摘要
目的:研究2型糖尿病患者的听觉损害特征,寻找进行干预的可能性。方法:对75例2型糖尿病患者进行纯音听阈测定,并与相同年龄、性别的正常人80例(对照组)比较。 结果:糖尿病组中检出听力减退患者56例,患病率74.6％,而对照组分别为25例和31.3％,两者相差明显(X^2=29.25,P<0.001)。糖尿病组的语言频率[左(19.4±6.3)dB和右(22.5±1.6)dB],4 kHz[左(27.9±11.4)dB和右(28.3±10.7)dB]和8 kHz频率[左(32.6±12.2)dB和右(34.7±14.8)dB]双侧纯音测听指标均明显高于对照组(t=2.213～2.436,P均<0.05)。按病程分组后,病程长组(≥5年;34例)的语言频率和高频(4,8 kHz)双侧纯音测听指标均明显高于病程短组(<5年;37例)(t=2.134～2.374,P均<0.05)。按有无视网膜病变分组后,有视网膜病变组(43例)的语言频率和高频(4,8 kHz)双侧纯 音测听指标均明显高于无视网膜病变组(32例)(t=2.148～2.472,P均<0.05)。按有无膝反射减弱分组后,膝反射减弱组(51例)的语言频率和高频(4,8 kHz)双侧纯音测听指标均明显高于无膝反射减弱组(24例)(t=2.109～2.255,P均<0.05)。 结论:2型糖尿病患者多伴有听觉损害,后者程度常与病程长短、有无视网膜和膝反射是否减弱密切相关。
AIM: To study the characteristics of hearing loss in patients with type 2 diabetes, and to discuss the possibility of psychological intervention. METHODS: Seventy-five type 2 diabetic patients (diabetic group) were measured by pure tone threshold audiometry, and the results were compared with those of 80 normal subjects of the same age and sex (control group). RESULTS: The prevalence rate in the diabetic group was74. 6% (56/75), significantly different from that in the control group(31. 3% , 25/80) (X2 = 29. 25, P < 0. 001) . The values of both side pronunciation frequency [left (19. 4±6. 3) dB and right(22. 5 ± 10. 6) dB], 4 kHz[left(27. 9 ± 11. 4) dB and right(28. 3 ± 10. 7) dB] and 8 kHz[left(32. 6 ± 12. 2) dB and right (34. 7 ± 14. 8) dB] of pure tone audiometry in the diabetic group were significantly different from those in the control group( t = 2. 213 - 2. 436, P <0. 05). The values of both side pronunciation frequency and high frequency (4, 8 kHz) in patients with long disease course group(≥5 years, 34 cases) were obviously higher than those with short disease course( < 5 years, 37 cases) (t = 2. 134-2.374, P < 0. 05). The values of both side pronunciation frequency and high frequency(4, 8 kHz) in patients with retinopathy (43 cases) were obviously higher than those without retinopathy(32 cases) ( t = 2. 148 -2. 472, P < 0. 05) . The values of both side pronunciation frequency and high frequency(4, 8 kHz) in patients with patellar reflex losing(51 cases) were obviously higher than those without patellar reflex losing(24 cases) (t = 2. 109-2.255, P <0.05).
CONCLUSION: Patients with diabetes were often accompanied by hearing loss, and the level is closely related to the disease course, retinopathy and patellar reflex losing.
出处
《中国临床康复》
CSCD
2004年第9期1612-1613,共2页
Chinese Journal of Clinical Rehabilitation
