糖尿病视网膜病变与听觉损害的关系

目的探讨糖尿病视网膜病变与听觉损害的关系。方法回顾分析从2002年至2004年有完整记录的2型糖尿病患者80例的临床检查结果,按有无糖尿病视网膜病变分成两组即有视网膜病变(diabetic retinopathy DR)组(34例)和无视网膜病变(non-diabeticretinopathy NDR)组(46例),并设对照组30例。受试者均在相同条件下分别进行纯音听阈测定,各频率的听阈进行统计学分析。结果NDR组各频率的平均听阈较对照组显著升高(P<0.05);DR组与NDR组各频率的平均听阈的差异也有显著性意义(P<0.05)。NDR组在语言频率的听力经治疗后可以改善,而DR组的各频率的平均听阈在治疗前后的差异无显著性意义(P>0.05)。结论说明2型糖尿病患者常伴有听觉损害,其严重程度与是否伴有视网膜病变有关;且糖尿病视网膜病变患者的听觉损害是不可逆转的。

Objective To investigate the relationship between hearing loss and diabetic retinopathy（DR） . Methods Retrospective database review： complete data mining of medical record from 2002 to 2004. 80 cases of type 2 dialaten （T2DM） were divided into two groups, i.e. DR（34 cases） and NDR（46 cases）. The control group consisted of 30 people and all people were measured by pure tone hearing. Results The values of pure tone audiometry in T2DM garoup were siguificantly different from those in the contrail group（ P 〈 0.05）. The values of all frequencies in patients with DR were obviously higher than those, of NDR,with a significant difference（ P 〈 0.05）. There was no difference in the values of all frequencies in the patients with DR before and after treatment （ P 〉 0.05）. Conclusion Hearing loss seemed to correlate with diabetes and severity of heating loss was more conmmon in patients with DR than in the NDR neoule, and auditory dysfunction with DR can not he reveised.