Influencing factors of hearing loss and its correlation with retinopathy in type 2 diabetes mellitus patients

doi:10.3969/j.issn.1006-7795.2019.01.005

Abstract

Abstract: Objective To analyze the association between diabetic retinopathy(DR) and hearing loss in diabetes mellitus(DM) patients and to investigate the factors which affect hearing among DM patients. Methods Questionnaires and pure tone audiometry were performed in 73 patients with type 2 DM, The average age was (53.0±8.4)years,the course of diabetes was (10.3±7.0) years, who visited Beijing Tongren Hospital, Capital Medical University from October 2013 to December 2014. The patients were categorized into groups according to hearing loss and DR.The examination of the ocular fundus, the pure tone air and bone conduction threshold testing,Hemoglobin A, blood pressure, lipid and other examinations were carried out. Results In all of the 73 subjects with diabetes, pure tone audiometry confirmed the incidence of hearing loss in 26.0%, including10.5% cases who did not complained of hearing loss. The incidence of retinopathy is 39.7%. The age (P=0.005) and DR (P=0.006) exacerbated hearing loss in the mean hearing loss group of diabetes mellitus compared with the normal group. It is the same in the high-frequency hearing loss group compared with the normal group, with the age (P=0.001) and DR (P=0.017). Logistic regression analysis showed that the DR(OR=6.499,95%CI:1.546-27.317,P=0.011) significantly exacerbated the hearing loss in the both average hearing loss and high frequency hearing loss DR (OR=4.448,95%CI:1.195-16.551,P=0.026). Conclusion There have significantly association between DR and hearing loss in DM patients. The patient's subjective feeling did not reflect exactly their hearing function. The hearing screening should be performed in time for the patients with DR.

Key words: diabetes mellitus, diabetic retinopathy, hearing loss

CLC Number:

R587.1

Wang Peng, Liu Bo, Zhao Mingyue, Yang Yi. Influencing factors of hearing loss and its correlation with retinopathy in type 2 diabetes mellitus patients[J]. Journal of Capital Medical University, 2019, 40(1): 20-26.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2019.01.005

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2019/V40/I1/20

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