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妊娠期糖尿病对新生儿听力的影响:一项系统评价。

Effect of Gestational Diabetes Mellitus on Newborn Hearing: A Systematic Review.

作者信息

Aggarwal Komal, Ravi Rohit

机构信息

Department of Audiology and Speech-Language Pathology, Amity Medical School, Amity University Haryana, Gurugram, India.

Department of Audiology & Speech Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

出版信息

Ann Otol Rhinol Laryngol. 2025 Feb;134(2):87-92. doi: 10.1177/00034894241287014. Epub 2024 Oct 2.

Abstract

OBJECTIVE

Gestational diabetes mellitus (GDM) is associated with several adverse health conditions in newborns such as preterm birth, hyperbilirubinemia, macrosomia, respiratory distress. However, the effect of GDM on the hearing sensitivity of newborns is still unclear. The study aimed to explore the effect of GDM on newborn hearing. The study aimed to explore the effect of GDM on newborn hearing.

METHOD

A systematic search was conducted using PubMed, Scopus, and CHINAL databases. Keywords like "gestational diabetes," "diabetic pregnancies," "hearing loss," "hearing impairment," and "hearing disorder" were used to form a search string. The Rayyan software was used for screening procedure. The full-length articles were shortlisted, extracted, and appraised.

RESULTS

The 7 articles were included in the review. Findings suggest that hearing loss is more prevalent in newborns with GDM pregnancies than in non-GDM pregnancies. In addition, OAE findings were "referred during the first hearing screening of newborns with GDM pregnancies." The refer rate of the first bilateral hearing screening was higher for newborns with GDM pregnancies. Furthermore, children of diabetic pregnancies were found to be at risk of bilateral hearing loss, particularly sensorineural in nature.

CONCLUSION

The present systematic review suggests an association between GDM and a higher refer rate in hearing screening. A multidisciplinary collaboration between gynecologists, pediatricians, and audiologists can smoothen the early detection of hearing loss in newborns with GDM pregnancies, leading to early intervention and better clinical outcomes to improve the quality of life of affected newborns.

摘要

目的

妊娠期糖尿病(GDM)与新生儿的多种不良健康状况相关,如早产、高胆红素血症、巨大儿、呼吸窘迫。然而,GDM对新生儿听力敏感性的影响仍不清楚。本研究旨在探讨GDM对新生儿听力的影响。

方法

使用PubMed、Scopus和中国知网数据库进行系统检索。使用“妊娠期糖尿病”“糖尿病妊娠”“听力损失”“听力障碍”和“听力疾病”等关键词组成检索式。使用Rayyan软件进行筛选程序。对入选的全文进行提取和评估。

结果

本综述纳入了7篇文章。研究结果表明,患有GDM妊娠的新生儿比非GDM妊娠的新生儿听力损失更普遍。此外,在对患有GDM妊娠的新生儿进行首次听力筛查时,耳声发射(OAE)结果为“转诊”。患有GDM妊娠的新生儿首次双侧听力筛查的转诊率更高。此外,发现糖尿病妊娠的儿童有双侧听力损失的风险,尤其是感音神经性听力损失。

结论

本系统综述表明GDM与听力筛查中较高的转诊率之间存在关联。妇科医生、儿科医生和听力学家之间的多学科合作可以促进对患有GDM妊娠的新生儿听力损失的早期检测,从而实现早期干预并获得更好的临床结果,以提高受影响新生儿的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5408/11662508/f9b23dc306ed/10.1177_00034894241287014-fig1.jpg

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[A Study on the hearing level of high-risk children of diabetic mothers].
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本文引用的文献

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Effect of Preeclampsia and Gestational diabetes mellitus on Neonatal Distortion Product Otoacoustic Emissions: A Tertiary Care Center Study.
Ann Otol Rhinol Laryngol. 2023 Sep;132(9):985-995. doi: 10.1177/00034894221126259. Epub 2022 Oct 6.
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Comparison of hearing screening outcomes in newborns of gestational diabetic and non-diabetic mothers: a prospective, controlled study.
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