Adebola Stephen Oluwatosin, Olamoyegun Micheal A, Sogebi Olusola A, Iwuala Sandra O, Babarinde John A, Oyelakin Abayomi O
Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Department of Otorhinolaryngology, Ogbomoso, Nigeria.
Ladoke Akintola University of Technology, Endocrinology, Diabetes and Metabolism Unit, College of Health Sciences, LAUTECH Teaching Hospital, Ogbomoso, Nigeria.
Braz J Otorhinolaryngol. 2016 Sep-Oct;82(5):567-73. doi: 10.1016/j.bjorl.2015.10.016. Epub 2016 Feb 10.
This cross-sectional comparative study was carried out at the Diabetes outpatient clinic of LAUTECH Teaching Hospital (LTH) Ogbomoso, Nigeria.
This study assessed patterns of otologic diseases and auditory acuity among type 2 diabetics and determinants of these findings among diabetics.
Ninety-seven consenting patients with clinical diagnosis of diabetes mellitus (194 ears) were matched for age and sex with ninety non-diabetic patients (180 ears). These patients were screened using otoscopy and pure tone audiometry over a 6-month period.
The study reported a crude prevalence rate of 21.6% hearing loss in T2DM patients. The most common type of otologic disease that showed significant association with T2DM patients was otitis media with effusion (p=0.027). T2DM was significantly associated with abnormal audiometric findings (p=0.022), particularly sensorineural hearing loss (p=0.022), of the moderate grade (p=0.057). There were no differences of the audilogical findings for any particular ear, and no differential affectation of frequency range was observed. Coexisting hypertension and poor glycaemic control were significantly associated with aggravation of the hearing of the T2DM patients (p< 0.001, and p=0.009 respectively).
T2DM had appreciable effects on hearing acuity. T2DM was significantly associated with the type and the degree of the hearing loss. The need for screening of hearing acuity of T2DM patients, in order to detect early changes, and promptly offer an adequate management and remedial measures was emphasized in this study.
本横断面比较研究在尼日利亚奥贡博索的LAUTECH教学医院（LTH）糖尿病门诊进行。
本研究评估2型糖尿病患者的耳科疾病模式和听力，以及糖尿病患者这些结果的决定因素。
97名临床诊断为糖尿病的同意患者（194只耳）在年龄和性别上与90名非糖尿病患者（180只耳）进行匹配。在6个月的时间里，对这些患者进行了耳镜检查和纯音听力测定筛查。
该研究报告2型糖尿病患者听力损失的粗患病率为21.6%。与2型糖尿病患者有显著关联的最常见耳科疾病类型是分泌性中耳炎（p=0.027）。2型糖尿病与听力测定异常结果显著相关（p=0.022），特别是中度（p=0.057）感音神经性听力损失（p=0.022）。任何特定耳朵的听力检查结果没有差异，也未观察到频率范围的差异影响。并存的高血压和血糖控制不佳与2型糖尿病患者听力恶化显著相关（分别为p<0.001和p=0.009）。
2型糖尿病对听力有明显影响。2型糖尿病与听力损失的类型和程度显著相关。本研究强调需要对2型糖尿病患者进行听力筛查，以便早期发现变化，并及时提供适当的管理和补救措施。
