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糖尿病与耳鸣:一项流行病学研究。

Diabetes Mellitus and Tinnitus: an Epidemiology Study.

作者信息

Mousavi Seyed Hasan Golboei, Sajadinejad Batoolsadat, Khorsandi Sina, Farhadi Amin

机构信息

Department of Otorhinolaryngology, School of Medicine, Birjand University of Medical Sciences, Iran.

Research Department, Birjand University of Medical Sciences, Iran.

出版信息

Maedica (Bucur). 2021 Dec;16(4):580-584. doi: 10.26574/maedica.2021.16.4.580.

Abstract

Tinnitus is the perception of sound that does not arise from an external source. It is a chronic sensation that virtually all would prefer not to experience, but for most people it is not disabling and treatments for disturbing tinnitus are limited. Diabetes causes several side effects, among which its impact on the neural system is one of the most important ones. Considering that the hearing system is part of the neural system, this paper investigates the likelihood of tinnitus occurrence and its potential role of risk factor in patients with type 2 diabetes mellitus (T2DM). This study was conducted on 250 patients from the diabetes center of Birjand, Iran. Data from all patients were collected in 2018, using a demographic questionnaire together with a standard questionnaire. Sixty six of the 250 patients in the sample set had tinnitus (26% likelihood of tinnitus occurrence), with 53% of all subjects having minor disorder. A meaningful dependency between patient's age and severity of tinnitus (p <0.05) was found, with tinnitus-related problems becoming more severe among older patients. Also, a meaningful dependency was identified between the duration of diabetes and tinnitus, with the hearing disorder being more severe among patients who had diabetes for more than ten years. No meaningful dependency was found between either patient's gender and tinnitus or the level of fasting blood sugar (FBS) and glycated hemoglobin (HbA1C). The severity of tinnitus was identified. The present study indicates that there is an association between the age of patients with diabetes and the severity of tinnitus. Also, the duration of diabetes impacts the likelihood of having tinnitus. In patients with diabetes, tinnitus can be considered as an indicator of the development of neuropathy or a level of microangiopathy of the inner ear.

摘要

耳鸣是一种并非由外部声源产生的声音感知。它是一种几乎所有人都不愿经历的慢性感觉,但对大多数人来说它并不致残,且针对令人困扰的耳鸣的治疗方法有限。糖尿病会引发多种副作用,其中对神经系统的影响是最重要的副作用之一。鉴于听觉系统是神经系统的一部分,本文研究了2型糖尿病(T2DM)患者中耳鸣发生的可能性及其作为危险因素的潜在作用。本研究对来自伊朗比尔詹德糖尿病中心的250名患者进行。2018年收集了所有患者的数据,使用了一份人口统计学问卷和一份标准问卷。样本集中的250名患者中有66名患有耳鸣(耳鸣发生的可能性为26%),所有受试者中有53%患有轻度病症。发现患者年龄与耳鸣严重程度之间存在显著相关性(p<0.05),耳鸣相关问题在老年患者中更为严重。此外,还确定了糖尿病病程与耳鸣之间存在显著相关性,糖尿病病程超过十年的患者听力障碍更为严重。未发现患者性别与耳鸣之间或空腹血糖(FBS)水平与糖化血红蛋白(HbA1C)之间存在显著相关性。确定了耳鸣的严重程度。本研究表明,糖尿病患者的年龄与耳鸣严重程度之间存在关联。此外,糖尿病病程会影响患耳鸣的可能性。在糖尿病患者中,耳鸣可被视为神经病变发展或内耳微血管病变程度的一个指标。

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