2型糖尿病患者听力损害特点及危险因素的分析  

The features and risk factors of hearing impairment in type 2 diabetic patients

作　　者：原晶[1] 袁明霞[1] 杨宜林[2] 孟曦曦[2] 杨金奎[1] 

机构地区：[1]首都医科大学附属北京同仁医院内分泌科,100730 [2]首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

出　　处：《中国糖尿病杂志》2016年第1期53-56,共4页Chinese Journal of Diabetes

摘　　要：目的了解糖尿病导致听力损害的特征,探讨其发病的相关危险因素。方法选择T2DM患者(T2DM组)88例及健康体检者(Con组)56名,检测纯音测听阈值,比较两组听力的差异。结果 T2DM组和Con组听力损害的发生率分别为68.2%和28.6%,两组比较差异有统计学意义(P<0.01)。T2DM组男性听力损害的发生率高于女性(61.7%vs 38.3%,P<0.05),而Con组不同性别间比较,差异无统计学意义(P>0.05)。T2DM组在所测试各个频率听力均有下降,高频听力下降更明显(P<0.001)。T2DM组高频听力损害的发生率为45.4%(40/88),同时合并中低频听力损害发生率为17%(15/88),仅存在中低频听力损害发生率为1.1%(1/88)。结论 T2DM患者听力损害的比例较高,以高频听力损害为主,男性多见。Objective To assess the auditory function of patients with type 2 diabetes （T2DM）, and to discuss the risk factors of hearing impairments. Methods Pure tone audiometry were measured in 88 patients with T2DM （T2DM group） and 56 age-matched non-diabetic controls（Con group）. Results Compared with the control group, the incidence of hearing impairment in T2DM group increased（68. 2% vs 28. 6%,P〈0.01）. In T2DM group, the proportion of hearing impairment in men was higher than in women （61.7 % vs 38. 3 %, P 〈 0. 05）; 45.4% （40/88） patients presented with high-frequency hearing impairment; 17 % （ 15/88 ） combined with low/mid-frequency impairment; 1.1 % （1/88） presented with only low/mid-frequency hearing impairment. Conclusion The incidence of hearing impairment is significantly increased in type 2 diabetic patients, with hearing loss mainly at high-frequencies, and more common in men.

关 键 词：糖尿病 2型 听力损害 纯音测听 

分 类 号：R587.2[医药卫生—内分泌] R764[医药卫生—内科学]