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2型糖尿病患者的听觉和前庭评估:一项病例对照研究。

Auditory and Vestibular Assessment of Patients with Type Two Diabetes Mellitus: A Case-Control Study.

作者信息

Nourizadeh Navid, Jahani Mina, Jafarzadeh Sadegh

机构信息

Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Otolaryngology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Iran J Otorhinolaryngol. 2021 Sep;33(118):263-269. doi: 10.22038/ijorl.2021.55334.2899.

DOI:10.22038/ijorl.2021.55334.2899
PMID:34692573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8507949/
Abstract

INTRODUCTION

Type two diabetes mellitus may relate to auditory and vestibular dysfunction. This relationship was frequently observed in elders. The present study aimed to evaluate the auditory and vestibular function of diabetic patients and compare the results with those of a healthy adult control group.

MATERIALS AND METHODS

Patients were asked to complete demographic characteristics form. Moreover, fasting blood sugar, as well as hemoglobin A1C tests, were carried out on them. Both the patients and control group were evaluated using several auditory and vestibular tests including Pure Tone Audiometry (PTA), video Head Impulse Test (v-HIT), ocular Vestibular Evoked Myogenic Potential (o-VEMP), and cervical Vestibular Evoked Myogenic Potential (c-VEMP).

RESULTS

The PTA showed a significant difference in some frequencies between the two groups. These differences were minimal in lower frequencies and become greater at 8000Hz. The v-HIT was abnormal for some patients and also showed a significant difference between the two groups. The o-VEMP and c-VEMP results were normal in most patients.

CONCLUSION

Based on the obtained results, auditory and vestibular dysfunctions are related to Diabetes. Patients with type two diabetes mellitus showed mild auditory and vestibular dysfunctions compared to the healthy control group.

摘要

引言

2型糖尿病可能与听觉和前庭功能障碍有关。这种关系在老年人中经常被观察到。本研究旨在评估糖尿病患者的听觉和前庭功能,并将结果与健康成人对照组进行比较。

材料与方法

要求患者填写人口统计学特征表格。此外,对他们进行空腹血糖以及糖化血红蛋白测试。使用多种听觉和前庭测试对患者和对照组进行评估,包括纯音听力测试(PTA)、视频头脉冲测试(v-HIT)、眼前庭诱发肌源性电位(o-VEMP)和颈前庭诱发肌源性电位(c-VEMP)。

结果

PTA显示两组在某些频率上存在显著差异。这些差异在低频时最小,在8000Hz时变得更大。一些患者的v-HIT异常,两组之间也存在显著差异。大多数患者的o-VEMP和c-VEMP结果正常。

结论

基于获得的结果,听觉和前庭功能障碍与糖尿病有关。与健康对照组相比,2型糖尿病患者表现出轻度的听觉和前庭功能障碍。

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本文引用的文献

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Diabetes in the practice of otolaryngology.耳鼻咽喉科临床中的糖尿病
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Type 2 diabetes and the risk of incident hearing loss.2 型糖尿病与听力损失事件风险。
Diabetologia. 2019 Feb;62(2):281-285. doi: 10.1007/s00125-018-4766-0. Epub 2018 Nov 6.
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Hearing Status in Patients with Type 2 Diabetes Mellitus According to Blood-Sugar Control: A Comparative Study.根据血糖控制情况对2型糖尿病患者听力状况的比较研究
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The Effects of the Vestibular Rehabilitation on the Benign Paroxysmal Positional Vertigo Recurrence Rate in Patients with Otolith Dysfunction.前庭康复对耳石功能障碍患者良性阵发性位置性眩晕复发率的影响
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Hearing Loss in Type 2 Diabetes in Association with Diabetic Neuropathy.2 型糖尿病与糖尿病神经病变相关的听力损失。
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Otolith Dysfunction in Persons With Both Diabetes and Benign Paroxysmal Positional Vertigo.糖尿病合并良性阵发性位置性眩晕患者的耳石功能障碍
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Hearing Loss, Dizziness, and Carbohydrate Metabolism.听力损失、头晕与碳水化合物代谢
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