梅尼埃病听力预后与热量测试结果的相关性:一项后续研究。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-02-01 Epub Date: 2024-03-04 DOI:10.1080/00016489.2024.2324136
Zhengtao Sun, Yi Zhang, Bo Liu, Jinping Duan, Gang Liu, Xinyang Zhou
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引用次数: 0

摘要

背景:听力损失对梅尼埃病(MD)的诊断和治疗非常重要。然而,人们对梅尼埃病听力变化的相关因素知之甚少:本研究旨在调查梅尼埃病听力预后与卡路里测试(CT)结果之间的相关性:连续90例被诊断为单侧明确MD的患者在初诊时接受了纯音测听(PTA)和CT检查,并在6个月随访时再次接受PTA检查:结果:90 名 MD 患者中有 53 人(58.89%)的 CT 结果异常。PTA 的变化(cPTA = 初始 PTA - 最后 PTA)与管瘫(CP)值呈负相关(总体相关性 p = 0.032,非线性相关性 p = 0.413)。多变量线性模型显示,当 CP 值从 0 变为 1 时,cPTA 下降了 -13.31 dB(95% CI:-24.03,-2.6)(p = 0.016)。分层分析发现,这种关联存在于 1 期和 2 期 MD 患者中(p p > 0.05):CP值升高可能与MD患者听力恶化有关,尤其是1期和2期患者。在初诊时进行热量测试有助于评估 MD 患者的听力衰退情况。
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The correlation of hearing prognosis and caloric test results in Meniere's disease: a follow up study.

Background: Hearing loss is important in the diagnosis and treatment of Meniere's disease (MD). However, little is known about the factors associated with hearing changes in MD.

Aims/objectives: This study aimed to investigate the correlation between hearing prognosis and caloric test (CT) results in MD.

Material and methods: Ninety consecutive patients diagnosed with unilateral definite MD underwent pure tone audiometry (PTA) and CT at initial visits, and were re-tested PTA at the 6-month follow-up.

Results: Fifty-three of ninety MD patients (58.89%) had abnormal CT results. The change of PTA (cPTA = initial PTA-last PTA) was negatively correlated with canal paresis (CP) values (overall association p = 0.032 and non-linear association p = 0.413). Multivariate linear model showed that as the CP value changed from 0 to 1, the cPTA decreased by -13.31 dB (95% CI: -24.03, -2.6) (p = 0.016). Stratified analysis found that the association was present in MD patients of Stage 1 and 2 (p < 0.05) but not in patients of Stage 3 and 4 (p > 0.05).

Conclusions and significance: Elevated CP values may be linked to worse hearing outcomes in MD, especially in Stage 1 and 2 patients. Conducting a caloric test at the initial consultation may aid in assessing hearing regression in MD.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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