 15(25%) males with mean age 32.9 1±7.21 years and mean body mass index 27.14±8.58kg/m2. There were 30(33.3%) controls; 18(60%) female and 12(40%) males with mean age 30.25±5.51 years and mean body mass index 26.92±6.66kg/m2. The control group had thresholds below 25dB for all frequencies in both ears, which were notably lower than those of the RA patients (p=0.005). The left ear showed significant variation at 2000Hz and 4000Hz, while the right ear showed substantial differences at all frequencies except 1000Hz.

Conclusions: The risk of hearing loss was found to be increased in rheumatoid arthritis patients, and it seemed to be related to illness duration.

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活动性类风湿性关节炎对听力损伤的影响。

目的评估类风湿性关节炎（RA）患者的听力损失，并探讨其与疾病属性和活动的关系：这项横断面病例对照研究于 2022 年 6 月至 12 月在伊拉克巴格达医疗城 Al-Imamein Al- Kadhimein 医院进行，研究对象包括类风湿性关节炎患者和健康对照组，男女不限，年龄在 18-45 岁之间。数据收集采用电子仪器和体格检查，包括纯音测听和鼓室造影。数据使用 SPSS 24 进行分析：在 90 名受试者中，60 名（66.7%）为患者；45 名（75%）为女性，15 名（25%）为男性，平均年龄为（32.9 1±7.21）岁，平均体重指数为（27.14±8.58）kg/m2。对照组有 30 人（33.3%），其中女性 18 人（60%），男性 12 人（40%），平均年龄为（30.25±5.51）岁，平均体重指数为（26.92±6.66）kg/m2。对照组双耳所有频率的阈值均低于 25 分贝，明显低于 RA 患者（P=0.005）。左耳在2000Hz和4000Hz的频率上有明显差异，而右耳除1000Hz外，在所有频率上都有很大差异：结论：研究发现，类风湿性关节炎患者听力损失的风险增加，而且似乎与病程有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.