Patil Srushti, Karambelkar Rajesh, Joshi Shreyas
Department of ENT, Prakash Institute of Medical Sciences and Research, Urun Islampur, Sangli, Maharashtra India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3271-3276. doi: 10.1007/s12070-024-04671-2. Epub 2024 Apr 15.
This study investigates audiovestibular dysfunction in individuals with long-standing diabetes mellitus (DM). A cross-sectional study was conducted involving 100 patients (DM for ≥ 10 years) at the Department of E.N.T. in Prakash Institute of Medical Sciences and Research, Sangli, Maharashtra. A mean age of 43.09 years among patients, with 64% male and 36% female participants. Hearing loss was the most common complaint, affecting 46% of subjects, followed by vertigo in 23%. Pure tone audiometry revealed that 34% of patients had sensorineural hearing loss, with varying degrees of severity. Vestibular dysfunction was observed in 10% of cases. Correlation analysis indicated a significant positive relationship between the duration of DM and hearing thresholds at various frequencies, as well as with HbA1c levels. This suggests a worsening of hearing with longer DM duration and higher HbA1c levels. The prevalence of hearing impairment was higher at higher frequencies, with vestibular dysfunction also noted in a subset of patients.
本研究调查了长期糖尿病（DM）患者的视听前庭功能障碍。在马哈拉施特拉邦桑利市普拉卡什医学科学与研究学院耳鼻喉科进行了一项横断面研究，纳入了100例患者（糖尿病病程≥10年）。患者的平均年龄为43.09岁，其中男性参与者占64%，女性参与者占36%。听力损失是最常见的主诉，影响了46%的受试者，其次是眩晕，占23%。纯音听力测试显示，34%的患者患有感音神经性听力损失，程度各不相同。10%的病例观察到前庭功能障碍。相关性分析表明，糖尿病病程与不同频率的听力阈值以及糖化血红蛋白（HbA1c）水平之间存在显著正相关。这表明糖尿病病程越长、HbA1c水平越高，听力越差。高频听力障碍的患病率更高，部分患者也存在前庭功能障碍。
