糖尿病患者听力损害的发生机制

李花萍; 席恺

doi:10.3969/j.issn.1672-4933.2023.03.014

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糖尿病患者听力损害的发生机制

综述 | 更新时间：2023-05-22

- 糖尿病患者听力损害的发生机制
- Mechanism and Treatment of Hearing Impairment in Diabetic Patients
- 中国听力语言康复科学杂志 2023年21卷第3期页码：277-281
- 作者机构：
  
  河南科技大学临床医学院/河南科技大学第一附属医院耳鼻喉科洛阳 471003
- 作者简介：
  
  李花萍硕士医师；研究方向：糖尿病与听力关系
  席恺，E-mail： xikaiwj@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.03.014
  中图分类号：
- 纸质出版日期：2023-05-15，
  
  收稿日期：2022-06-29，
- 稿件说明：
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李花萍,席恺.糖尿病患者听力损害的发生机制[J].中国听力语言康复科学杂志,2023,21(03):277-281.

LI Hua-ping,XI Kai.Mechanism and Treatment of Hearing Impairment in Diabetic Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):277-281.
李花萍,席恺.糖尿病患者听力损害的发生机制[J].中国听力语言康复科学杂志,2023,21(03):277-281. DOI： 10.3969/j.issn.1672-4933.2023.03.014.

LI Hua-ping,XI Kai.Mechanism and Treatment of Hearing Impairment in Diabetic Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):277-281. DOI： 10.3969/j.issn.1672-4933.2023.03.014.

摘要

糖尿病是一种临床常见的老年基础性疾病，常合并听力损害。糖尿病患者中约有35%～50%最终发生不同严重程度的听力损伤，主要表现为高频听力下降，双侧对称性、进行性起病，伴有或不伴有眩晕、耳鸣等症状。其发病机制较复杂，高糖引起的血管及神经病变会对糖尿病患者耳蜗代谢、耳蜗微循环及其结构和功能带来变化，但其具体发病基础和机制尚不明确。本文主要对糖尿病患者听力损害的发病机制及其治疗进展进行综述。

Abstract

Diabetes is a common clinical basic disease in the elderly

often accompanied by complications - hearing impairment. Previous studies have shown that about 35%~50% of diabetic patients eventually suffer from different severities of hearing loss. Hearing loss is mainly manifested by high frequency hearing loss

bilateral symmetry

progressive onset

accompanied by or without vertigo

tinnitus and other symptoms. The pathogenesis of this disease is rather complicated. It is believed that the changes of cochlea metabolism and cochlear microcirculation and its structure and function may be caused by high glucose induced vascular and neuropathy. However

the specific pathogenesis and mechanism of this hearing loss are not yet clear. This article mainly reviews the pathogenesis and treatment progress of hearing impairment in diabetic patients.

关键词

糖尿病听力损失发生机制治疗进展

Keywords

Diabetes mellitusHearing lossOccurrence mechanismTreatment progress

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