老年人听力变化与高脂血症、糖尿病的相关性研究

An investigation on the relationship of hearing loss with diabetes and hyperlipemia in aged patients

目的 探讨老年耳聋与糖尿病、高脂血症的关系。方法 对185例（男138例，女47例）60岁以上老年人测纯音听阈，查空腹血糖、血脂，然后分为正常老年组（106例）、糖尿病组（33例）、高脂血症组（46例）3组，并与40例20－30岁健康人听阈相比较。结果 不同年龄正常老年组与疾病组有明显差异；不同频率（0．25、0．5、1．0、2．0、4．0kHz)正常老年组平均听阈（47．4dB)与对照组平均听阈（7．2dB)相比，老年疾病组平均听阈（59．8dB)与正常老年组相比均有显著差异（P＜0．05）。结论 糖尿病和高脂血症是致聋的病因，亦是加重老年性聋的因素，积极治疗全身性疾病，是延缓老年性聋发生和发展的有效措施。

ve To investigate the relationship of hearing loss with diabetes and hyperlipemia in aged persons. Methods 185 cases of aged persons over 60 years old were divided into 3 groups, i. e. that of normal (106 cases),diabetes (33 cases) and hyperlipemia (46 cases). All of them were tested with poure tone audiome-try. And then, the results of audiometry were compared with that of 40 cases of healthy people aged 20-30 years old. Results Hearing threshold was 47. 4 dB in aged healthy persons, and 59. 8dB in aged cases with diabetes or hyperlipemia, with a significant difference between them (P<0. 05). Conclusions Diabetes and hyperlipemia play a very important role in the pathogenesis of hearing disorders, especially in presbyacusia. Effective therapies for diabetes and hyperlipemia may delay the onset of hearing loss, or prevent it from deteriorating, in aged people.