대사증후군이 돌발성 난청의 청력 결과에 미치는 영향

최종중; 김명희; 이종원; 정도영; 이종빈

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자료유형: 학술저널

저자정보: 최종중 김명희 이종원 정도영 이종빈

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제10호

발행연도: 2018.1

수록면: 514 - 521 (8page)

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Background and Objectives Sudden sensorineural hearing loss (S-SNHL) has been reportedto be associated with hypertension, diabetes mellitus, hyperlipidemia, and stroke inprevious studies. The purpose of this study was to confrm whether metabolic syndrome (MS)infuences the hearing outcome of S-SNHL in the Korean population. Subjects and Method We prospectively investigated the clinical variables of 231 cases ofS-SNHL from 2010 March to 2014 February. MS was defned according to the National CholesterolEducation Program Adult Treatment Panel III with Asian modifcations. We analyzedand compared the basic and clinical characteristics, the thresholds of pure tone audiometry(PTA), and the hearing outcomes of patients with MS (MS group) and without MS (NMSgroup). Results There were no signifcant differences in the basic characteristics and initial hearingthresholds between the MS and NMS groups; on the other hand, there were signifcant differencesin all of the clinical values of MS between the two groups. The average thresholds of finalPTA for the MS and NMS groups were 52.9±30.9 dB and 40.5±27.2 dB, respectively,with meaningful diversity (p＜0.01). According to Siegel’s criteria, the recovery rate of theNMS group (95/159, 59.7%) was signifcantly higher than those of the MS group (29/72, 40.3%). The proportion of recovery within 5 days after starting the treatment was signifcantly higherof the NMS group (37/95, 39.0%) than those of the MS group (4/29, 13.8%) (p＜0.01). Conclusion The hearing outcome of the NMS group was signifcantly better than those ofthe MS group.

참고문헌 (24)

참고문헌 신청

Rambold H / 2005 / Differential vestibular dysfunction in sudden unilateral hearing loss / Neurology 64(1):148~151

남재성 / 2016 / 국민건강보험공단 표본 코호트 자료를 이용한 돌발성 난청과 뇌졸중 연관성 분석 / 대한이비인후과학회지 두경부외과학 59(5):353~360

Schreiber BE / 2010 / Sudden sensorineural hearing loss / Lancet 375(9721):1203~1211

Hughes GB / 1996 / Sudden sensorineural hearing loss / Otolaryngol Clin North Am 29(3):393~405

Reaven GM / 1988 / Banting lecture 1988. Role of insulin resistance in human disease / Diabetes 37(12):1595~1607

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