慢性肾脏病患者耳鸣耳聋患病率及临床特点调查

The Research of Morbidity of Tinnitus and Deafness of CKD Patient and Clinical Characteristics

目的:探讨慢性肾脏病(CKD)患者耳鸣耳聋的患病率及其相关临床特点。方法:采用横断面的调查方法,收集CKD患者相关信息和耳鸣耳聋的性质及程度,对肾脏病患者耳鸣耳聋患病率及其临床特点进行分析。结果:(1)CKD患者中耳鸣的患病率为51.6%,耳聋患病率为44.8%。耳鸣频率以高频为主,耳聋以双耳轻度听力损害的感音神经性耳聋居多。(2)CKD患者随年龄层的增加,耳聋的患病率呈明显的上升趋势。(3)继发性肾脏病患者的耳聋患病率高于原发性肾小球疾病的患者。(4)在不同临床诊断中,糖尿病肾病及高血压肾病耳聋的患病率最高。(5)CKD患者耳聋的患病率随CKD分期的增加呈明显上升趋势。说明肾脏病患者耳聋的患病率与肾功能状态及肾小球滤过率密切相关。结论:(1)CKD患者以高频耳鸣为主,轻度听力损害的感音神经性耳聋居多。(2)CKD患者随年龄层的增加及肾功能和肾小球滤过率的下降,耳聋的患病率呈明显的上升趋势。(3)继发性肾脏病患者的耳聋患病率高于原发性患者,其中糖尿病肾病及高血压肾病耳聋的患病率最高。

Objective：Probe into the morbidity of tinnitus and deafness of CKD patient and clinical characteristics.Methods：Cross-sectional survey research methods is used,collecting CKD patient＇S information anf the properties and degree of tinnitus and deafness,to analyze the morbidity of tinnitus and deafness of CKD patient and clinical characteristics.Results：（1）CKD patients,tinnitus morbidity is 51.6%,deafness prevalence is 44.8%.Tinnitus frequency is mainly high-frequency,and deafness with mild hearing damage sensorineural neuropathic deafness accounts for a large number.（2）Deafness for increases with age,the prevalence of deafness is significantly rising trend.（3）Secondary kidney patients morbidity of deafness is higher than primary glomerular disease patients.（4）In the different clinical diagnosis,diabetic nephropathy and hypertensive renal disease are the main influence factors in the deafness morbidity of CKD patients.（5）Increasing with CKD stage,the morbidity of CKD patients with deafness is significantly rising trend.That improves the morbidity of CKD patients with deafness is closely related to the renal function state and glomerular filtration rate.Conclusion：（1）CKD patients,Tinnitus frequency is mainly high-frequency,and deafness with mild hearing damage sensorineural neuropathic deafness accounts for a large number.（2）Increasing with the age or decreasing with the renal function state and glomerular filtration rate,the morbidity of CKD patients with deafness is significantly rising trend.（3）Secondary kidney disease patients morbidity of deafness is higher than primary glomerular disease patients.In Secondary kidney diseases,diabetic nephropathy and hypertensive renal disease are the main influence factors.