HEARING-LOSS IN DIABETICS

HEARING-LOSS IN DIABETICS
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DOI:
10.1017/s0022215100122571
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发表时间:
1993-03-01
影响因子:
1.7
通讯作者:
CINNAMOND, MJ
CINNAMOND, MJ
中科院分区:
医学4区
文献类型:
--
作者:
CULLEN, JR;CINNAMOND, MJ

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糖尿病与感音神经性听力损失之间的关系一直存在争议。本研究比较了44名胰岛素依赖型糖尿病患者和38名年龄和性别匹配的对照组。所有人都进行了纯音和言语测听,任何糖尿病患者显示感音神经性耳聋进行镫骨反射衰减测试。在14例糖尿病患者中,镫骨反射测试显示任何患者均无音调衰减,但有7例显示招募证据。方差分析显示,糖尿病患者比对照人群更显着。听力损失影响男女的高频,但也影响男性的低频。言语辨别力得分没有差异。按性别进一步分析表明,男性占大部分差异。对听力图的分析显示,大多数情况下是高音损失。糖尿病病程、胰岛素用量和糖尿病家族史对阈值无显著影响。
The relationship between diabetes and sensorineural hearing loss has been disputed. This study compares 44 insulin-dependent diabetics with 38 age and sex matched controls. All had pure tone and speech audiometry performed, with any diabetic showing sensorineural deafness undergoing stapedial reflex decay tests. In 14 diabetics stapedial reflex tests showed no tone decay in any patient, but seven showed evidence of recruitment. Analysis of variance showed the diabetics to be significantly deafer than the control population. The hearing loss affected high frequencies in both sexes, but also low frequencies in the male. Speech discrimination scores showed no difference. Further analysis by sex showed the males to account for most of the differences. Analysis of the audiograms showed mostly a high tone loss. Finally duration of diabetes, insulin dosage and family history of diabetes were not found to have a significant effect on threshold.