Baweja Pooja, Gupta Sharat, Mittal Shallu, Kumar Avnish, Singh Kamal Dev, Sharma Raghuvansh
Department of Physiology, Government Medical College, Punjab, India.
Department of Physiology, Gian Sagar Medical College, Ramnagar, Punjab, India.
Indian J Endocrinol Metab. 2013 Nov;17(6):1018-23. doi: 10.4103/2230-8210.122616.
Diabetes mellitus is a complex metabolic disorder whose detrimental effects on various organ systems, including the nervous system are well known.
This study was conducted to determine the changes in the brainstem auditory evoked potentials (BAEP) in patients with type 2 diabetes mellitus.
In this case-control study, 116 females with type 2 diabetes and 100 age matched, healthy female volunteers were selected. The brainstem auditory evoked potentials (BAEP) were recorded with RMS EMG EP Marc-II Channel machine. The measures included latencies of waves I, II, III, IV, V and Interpeak latencies (IPL) I-III, III-V and I-V separately for both ears. Data was analysed statistically with SPSS software v13.0.
It was found that IPL I-III was significantly delayed (P = 0.028) only in the right ear, while the latency of wave V and IPL I-V showed a significant delay bilaterally (P values for right ear being 0.021 and 0.0381 respectively while those for left ear being 0.028 and 0.016 respectively), in diabetic females. However, no significant difference (P > 0.05) was found between diabetic and control subjects as regards to the latencies of waves I, II, III, IV and IPL III-V bilaterally and IPL I-III unilaterally in the left ear. Also, none of the BAEP latencies were significantly correlated with either the duration of disease or with fasting blood glucose levels in diabetics.
Therefore, it could be concluded that diabetes patients have an early involvement of central auditory pathway, which can be detected quite accurately with the help of auditory evoked potential studies.
糖尿病是一种复杂的代谢紊乱疾病,其对包括神经系统在内的各种器官系统的有害影响是众所周知的。
本研究旨在确定2型糖尿病患者脑干听觉诱发电位(BAEP)的变化。
在这项病例对照研究中,选取了116名2型糖尿病女性患者和100名年龄匹配的健康女性志愿者。使用RMS EMG EP Marc-II Channel机器记录脑干听觉诱发电位(BAEP)。测量指标包括双耳分别的波I、II、III、IV、V的潜伏期以及峰间潜伏期(IPL)I-III、III-V和I-V。使用SPSS软件v13.0对数据进行统计学分析。
发现糖尿病女性患者中,仅右耳的IPL I-III显著延迟(P = 0.028),而波V的潜伏期和IPL I-V双耳均显著延迟(右耳P值分别为0.021和0.0381,左耳分别为0.028和0.016)。然而,在双耳波I、II、III、IV的潜伏期以及IPL III-V和左耳单侧的IPL I-III方面,糖尿病患者与对照组之间未发现显著差异(P > 0.05)。此外,糖尿病患者的BAEP潜伏期与疾病持续时间或空腹血糖水平均无显著相关性。
因此,可以得出结论,糖尿病患者早期就存在中枢听觉通路受累,借助听觉诱发电位研究能够相当准确地检测到这一点。