Celik O, Yalçin S, Celebi H, Oztürk A
Department of Otolaryngology, Medical Faculty, Firat University, Elaziğ, Turkey.
Auris Nasus Larynx. 1996;23:127-32.
The purpose of this study was to examine the relationship between diabetes mellitus and hearing loss which is still controversial. Pure tone audiometry was performed in 75 patients with insulin-dependent diabetes mellitus, aged between 14 and 60 years (45 males and 30 females; average age 45.3 years), and in 40 randomly selected sex- and age-matched non-diabetic control subjects, using an Interacoustics Clinical Computer Audiometer Model AC5. The mean duration of diabetes in the study group was 15 +/- 7 years. Complications such as retinopathy, nephropathy, and neuropathy had developed in 64% of the diabetics. Statistical analyses showed that the hearing of the diabetic patients was significantly worse than control subjects. Complications were found to have a significant effect on sensorineural hearing loss in diabetics. The influence of duration of diabetes was noticed on hearing threshold at mid and high frequencies, especially after the first decade of the disease.
本研究的目的是探讨糖尿病与听力损失之间仍存在争议的关系。使用Interacoustics临床计算机听力计AC5型，对75例年龄在14至60岁之间的胰岛素依赖型糖尿病患者（45例男性和30例女性；平均年龄45.3岁）以及40例随机选取的年龄和性别匹配的非糖尿病对照受试者进行了纯音听力测试。研究组糖尿病的平均病程为15±7年。64%的糖尿病患者出现了视网膜病变、肾病和神经病变等并发症。统计分析表明，糖尿病患者的听力明显比对照受试者差。发现并发症对糖尿病患者的感音神经性听力损失有显著影响。糖尿病病程对中高频听力阈值有影响，尤其是在患病的第一个十年之后。
