1型糖尿病患者听力损失的评价与分析  

作　　者：吴艳[1,2] 

机构地区：[1]长江大学荆州临床医学院 [2]荆州市中心医院耳鼻喉科,荆州434100

出　　处：《北方药学》2012年第11期68-68,共1页Journal of North Pharmacy

摘　　要：目的:研究1型糖尿病患者听力相关的常见症状以及听力损失相关危险因素。方法:受试者分两组。1型糖尿病组有30位确诊患者;对照组包含15位健康受试者。所有受试者均进行耳鼻喉科专科及血糖控制情况的问卷调查和听力检查(包括纯音测听、声导抗以及听性脑干反应)。结果:最常见的耳鼻喉科相关的症状为耳鸣与听力损失。有16.67%的患者(5例)表现为感觉神经听力损失,均为双侧高频损伤。这些患者平时血糖控制不佳。26.67%的患者(8例)ABR间期潜伏期I～III延迟。所有正常对照患者均无相关症状,其听力测试及ABR检查均正常。结论:在1型糖尿病患者中,最常见的耳鼻喉科相关的症状与体征为耳鸣与双耳对称的轻中度高频损伤。在1型糖尿病听力阈值正常的患者中,ABR间期潜伏期常延迟。Objective：To study the hearing-related symptoms and the risk factors of hearing loss in patients with type 1 diabetes. Methods： All subjects were divided to groups. Group 1 consisted of 40 patients with type 1 diabetes, and group 2 consisted of 20 control subjects without diabetes. All participants＇ medical records were reviewed. They also were submitted to auditory tests （pure tone audiometry and acoustic immitance and auditory brain stem response [ABR] tests）.Results： The most frequent cochleovestibular symptoms were tinnitus and hearing loss. Sensorineural hearing loss was found in 16.67% patients of group 1 and was predominantly bilateral, symmetric, and affecting the high frequencies. These patients had a poor glyeemia control. A delay of ABR interpeak latency I ~III was observed in 26.67% of the group 1 ears. All patients of group 2 presented normal audiograms and ABR tests. Conclusions： In group 1, the most frequent hearing-related symptoms were tinnitus and hearing loss. The sensorineural hearing loss was mild, symmetric, and predominantly high-frequency. A delay of ABR interpeak lateneies was detected in the patients of group 1 who had normal audiometric thresholds.

关 键 词：听力测定 听力损伤 1型糖尿病 

分 类 号：R587.1[医药卫生—内分泌]