糖尿病患者的听力变化特点及其与病程、血糖控制-内科急危重症杂志.DOCVIP

糖尿病患者的听力变化特点及其影响因素的研究 阎劲松 袁丹*2 李东升3 (1湖北医药学院附属东风医院内分泌科 湖北十堰 442000；2湖北医药学院附属东风医院康复科 湖北十堰 442000；3湖北医药学院附属太和医院干细胞治疗中心 湖北十堰 442000) 【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：选取我院内分泌科的2型糖尿病患者100例作为观察组，并选取50例健康志愿者作为对照组。通过问卷调查以及听力测试对两组人员进行实验，并分析实验结果。结果：在观察组中：①71例患者主诉无听力损伤中，有40例被证明有不同程度的听力损伤；29例主诉听力不正常的患者被证明均有听力损伤；②100例糖尿病患者的68例有听力损伤的患者中有耳聋、眩晕、耳鸣等临床症状的分别占61、59、63例，31例无听力损伤患者中有耳聋、眩晕、耳鸣等临床症状的分别占2、1、2例，差异具有高度统计学意义（均P＜0.001）。③观察组患者个各频率听阈高于对照组患者，而听力水平低于对照组，差异具有统计学意义（均P＜0.001）；④40岁以上各年龄阶段患者的听力损伤发病率明显高于40岁以下各年龄阶段，差异具有统计学意义（P＜0.001）；而女性患者听力损伤发病率明显低于男性患者，差异具有统计学意义（P=0.028）；⑤与病程在[5,10）年，以及5年以下病程的糖尿病患者相比，糖尿病病程10年以上的患者听力损伤发病率有明显升高趋势，差异具有统计学意义(P=0.021)；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。 【关键词】糖尿病；听力损伤；发病率；影响因素 Characteristics and influence factors of hearing loss in patients with diabetes mellitus YAN Jin-song1, YUAN Dan*2, LI Dong-sheng3 Endocrinology Department, Dongfeng General Hospital, Hubei University of Medicine, Shiyan 442000, China; 2.Physiatry Department, Dongfeng General Hospital, Hubei University of Medicine, Shiyan 442000, China; 3.Stem cell therapy center, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China corresponding author: YUAN Dan, E-mail: yuandan7683@126.com [Abstract] 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:100 cases of patients with type 2 diabetes mellitus cured in our hospital were selected as the observation group,and 50 cases of healthy volunteer 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 ,and analyze the experimental results.Results:In the observation group:①71 cases of patients claimed to have no hearing impairment,but it found that 40 cases were shown to have different degrees of hearing impairment after doing investigation and hearing experiments;29 cases of patients