非糖尿病与糖尿病终末期肾病血液透析患者听力异常的比较

IF 0.4 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
B. Kohansal, Nasser Saeedi, A. Moslemi, Leila Poorsaadat, Moeinoddin Hossein Beigi
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引用次数: 0

摘要

背景和目的:听力损失是慢性肾脏疾病(CKD)患者的一种非常普遍的症状。糖尿病等合并症是CKD最常见的病因,也是感音神经性听力损失(SNHL)的重要风险因素。本研究的目的是比较糖尿病和非糖尿病血液透析患者的SNHL。方法:本研究从伊朗阿拉克哈密中心选取33例糖尿病血液透析患者。非糖尿病受试者是31名无糖尿病的血液透析患者,他们的年龄、CKD持续时间和血液透析相匹配。通过问卷调查、患者档案、体格检查、耳镜检查和鼓室镜检查获得数据。采用纯音听力计对两组患者的听力进行分析。结果:在本研究中,66.2%的糖尿病患者和52.1%的非糖尿病受试者患有SNHL。结果显示,糖尿病患者出现听力障碍的可能性是正常人的1.3倍。这种差异在统计学上并不显著。双侧轻度SNHL在两组中最为普遍。两组之间的SNHL患病率、平均听力阈值和耳朵偏侧性没有显著差异。调整协变量后,性别和年龄对听力损失有显著影响。糖尿病和听力损失之间没有发现显著的关联。结论:SNHL在糖尿病血液透析患者中更为常见。与非糖尿病组相比,糖尿病患者的听力阈值较差,各组之间没有显著差异。由于该疾病的长期不可逆症状,建议对该高危人群进行定期听力评估和扩大听力护理。关键词:糖尿病;听力丧失终末期肾病
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Hearing Abnormalities in Non-Diabetic and Diabetic End-Stage Renal Disease Patients Undergoing Hemodialysis
Background and Aim: Hearing loss is a highly prevalent symptom in patients with chronic kidney diseases (CKD). Comorbidities such as Diabetes Mellitus is known as the most common cause of CKD and a significant risk factor for sensorineural hearing loss (SNHL). The aim of this study was to compare SNHL among diabetic with non-diabetic hemodialysis patients. Methods: In this study, 33 diabetic patients on hemodialysis were selected from Hami center, Arak, Iran. Non-diabetic subjects were 31 hemodialysis patients without diabetes were matched for age, duration of CKD and hemodialysis. Data were obtained via questionnaire, patients’ files, physical examination, otoscopy and tympanometry. Hearing was analyzed using pure-tone audiometry for both groups. Results: In the study, 66.2% of diabetic patients and 52.1% of non-diabetic subjects had SNHL. Results showed that diabetic patient has 1.3 times more likely to have hearing impairment. This difference was not statistically significant. Bilateral mild SNHL was the most prevalent in both groups. No significant difference was reported in SNHL prevalence, mean thresholds of hearing and ear laterality between the groups. Gender and age had a significant effect on hearing loss after adjusting covariables. No significant association was found between diabetes and hearing loss. Conclusion: SNHL was more common in hemodialysis patients with diabetes. Patients with diabetes had poorer hearing thresholds compared to non-diabetic group, with no significant difference between groups. The periodical assessment of hearing and extending audiological care in this high-risk population is recommended due to long-term irreversible symptoms of the disease. Keywords: Diabetes mellitus; hearing loss; end-stage renal disease
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来源期刊
Auditory and Vestibular Research
Auditory and Vestibular Research Medicine-Otorhinolaryngology
CiteScore
0.60
自引率
20.00%
发文量
0
审稿时长
12 weeks
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