高血压和糖尿病在血液透析伴感音神经性听力损失患者中的作用

Emirjona Vajushi, Z. Shabani
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摘要

在过去的几年中,慢性肾脏疾病(CKD)患者的病例显著增加。慢性肾脏疾病的主要原因是动脉高血压和糖尿病。本研究的目的是确定动脉高血压是血液透析治疗患者神经感觉性听力损失的原因之一。方法:这是一项横向研究。研究人群为2015-2016年间在美国医院接受血液透析治疗的65例患者。所有收集的数据用SPSS软件进行计算。采用Pearson R相关、ꭓ²检验和ANOVA检验对样本进行分析。结果:本研究纳入65例患者,其中2015年27例,2016年38例。女性占32.3%,男性占67.7%。年龄最小32岁,最大83岁,平均= 62.69岁,DEV Std±11.32岁。在我们的研究中,81.5%的患者存在不同程度的感音神经性听力损失,其中轻度感音神经性听力损失15.4%,中度感音神经性听力损失50.8%,重度感音神经性听力损失9.2%,重度感音神经性听力损失6.2%。结论:伴有高血压的血液透析患者比无高血压的血液透析患者更易发生感音神经性听力损失。透析患者是否存在糖尿病并不影响听力问题。
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Role of Arterial Hypertension and Diabetes Mellitus in Hemodialysis Patients with Sensorineural Hearing Loss
Cases of chronic kidney disease (CKD) patients have increased significantly in the past few years. The main causes of chronic kidney disease are arterial hypertension and diabetes mellitus. The aim of this study is to identify arterial hypertension as one of the causes of neurosensorial hearing loss in patients under hemodialysis treatment. Methodology: This is a transversal study. The study population is 65 patients who are undergoing hemodialysis treatment at the American Hospital during the years 2015-2016. All collected data were calculated with SPSS program. Pearson R correlation, ꭓ² test, and ANOVA test were used to analyze the sample. Results: In this study were included 65 patients where 27 are from 2015 and 38 from 2016. 32.3% of patients were female and 67.7% male. Age min 32 years and max 83 years, mean = 62.69 years, DEV Std ± 11.32 years. In our study 81.5% of patients had problems with sensorineural hearing loss of varying degrees, ranging from mild sensorineural hearing loss 15.4%, moderate sensorineural hearing loss 50.8%, severe sensorineural hearing loss 9.2% and profound sensorineural hearing loss 6.2%. Conclusion: Hemodialysis patients with arterial hypertension are more likely to have sensorineural hearing loss than hemodialysis patients without hypertension. The presence or absence of DM in patients undergoing dialysis does not affect hearing problems.
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