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【medical-news】《内科学年鉴》：成年糖尿病病人
Previous research has hinted at an increased incidence of hearing loss in patients with diabetes, the researchers note.
Led by Dr. Kathleen E. Bainbridge at Social and Scientific Systems in Silver Spring, Maryland, the team evaluated data from the 1999-2004 National Health and Nutrition Examination Survey to determine the relative risk for sensorineural hearing loss in people who reported a history of diabetes.
Their analysis included 5140 individuals 20 to 69 years of age who underwent an audiometric examination; 399 reported a diagnosis of diabetes. A total of 587 subjects were hearing impaired, defined as pure tone average thresholds > 25 decibels.
The age-adjusted prevalence of low- or mid-frequency (up to 2000 Hz) hearing impairment of mild or greater severity in the worse ear was 21.3% in the diabetes group and 9.4 % in the non-diabetes group (adjusted odds ratio 1.82). A similar pattern was observed for frequencies up to 8000 Hz (54.1% vs 32.0%, respectively; adjusted OR 2.16).
"The prevalence of hearing impairment was higher among individuals with diabetes in both sexes; all groups of race or ethnicity, education, and income-poverty ratio; and all age groups but the oldest (those 60 to 69 years)," Dr. Bainbridge and her associates report.
Furthermore, they add, "People with diabetes had statistically significant increased odds of hearing impairment in worse and better ears at all levels of severity and frequency." The association remained significant after adjusting for other risk factors, including exposure to tobacco smoke, noise, or ototoxic medications.
In a related editorial, Dr. Keiko Hirose at Washington University in St. Louis notes that "in many cases of mild to moderate hearing loss, patients are not aware of what they cannot hear; thus, screening for hearing loss in individuals at risk could lead to interventions that would affect their ability to communicate, their productivity, and their safety."
Ann Intern Med 2008;149. NEW YORK (Reuters Health) Jun 16 - Diabetes in adults appears to be an independent risk factor for hearing loss, according to the findings from a large, population-based study reported in the July 1st issue of the Annals of Internal Medicine, posted online on June 17th. The authors suggest that the prevalence and extent of impairment may be sufficient to justify routine screening so that those affected can be offered interventions to amplify hearing.
2.纽约（路透社）：6月16日：在17日将要发行的世界医学年鉴第一期有文章说：根据大型的、人群研究研究结果，糖尿病是听力损失的独立危险因子。著者建议：由于损伤的广泛性和流行性，常规的听力筛查对这些收到影响的人群而言可能是必要的，这样能对听力损伤的加重实施干预。
Previous research has hinted at an increased incidence of hearing loss in patients with diabetes, the researchers note.
研究者们指出：之间的研究已经暗指糖尿病患者中听力受损事件明显上升。
Led by Dr. Kathleen E. Bainbridge at Social and Scientific Systems in Silver Spring, Maryland, the team evaluated data from the 1999-2004 National Health and Nutrition Examination Survey to determine the relative risk for sensorineural hearing loss in people who reported a history of diabetes.
Kathleen E. Bainbridge博士领导的研究小组对1994－2204年国家健康和营养调研的数据进行分析评估，以便确定：在有糖尿病病史的患者中，糖尿病是否是感觉神经性耳聋相关危险因子。Kathleen E. Bainbridge博士目前就职于马里兰州银泉市的社会和科学机构。
Their analysis included 5140 ind ividuals 20 to 69 years of age who underwent an audiometric examination; 399 reported a diagnosis of diabetes. A total of 587 subjects were hearing impaired, defined as pure tone average thresholds > 25 decibels.
他们的分析包括：20岁至69岁的5140名接受过听力检查的人群，其中399位被确诊为糖尿病。在调研人群中，587名研究个体被确认存在听力损害，确认听力损害的标准是纯音听阈均值大于25分贝。
The age-adjusted prevalence of low- or mid-frequency (up to 2000 Hz) hearing impairment of mild or greater severity in the worse ear was 21.3% in the diabetes group and 9.4 % in the non-diabetes group (adjusted odds ratio 1.82). A similar pattern was observed for frequencies up to 8000 Hz (54.1% vs 32.0%, respectively; adjusted OR 2.16).
经过年龄效准的，中度或严重的低频或中频（超过2000赫兹）听力损伤的患病率，在糖尿病患者中是21.3％，而在没有罹患糖尿病的患者中是9.4％（效准后的优势比是1.82）。相似的结果在高频听力（大于8000赫兹）测试中也存在，分别是（54.01％比32％），效准后的优势比是2.16。
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作者:admin@医学,生命科学 2010-09-24 05:11
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