Acuña García M, Herrero Laso J L, Durán Díez C, Menéndez Argüelles M E, Vallejo Valdezate L A, Díaz Suárez I, Pomar Blanco P, Alvarez Iscar N
Hospital del Río Hortega, Valladolid, Servicio de Otorrinolaringología.
An Otorrinolaringol Ibero Am. 1997;24(5):465-76.
The relationship between diabetes mellitus and hypacusia has been discussed since the work of Jordao, in 1857. Numerous authors are openly pro this viewpoint, whereas other deny it. The hypoacusis is typically bilateral, progressive and of neurosensory nature, affecting the higher frequencies. In the etiologic aspect some authors bet for an angiopathic origin, but others suppose a neuropathic cause. We have achieved a comparative study with the aim to get some conclusions that could enlighten this field. Forty patients with diabetes mellitus type II were audiometrically examinees (at threshold and with supraliminar tests) and the results compared with those of a control group. We also assessed several complications of the disease and their possible report with the auditive impairment (retinopathy and neuropathy). We found out a sensorineural, bilateral and symmetrical hearing impairment. Employing the Man Whitney's U test we compare distinct groups and explain the gained outcomes. Bibliographic review of authors defending the vascular or the nervous starting point.
自1857年若尔当的研究以来，糖尿病与听力减退之间的关系就一直被讨论。许多作者公开支持这一观点，而其他作者则予以否认。听力减退通常是双侧的、渐进性的且具有神经感觉性质，影响高频。在病因方面，一些作者认为是血管性起源，但其他作者则推测是神经性原因。我们进行了一项比较研究，旨在得出一些能够阐明该领域的结论。对40名II型糖尿病患者进行了听力测试（包括阈值测试和阈上测试），并将结果与对照组进行比较。我们还评估了该疾病的几种并发症及其与听力损害（视网膜病变和神经病变）的可能关联。我们发现了一种感音神经性、双侧对称性听力损害。采用曼-惠特尼U检验比较不同组并解释所得结果。对支持血管性或神经性起源观点的作者进行文献综述。
