Wilke H, Grossgerge H, Haubold E, Kahlke W, Frahm H, Regler B
Fortschr Med. 1977 Jul 28;95(28):1757-64.
In 45 patients with hearing loss we found metabolic and other "risk factors" above average. In 96% of those patients there was one "risk factor" at least. Latent (63.8%) or manifest diabetes (6.6%) was most frequent. Hyperuricemia was observed in 35.9% and hyperlipoproteinemia type IIa/IIb or IV in 24.2%. Non-metabolic risk factors (overweight, elevated blood pressure, smoking, stress) were found in 80% of the patients. It seems possible and more likely that hearing loss is caused by "risk factors" and consecutive vascular complications of the inner ear than by neurologic or orthopedic diseases. The diagnosis "hearing loss" should motivate the otologist to look for "risk factors" by interdisciplinary cooperation.
在45例听力损失患者中，我们发现其代谢及其他“风险因素”高于平均水平。在这些患者中，96%至少存在一种“风险因素”。潜在糖尿病（63.8%）或显性糖尿病（6.6%）最为常见。高尿酸血症的发生率为35.9%，IIa/IIb型或IV型高脂蛋白血症的发生率为24.2%。80%的患者存在非代谢性风险因素（超重、血压升高、吸烟、压力）。听力损失似乎更有可能是由“风险因素”及内耳连续的血管并发症引起，而非神经或骨科疾病。“听力损失”的诊断应促使耳科医生通过多学科合作寻找“风险因素”。
