糖尿病患者听力损失的危险因素分析

F. Tabatabaei, R. Razzaghi, Z. Soleimani, S. Nouri
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引用次数: 0

摘要

背景:听力损失被认为是糖尿病患者的并发症之一。然而,关于糖尿病和听力损失之间的关系,研究报告的结果相互矛盾。目的:本研究旨在调查和比较糖尿病患者和非糖尿病人群听力损失的患病率。材料与方法:本研究选取80例糖尿病患者和80例非糖尿病患者作为研究对象。病例组的研究对象选自伊斯法罕省糖尿病中心登记的糖尿病患者。对照组的受试者是从参考血库的非糖尿病个体中选择献血的。用于数据收集的仪器包括受试者的人口统计学问题和用于记录受试者实验室检查结果的特殊表格,包括HbA1c, TSH, Cr和听力学检查结果。数据分析采用描述性统计、卡方检验和t检验或非参数等效检验。结果:与非糖尿病受试者相比,糖尿病患者在高频声音中听力损失更为常见(P值= 0.001),在噪声频率为4 KHz和8 KHz时,伴有听力损失的糖尿病患者和无听力损失的糖尿病患者的平均肌酐值差异有统计学意义(P值< 0.05)。然而,糖化血红蛋白、糖尿病病程和BMI与听力损失无显著相关性。结论:与健康人群相比,糖尿病患者高频音听力损伤更为常见。糖尿病患者听力损失的严重程度也与肌酐水平有关。关键词:听力损失,糖尿病,听力测定
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The risk factors of hearing loss in diabetes mellitus
Background: Hearing loss is considered as one of the complications in diabetic patients. However, studies reported conflicting results on the relationship between diabetes and hearing loss. Objectives: This study aimed to investigateand compare the prevalence of hearing loss in patients with diabetes mellitus and a group of non-diabetic people. Materials and Methods: This study was conducted on 80 patients with diabetes and 80 non-diabetic subjects.Subjects in the case group were selected among the diabetic patients registered in the diabetes centers of Isfahanprovince. Subjects in the control group were selected among non-diabetic individuals referring to the blood bank todonate blood. The instrument used for data collection included of questions on the subjects demographics and a special form for recording the results of the subjects’ laboratory examinations including HbA1c, TSH, Cr and theresult of the audiometric examinations. Data analysis was performed using descriptive statistics, chi-square test andt-test or nonparametric equivalents. Results: Compared with non-diabetic subjects, hearing loss in sounds with high frequencies was more common in patients with diabetes (P value = 0.001), the mean creatinine was significantly different in diabetic patients with and without hearing loss at noise frequencies of 4 KHz and 8 KHz (P value< 0.05). However, hemoglobin A1C, duration of diabetes and BMI were not significantly associated with hearing loss. Conclusion: Hearing impairment in high frequency sounds is more common in diabetics than healthy individuals.The severity of hearing loss in patients with diabetes is also associated with the levels of creatinine. Keywords: Hearing Loss, Diabetes mellitus, Audiometry
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Journal of Research in Medical and Dental Science
Journal of Research in Medical and Dental Science MEDICINE, RESEARCH & EXPERIMENTAL-
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