Adjunctive Therapy with Chinese Herbal Medicine Lowers Risk of Hearing Loss in Type 2 Diabetes Patients: Results from a Cohort-Based Case-Control Study.

IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL
Pharmaceuticals Pub Date : 2024-09-10 DOI:10.3390/ph17091191
Hui-Ju Huang, Hanoch Livneh, Chieh-Tsung Yen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai
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Abstract

Hearing loss is a frequently observed complication of type 2 diabetes (T2D). Emerging evidence has found that Chinese herbal medicine (CHM) can effectively treat chronic disease; nevertheless, it is unclear if adding CHM to the routine management of T2D would modify sequent risk of hearing loss. This cohort-based case-control study was conducted to address this issue. First, a total of 64,418 subjects aged 20-70 years, diagnosed with T2D between 2002 and 2011, were extracted from a nationwide health claims database. Among them, we identified 4516 cases of hearing loss after T2D by the end of 2013. They were then randomly matched to 9032 controls without hearing loss at a 1:2 ratio. Following conditional logistic regression, we found the addition of CHM to conventional care reduced the risk of developing hearing loss, with an adjusted odds ratio of 0.75 (95% confidence interval: 0.70-0.83). Specifically, taking CHM products for at least two years benefits T2D patients in lowering sequent risk of hearing loss. The findings herein implicated that integrating CHM into conventional care substantially correlated to lower risk of hearing loss for T2D patients, but further basic research is needed to secure the application of finished herbal products.

中药辅助治疗可降低 2 型糖尿病患者听力损失的风险:基于队列的病例对照研究结果
听力损失是 2 型糖尿病(T2D)的常见并发症。越来越多的证据表明,中草药能有效治疗慢性疾病;然而,将中草药添加到 2 型糖尿病的常规治疗中是否会改变听力损失的后继风险,目前尚不清楚。为了解决这个问题,我们开展了这项基于队列的病例对照研究。首先,我们从一个全国性的健康索赔数据库中提取了 64418 名年龄在 20-70 岁之间、在 2002 年至 2011 年期间被诊断患有 T2D 的受试者。其中,截至 2013 年底,我们发现了 4516 例患 T2D 后听力损失的病例。然后按 1:2 的比例将他们与 9032 例未出现听力损失的对照者进行随机匹配。通过条件逻辑回归,我们发现在常规治疗的基础上添加 CHM 可降低听力损失的风险,调整后的几率比为 0.75(95% 置信区间:0.70-0.83)。具体而言,服用 CHM 产品至少两年可降低 T2D 患者听力损失的后续风险。本文的研究结果表明,将 CHM 纳入常规护理与降低 T2D 患者听力损失的风险密切相关,但还需要进一步的基础研究来确保中草药成品的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pharmaceuticals
Pharmaceuticals Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
6.10
自引率
4.30%
发文量
1332
审稿时长
6 weeks
期刊介绍: Pharmaceuticals (ISSN 1424-8247) is an international scientific journal of medicinal chemistry and related drug sciences.
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