2型糖尿病患者与耳科相关临床特点分析  

The analysis of clinical characteristics of diabetic patients with ear

作　　者：刘业军[1] 赵亚会 张燕 Liu Yejun;Zhao Yahui;Zhang Yan(Department of Otorhinolaryngology,Qianjiang Central hospital of Qianjiang City,Qianjiang,Hubei,433100,China;Department of Otorhinolaryngology,Northern Theater Air Force Hospital,Shengyang,Liaoning,China;Department of Otorhinolaryngology,Shanxi Yang Coal Group General Hospital,Yangquan,Shanxi,045000,China)

机构地区：[1]潜江市中心医院耳鼻咽喉科,湖北潜江433100 [2]北部战区空军医院耳鼻咽喉科,辽宁沈阳1100046 [3]山西阳煤集团总医院耳鼻咽喉科,山西阳泉045000

出　　处：《当代医学》2019年第1期75-78,共4页Contemporary Medicine

摘　　要：目的分析糖尿病患者与对照组在听力损失、耳鸣、耳闷胀感等因素的相关性,同时了解不同年龄段糖尿病患者听力损失情况。方法纳入2017年5月至2018年3月就诊于本院内分泌科且符合2型糖尿病患者130例(糖尿病组),同时邀请了无糖尿病、高血压、冠心病等基础疾病病史、无耳科相关疾病病史的健康自愿者90名(对照组),通过询问病史、问卷调查统计基本信息,并行纯音测听检查及声阻抗检查等检查,根据其年龄、耳科症状如耳鸣、听力损失、眩晕、耳闷胀感等进行分组及分析。结果糖尿病患者与对照组的听力损失相比,糖尿病患者存在中频、高频听力损失的风险较对照组更大,差异有统计学意义(P<0.05);低频听阈降低无统计学意义(P<0.05),糖尿病患者与对照组在低频听力损失上无明显差异;糖尿病患者耳鸣、耳闷胀感发病率高于对照组;差异有统计学意义(P<0.05);糖尿病组与对照组眩晕发生率比较差异无统计学意义(P<0.05);糖尿病患者伴听力下降与年龄有差异,差异有统计学意义(P<0.05),年龄与糖尿病患者存在听力下降的风险有关。结论糖尿病患者临床存在耳科疾病的高危风险,患者主观感觉容易掩盖耳科的临床症状,临床工作中容易误诊,值得推广。Objective To analyze the phase of hearing loss,tinnitus and ear distention in patients with diabetes and healthy people The relationship between the factors and the hearing loss of patients with diabetes in different ages.Methods 2017 In May to 2018 year in March in our hospital Department of Endocrinology and with 2 patients with type 130 diabetes and no ear 90 healthy volunteers with history of related diseases,non diabetes,hypertension,coronary heart disease and other basic diseases by inquiring the history,questionnaire,pure tone audiometry and acoustic impedance examination,according to their age and ear The symptoms such as tinnitus,hearing loss,vertigo,and ear distention were grouped and analyzed.Result Through carefully investigation and analysis:there was a moderate frequency of hearing loss compared with the healthy person.The risk of hearing loss compared with the healthy people more,the difference was statistically significant(P<0.05);low frequency threshold the decrease was not statistically significant(P<0.05).There was no significant difference in low frequency hearing loss between diabetics and healthy people.The incidence of tinnitus and ear distension in diabetic patients was higher than that in healthy persons.The difference was statistically significant(P<0.05).There was no significant difference in incidence of vertigo and healthy persons in diabetes mellitus(P<0.05).There was a significant difference in hearing loss and age in diabetic patients(P<0.05).There is a risk of hearing loss in patients with diabetes.Conclusion Clinical diabetes patients have high ear diseases risk,the clinical symptoms of the patient's subjective feeling easy to cover up the ear,easily misdiagnosed in clinical work,it is worth promoting.

关 键 词：2型糖尿病 听力损失 耳鸣 耳闷胀感 眩晕 

分 类 号：R587.1[医药卫生—内分泌]