Madhan Sriram, Bambore Suryanarayan Rao Rakesh, Parameshwarappa Ashok, Murundi Basavaraj Bharathi, Bhadravathi Ganesh Prakash, Shetty Sandeep, Unisa Thanzeem, Sivapuram Kavya
Department of ENT, Head and Neck Surgery, JSSMC, JSS Academy of Higher Education And Research (JSSAHER), Mysuru, 570004 Karnataka India.
Department of Medicine, JSSMC, JSS Academy of Higher Education and Research (JSSAHER), Mysuru, 570004 Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):541-547. doi: 10.1007/s12070-023-03626-3. Epub 2023 Mar 13.
Modernization has led to change in life style and physical inactivity which are playing a major role in increasing the number of people with diabetes and dyslipidaemia, Different types of hearing loss in diabetic patients have been reported which shows progressive, gradual, bilateral sensorineural loss. The primary aim of the present study is to evaluate the effects of dyslipidemia on hearing in patients with type 2 diabetes mellitus. A comparative study was conducted where patients were divided into 4 groups-Type II diabetes mellitus with dyslipidemia,Type II diabetes mellitus with normal lipid profile, Only Dyslipidemia,Normal subjects. A total of 128 participants were enrolled in the study. The Diabetes patient was determined by the FBS, PPBS and Hba1c levels. Dyslipidemia determined by LDL,HDL,VLDL.Patients with Type 2 diabetes mellitus and dyslipidaemia was evaluated for the presence of hearing loss with the help of PTA. Prevalence of hearing loss among patients with Diabetes and Dyslipidaemia was 65.7%, 40.6% in Type II DM with normal lipid profile patients, 18.75% in patients with dyslipidaemia. Statistically significant association of hearing loss was noted in patients with diabetes mellitus and dyslipidaemia. Although hearing loss is multifactorial, control of the risk factors like dyslipidaemia in diabetes mellitus definitely halt the process of auditory damage. As observed from this study, poor glycaemic control, associated other co-morbidities were contributing factors for hearing loss. Healthy life style with early recognition of these diseases helps in preventing further damage.
现代化导致了生活方式的改变和身体活动不足，这在糖尿病和血脂异常患者数量增加中起着主要作用。据报道，糖尿病患者存在不同类型的听力损失，表现为进行性、逐渐加重的双侧感音神经性听力损失。本研究的主要目的是评估血脂异常对2型糖尿病患者听力的影响。进行了一项比较研究，将患者分为4组：伴有血脂异常的2型糖尿病患者、血脂水平正常的2型糖尿病患者、单纯血脂异常患者、正常受试者。共有128名参与者纳入该研究。通过空腹血糖、餐后血糖和糖化血红蛋白水平来确定糖尿病患者。通过低密度脂蛋白、高密度脂蛋白、极低密度脂蛋白来确定血脂异常。借助纯音听力测试评估伴有血脂异常的2型糖尿病患者是否存在听力损失。糖尿病和血脂异常患者中听力损失的患病率为65.7%，血脂水平正常的2型糖尿病患者为40.6%，血脂异常患者为18.75%。在糖尿病和血脂异常患者中发现听力损失存在统计学上的显著关联。尽管听力损失是多因素的，但控制糖尿病中的血脂异常等危险因素肯定能阻止听觉损伤的进程。从本研究观察到，血糖控制不佳以及其他相关合并症是听力损失的促成因素。健康的生活方式以及对这些疾病的早期识别有助于预防进一步的损害。
