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分泌性中耳炎耳鸣症状发生情况及与炎症反应的关联性

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目的 探讨分泌性中耳炎(OME)耳鸣症状发生情况及与炎症反应的关联性.方法 选取2021年1月至2022年8月安徽医科大学附属巢湖医院收治的104例OME病人为研究对象,另取同期104例体检健康者为对照组,比较两组炎症反应指标及耳鸣发生情况,并根据耳鸣发生情况将OME病人分为耳鸣组(n=19)和无耳鸣组(n=85),比较两组OME病人炎症反应指标,分析炎症反应指标对OME病人耳鸣的诊断价值.结果 OME组白细胞介素(IL)-6、IL-8及肿瘤坏死因子-α(TNF-α)水平高于对照组(P<0.05);OME组耳鸣发生率为18.27%,高于对照组的4.81%(P<0.05);耳鸣组IL-6、IL-8及TNF-α水平高于无耳鸣组(P<0.05);ROC曲线显示,IL-6诊断OME病人耳鸣的AUC和截断值分别为0.77、4.04 ng/L,IL-8诊断OME病人耳鸣的AUC和截断值分别为0.81、12.41 ng/L,TNF-α诊断OME病人耳鸣的AUC和截断值分别为0.69、3.96 ng/L,三者联合诊断OME病人耳鸣的AUC为0.89,高于单项预测(P<0.05).结论 OME病人耳鸣发生情况较为严重,IL-6、IL-8及TNF-α均可以用来诊断OME病人耳鸣症状,且联合诊断价值更高.
Occurrence of tinnitus and its correlation with inflammation response in patients with secretory otitis media
Objective To explore the occurrence of tinnitus and its correlation with inflammation response in patients with otitis me-dia with effusion(OME).Methods A total of 104 patients with OME admitted to the Chaohu Hospital of Anhui Medical University were enrolled as the research objects between January 2021 and August 2022,while 104 healthy controls during the same period were enrolled as control group.The inflammatory response indexes and occurrence of tinnitus in the two groups were compared.According to presence or absence of tinnitus,OME patients were divided into tinnitus group(n=19)and non-tinnitus group(n=85),and inflammatory response indexes in the two groups were compared.The diagnostic value of inflammatory response indexes for tinnitus was analyzed.Re-sults The levels of IL-6,IL-8 and TNF-α in OME group were higher than those in control group(P<0.05).The incidence of tinnitus in OME group was higher than that in control group(18.27%vs.4.81%,P<0.05).The levels of IL-6,IL-8 and TNF-α in tinnitus group were higher than those in non-tinnitus group(P<0.05).ROC curves analysis showed that AUC and cut-off values of IL-6,IL-8 and TNF-α in the diagnosis of tinnitus were(0.77,4.04 ng/L),(0.81,12.41 ng/L)and(0.69,3.96 ng/L),respectively.AUC of combined detection was 0.89,which was greater than that of single index(P<0.05).Conclusion Tinnitus is severe in OME patients.IL-6,IL-8 and TNF-α can be applied to diagnose tinnitus,and diagnostic value of combined detection is higher.

Otitis media with effusionTinnitusInterleukin-6Interleukin-8Tumor necrosis factor-α

刘龙生、万玉峰、丁绍慧、周涛、高俊康

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安徽医科大学附属巢湖医院耳鼻咽喉科,安徽 合肥 238000

伴渗出液中耳炎 耳鸣 白细胞介素-6 白细胞介素-8 肿瘤坏死因子-α

2025

安徽医药
安徽省药学会

安徽医药

影响因子:1.941
ISSN:1009-6469
年,卷(期):2025.29(2)