摘要
目的:分析单耳突发性聋(简称突聋)患者的睡眠质量特征,及其与突聋的临床特征和听力疗效的相关性。方法:选取75例单耳突聋患者作为病例组,采用匹兹堡睡眠质量指数(PSQI)量表进行睡眠质量评估,并分为睡眠质量差组(PSQI总分>7分)与睡眠正常组(PSQI总分≤7分)两亚组。对两亚组患者治疗前、治疗后30d的临床特征、睡眠质量各维度的得分及听力疗效进行比较分析。同期选取听力正常、年龄相仿的健康人群70例作为对照组,并进行睡眠质量调查。结果:与对照组比较,病例组治疗前主观睡眠质量、睡眠效率、睡眠障碍、PSQI总分及治疗后30d的睡眠效率得分,差异均有统计学意义(P<0.05)。睡眠质量差组与睡眠正常组比较,听力疗效总有效率差异无统计学意义(P>0.05);两亚组的不同疗效组中,睡眠质量差者所占比差异均无统计学意义(P>0.05);治疗前,除睡眠时间外,两亚组间各睡眠维度得分差异均有统计学意义(P<0.05);治疗后30d,除主观睡眠质量、睡眠时间得分外,两亚组间其他睡眠维度得分差异均有统计学意义(P<0.05)。睡眠质量差组治疗前与治疗后30d比较,主观睡眠质量得分差异有统计学意义(P<0.05)。单耳突聋患者治疗前与临床特征相关的睡眠质量维度是睡眠障碍,治疗后30d与其临床特征相关的睡眠质量维度是睡眠时间和PSQI总分(P<0.05)。结论:单耳突聋患者的总体睡眠质量显著差于听力正常人群。虽然睡眠质量对听力疗效无明显影响,但部分睡眠质量维度与单耳突聋治疗前后的临床特征具有相关性。
Objective：To analyze the characteristics of sleep quality and its correlation with the clinical features and hearing curative effects in patients with unilateral idiopathic sudden sensorineural hearing loss（ISSHL）.Method：Pittsburgh sleep quality index（PSQI）was applied to evaluate the sleep quality of unilateral ISSHL patients in our department.Patient group is divided into poor sleep quality subgroup（total PSQI score7 points）and normal sleep subgroup（total PSQI score≤7 points）.The differences of Patient group and two subgroups between hearing curative effect in the 30 days after treatment and sleep quality scores were compared and analyzed.Questionnaire survey was applied to control group,which contained 70 healthy people with normal hearing level and age matched.Result：A total of 75 cases were collected.To compare with control group,there were statistical difference in the scores of subjective sleep quality,habitual sleep efficiency,sleep disturbance and PSQI before treatment and in the score of habitual sleep efficiency after the treatment for 30 d（P〈0.05）.The sleep quality between poor sleep quality subgroup and normal sleep subgroup,total therapeutic effect after treatment for 30 dwas no significant difference（P〈0.05）.The proportion for poor sleep quality were no statistically significant differences in the different efficacy of two subgroups（P〈0.05）.Two subgroups before treatment,in addition to sleep duration,there were statistically significant in all the sleep quality dimensions（P〈0.05）;after treatment for 30 d,in addition to subjective sleep quality,sleep duration,all have statistical difference（P〈0.05）.The poor sleep quality subgroup in the case group compared before and after treatment for 30 d,there was statistically significant in subjective sleep quality（P〈0.05）.The sleep disturbance before treatment,the sleep duration and PSQI scores after treatment for 30 dwere associated with clinical features in patients with unilateral ISSHL（P〈0.05）.Conclusion：The sleep quality of patients with Unilateral SSNHL was significantly lower than that of normal hearing patients,the sleep quality had no significant effect on the general efficacy of unilateral SSNHL,but some sleep quality dimensions are associated with the clinical features before and after treatment.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第3期209-213,共5页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
山东省科技发展计划(No:2014GSF118109)
