CAJ | 학술논문

目的：通过检测糖调节异常（impaired glucose regulation，IGR）患者的纯音测听情况，探讨其在IGR患者听觉功能筛查中的价值。方法口服葡萄糖耐量试验组筛查入选无耳聋症状的IGR患者30例，同时选取年龄性别匹配正常人30例作为对照组。对入选人群行纯音测听、声导抗检查。结果①IGR组30例中11例（36.67％）存在听力损失，正常对照组30例中3例（10％）存在听力损失，两者比较差异有统计学意义（χ2＝5.963，P＝0.015）。②IGR组各频率纯音听阈均较对照组升高，在4000 Hz及8000 Hz差异有统计学意义（P＝0.008，P＝0.003）。③IGR组有耳鸣症状者11例，其中伴听力损失3例，与无耳鸣症状者比较，两组听力损失发生率差异无统计学意义（P＝0.466）。结论 IGR患者听力损失发生率高，且表现为高频听力受损，听力损失可发生于耳聋症状前。
목적：통과검측당조절이상（impaired glucose regulation，IGR）환자적순음측은정황，탐토기재IGR환자은각공능사사중적개치。방법구복포도당내량시험조사사입선무이롱증상적IGR환자30례，동시선취년령성별필배정상인30례작위대조조。대입선인군행순음측은、성도항검사。결과①IGR조30례중11례（36.67％）존재은력손실，정상대조조30례중3례（10％）존재은력손실，량자비교차이유통계학의의（χ2＝5.963，P＝0.015）。②IGR조각빈솔순음은역균교대조조승고，재4000 Hz급8000 Hz차이유통계학의의（P＝0.008，P＝0.003）。③IGR조유이명증상자11례，기중반은력손실3례，여무이명증상자비교，량조은력손실발생솔차이무통계학의의（P＝0.466）。결론 IGR환자은력손실발생솔고，차표현위고빈은력수손，은력손실가발생우이롱증상전。
Objective To explore the value of the pure-tone audiometry in auditory function screening among the impaired glucose regulation(IGR)patients.Methods ①Thirty IGR patients without the symptoms of deafness and 30 controls were enrolled in the study. Pure tone audiometry and tympanometry were tested (evaluated).Results The prevalence rate of hearing loss was higher in the IGR group (33.67%)than that in the control group (1 0%,P<0.05 ).②As compared with the control group,the hearing threshold at each frequency in the IGR group was higher,but there were statistically significant differences only at 4 000 and 8 000 Hz (P=0.008,P=0.003).③Eleven cases in the IGR group had the symptoms of tinnitus,and among them 3 cases had hearing loss.There was no significant difference in the prevalence rate of hearing loss between the cases with hearing loss and those without hearing loss in IGR group (P=0.466 ).Conclusion The prevalence rate of hearing loss in patients with IGR was significantly increased,and high-frequency hearing loss was more profound.Hearing loss in IGR may occur before the symptom of deafness.