糖尿病患者的听力变化特点及其与病程、血糖控制水平的相关性研究
A study on the relationship between the changes of hearing in diabetes mellitus patients and its relationship with the course of disease, blood glucose control

阎劲松,袁丹,李东升.糖尿病患者的听力变化特点及其与病程、血糖控制水平的相关性研究[J].内科急危重症杂志,2016,22(2):

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英文关键词:diabetes mellitus hearing impairment incidence influencing factors

基金项目:2011年湖北省教育厅课题：胰岛β细胞和免疫调节细胞联合治疗Ⅰ型糖尿病的实验研究，编号：D20112104

作者	单位	E-mail
阎劲松	湖北医药学院附属东风医院内分泌科	yanjinsong66@126.com
袁丹	湖北医药学院附属东风医院内分泌科	yuandan7683@126.com
李东升	湖北医药学院附属太和医院

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中文摘要:

目的：通过对比糖尿病患者与正常人听觉的异同，探讨导致糖尿病患者听力受损的原因。方法：选取2010年6月～2012年8月收治于我院内分泌科的2型糖尿病(T2DM)患者100例作为观察组，并选取50例健康志愿者（均无高血压、高血脂、高血糖病史且年龄与性别相匹配）作为对照组。通过问卷调查以及听力测试对两组人员进行实验，对实验结果做好详细记录并依此进行分析。结果：在观察组中：①71例患者主诉无听力损伤，经过调查和听力实验发现有40例（56.3%）被证明有程度不同的听力损伤；29例主诉听力不正常的患者被证明均有听力损伤（100%）；②观察组患者个各频率听阈相对于对照组患者有明显的升高，而听力水平相比于对照组患者有明显的降低趋势，差异具有统计学意义（均P＜0.001）；③40岁以上各年龄阶段患者的听力损伤发病率（68.2%，64.7%，93.8%）明显高于40岁以下各年龄阶段的发病率（14.7%，20.0%），差异具有统计学意义（P＜0.001）；而女性患者听力损伤发病率（57.8%）明显低于男性患者的发病率（78.2%），差异具有统计学意义（P=0.028）；④与病程在[5,10）年（14.5%），以及5年以下病程的糖尿病患者（20.3%）相比，糖尿病病程10年以上的患者听力损伤发病率（65.2%）有明显升高趋势，差异具有统计学意义(P=0.021)；⑤不同血糖控制水平的糖尿病听力损伤发病率差异不明显，差异无统计学意义（P=0.926）。结论：患有糖尿病的患者更容易存在听力损伤；听觉好坏并不能由患者主观感受准确反映；糖尿病病程越长的患者其听力损伤的发病率越高；血糖控制水平与患者听力损伤的发病率无关。

英文摘要:

objective:To investigate the cause of hearing impairment in patients with diabetes mellitus by comparing the differences between the patients with diabetes and normal hearing.Method:From August 2012 to June 2010, 100 cases of patients with type 2 diabetes mellitus (T2DM) cured in our hospital were selected as the observation group,and 50 cases of healthy volunteer(all without high blood pressure, high blood lipids, high blood glucose history and age and sex matched) were used as the control group.Used the questionnaire and the listening test to carry out the experiment towards to of the two groups of people ,made a detailed record of the experimental results and analysis it.Results:In the observation group:①71 cases of patients claimed to have no hearing impairment,but it found that 40 cases(56.3%) were shown to have different degrees of hearing impairment after doing investigation and hearing experiments;29 cases of patients claimed to have hearing impairment and it was proved to be true(100%).②Compared with the control group,patients of the observed group had increased significantly in various frequency thresholds but had decreased significantly in hearing level, the difference was statistically significant (all P<0.001);③The incidence rate of hearing impairment of patients of all age stages over 40 years old(68.2%,64.7%,93.8%) was significantly higher than the patients of all age stages less than 40 years old(14.7%,20.0%),the difference was statistically significant (P<0.001); and the incidence of hearing impairment in female patients(57.8%) was significantly lower than that in male patients (78.2%),the difference was statistically significant (P=0.028);④Compared to the diabetes patients with ith diabetes duration of [5,10)years and the patients with diabetes duration of less than 5 years, the incidence rate of hearing impairment of patients with diabetes duration of more than 10 years had significantly increased ,and the difference is statistically significant(P=0.021).⑤There was no significant difference in the incidence of diabetic hearing impairment with different blood glucose control levels (P=0.962).Conclusion :Patients with diabetes are more likely to have hearing impairment; hearing loss can not be accurately reflected by patients' subjective experience; the longer the duration of diabetes, the higher the incidence of hearing loss;the level of blood glucose control was not associated with the incidence of hearing impairment.