Osterhammel D, Christau B
Scand Audiol. 1980;9(1):13-8. doi: 10.3109/01050398009076329.
Sixty-one juvenile, insulin-treated diabetics below 50 years of age with a duration of diabetes mellitus longer than 10 years underwent impedance audiometry with determination of stapedius reflex thresholds at 500 Hz, 1, 2, and 4 kHz, conventional pure tone and speech audiometry, and high-frequency audiometry up to 20 kHz. The results were compared with a normative material of non diabetic subjects selected after exactly the same criteria. No significant differences in hearing or stapedius reflex thresholds were found. Among half of the subjects there was a diabetic retinopathy. A comparison between those with and those without retinopathy did not reveal any significant difference in audiological findings. Even subjects with severe diabetic complications and almost life-long diabetes had normal hearing. Recent investigations on plasma-lipoids have discussed the possibility that insulin might prevent a premature ageing of hearing which has been reported by other authors. It is concluded that no statistical data exist that confirm a correlation between hearing impairment and diabetes.
61名年龄在50岁以下、接受胰岛素治疗、糖尿病病程超过10年的青少年糖尿病患者接受了声阻抗测听，测定了500赫兹、1千赫、2千赫和4千赫的镫骨肌反射阈值，进行了常规纯音和言语测听，以及高达20千赫的高频测听。将结果与按照完全相同标准选取的非糖尿病受试者的正常数据进行了比较。未发现听力或镫骨肌反射阈值有显著差异。一半受试者患有糖尿病视网膜病变。有视网膜病变和无视网膜病变的受试者之间的比较未发现听力学检查结果有任何显著差异。即使是患有严重糖尿病并发症且糖尿病病程几乎长达一生的受试者听力也正常。最近关于血浆类脂的研究讨论了胰岛素可能预防其他作者所报道的听力过早衰老的可能性。得出的结论是，没有统计数据证实听力障碍与糖尿病之间存在关联。
