首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (1): 1-5.doi: 10.3969/j.issn.1006-7795.2019.01.001

• 糖尿病慢性合并症-听力损失与平衡障碍研究 • 上一篇    下一篇

2型糖尿病患者动态平衡障碍特点分析

李谨, 辛玲玉, 马肖钰, 刘博   

  1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科研究中心 北京市耳鼻咽喉科研究所 耳鼻咽喉科学教育部重点实验室, 北京 100005
  • 收稿日期:2018-12-06 出版日期:2019-01-21 发布日期:2019-01-23
  • 通讯作者: 刘博 E-mail:trliubo@139.com
  • 基金资助:
    “十二五”国家科技支撑计划项目(2012BAI12B028),环境化学与生态毒理学国家重点实验室开放基金(KF2016-13),首都十大疾病科技成果推广项目(Z121107006212005),首都卫生发展科研专项(首发2018-1-1091)。

Analysis of static balance impairment in patients with type 2 diabetes mellitus

Li Jin, Xin lingyu, Ma Xiaoyu, Liu Bo   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University;Beijing Institute of Otorhinolaryngology;Ministry of Education, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Beijing 100005, China
  • Received:2018-12-06 Online:2019-01-21 Published:2019-01-23
  • Supported by:
    This study was supported by the National Science and Technology Pillar Program During the 12th Five-Year Plan of China (2012BAI12B028), State Key Laboratory of Environmental Chemistry and Ecotoxicology, Research Center for Eco-environmental Sciences, Chinese Academy of Sciences (KF2016-13), Capital Ten Major Disease Projects to Promote Scientific and Technological Achievements (Z121107006212005), The Capital Health Research and Development of Special (2018-1-1091).

摘要: 目的 探讨2型糖尿病(type 2 diabetes mellitus,T2DM)患者动态平衡障碍的特点。方法 纳入2013年1月至2015年12月期间,在首都医科大学附属北京同仁医院就诊符合2型糖尿病诊断标准的51例患者为糖尿病组,其中男性27例,女性24例,平均年龄(56.1 ±10.1)岁。同期选择本院健康体检中心43例健康查体者为对照组,其中男性17例,女性26例,平均年龄(54.4 ±7.2)岁,无耳科疾病史,无糖尿病史者。通过Smart-Equi Test动态姿势测试系统评估全部受试者平衡控制能力。结果 感觉组织测试(sensory organization test,SOT)评分,糖尿病患者前庭功能分测试评分、本体感觉分测试评分和稳定极限测试(limits of stability test,LOS)评分的结果与对照组比较差异无统计学意义(P>0.05)。然而,糖尿病患者的视觉功能分测试评分和运动控制测试(motor control test,MCT)评分低于对照组,差异有统计学意义(P=0.032和P=0.018)。结论 糖尿病患者平衡障碍以视觉损害和运动控制能力下降为主要特征。

关键词: 2型糖尿病, 跌倒, 动态平衡障碍

Abstract: Objective To explore the characteristics of static balance impairment in patients with type 2 diabetes. Methods Fifty-one patients with type 2 diabetes attending the clinic at Beijing Tongren Hospital, Capital Medical University, from January 2013 to December 2015 were recruited[male:27 persons, female:24 persons, average age (56.1 ±10.1)years]. Forty-three cases[male:17 persons, female:26 persons), average age (54.4 ±7.2)years] without the medical or family history of otology diseases and diabetes were set as control. All patients and controls completed Smart-Equi Test. Results There were no significant differences between the two groups; with respect to the balance test results for sensory organization test (SOT) score, somatosensory subtest score, vestibular subtest score, or limits of stability test (LOS) score (P>0.05 for all). However, the visual systems and motor control test (MCT) scores were significantly lower in diabetic patients than in control patients (P=0.032 and P=0.018). Conclusion Visual system impairment and decline in motion control ability may be the main characteristic of static balance impairment in patients with type 2 diabetes.

Key words: type 2 diabetes mellitus, falls, static balance impairment

中图分类号: