查詢結果分析
來源資料
相關文獻
- 糖尿病患者的突發性耳聾
- 突發性耳聾概況與其中風危險性之探討
- 再發性突發性耳聾--病例報告
- Orbital Rhinocerebral Mucormycosis Associated with Diabetic Ketoacidosis: Report of Survival of a 10-Year-Old Boy
- Role of an Outpatient Clinic in Screening Chronic Complications of Diabetes: A Model for Diabetes Managed Care
- Evaluation of the Pain-Relieving Effect of Carbamazepine (Tegretol[feb9]) during Panretinal Photocoagulation
- 糖尿病病人血清中銅、鋅與紅血球超氧化物歧變酶的測定
- 糖尿病與高脂血症
- Pulmonary Mucormycosis--Two Survived Cases Report
- ACARBOSE使用於口服降糖藥物失效之第2型糖尿病患者--臨床評估
頁籤選單縮合
題名 | 糖尿病患者的突發性耳聾=Sudden Deafness in Diabetic Patients |
---|---|
作者姓名(中文) | 黃立華; 楊怡和; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:6 1997.12[民86.12] |
頁次 | 頁41-46 |
分類號 | 416.865 |
關鍵詞 | 突發性耳聾; 糖尿病; Sudden deafness; Diabetes mellitus; |
語文 | 中文(Chinese) |
中文摘要 | 背景:近年來在耳鼻喉科的突發性耳聾病人中,有糖尿病者不少。 由於突發性耳 聾的病因中,包含血管障礙、代謝障礙、及神經障礙,不由令人懷疑,糖尿病患的突發性耳 聾,可能並非偶發事件。本報告藉由研究糖尿病患者的突發性耳聾來闡明其病態與成因。 方法:自 1991 年 1 月至 1996 年 12 月間,臺大醫院耳鼻喉部共 185 例突發性耳聾的患 者,其中糖尿病患者有 14 例,佔 8 %。 所有病例均經詳細病史詢間,理學檢查,前庭功 能檢查, 眼振電圖檢查及聽力檢查,並以 Dextran 40 每日靜脈注射 1000 mL 治療,療程 共 7 天,且於出院後繼續追蹤,以評估其聽力恢復的程度。 另外選取非糖尿病之突發性耳 聾患者,共 100 名, 比較兩組病人間的差異。 結果: 14 例糖尿病患者的聽力喪失,有 2 例治癒, 8 例顯著回復,4 例經微回復,即所 有症例之聽力均獲改善。 而非糖尿病組 100 名患者,治療結果僅 75 %獲改善。糖尿病組 患者低頻( 1 kHz 以下)聽力改善較顯著,而在高頻處( 4kHz,8 kHz )聽力無明顯變化 ;非糖尿病患者則各頻率聽力均無顯著差異。結果顯示:糖尿病患者的突發性耳聾,其預後 與血糖之控制有關,而與糖尿病病史的長短無關。 結論:糖尿病患者的突發性耳聾,主源於血管性病變。治療首重改善血液循環;其次,血糖 控制也是治療與預防本症的重要課題。 |
英文摘要 | Background: Many sudden deafness patients with diabetic history were noted in recent years. Since the etiology of sudden deafness was related to vascular, metabolic and neurologic disorders, they might be linked with the complication of diabetes mellitus. Methods: From January 1991 to December 1996, 185 patients with sudden deafness were admitted at our ward, of them, 14 patients were diabetics. All patients received history taking, physical examination, vestibular function test, electronystagmography, and audiometry during the admission. All of them were treated with 1000 mL Dextran 40 daily for 7 days and followed up at our clinic for hearing evaluation. Another 100 sudden deafness patients without diabetes were included in this study for comparison. Results: There were 2 patients cured, 8 patients marked recovery, 4 patients slightly recovery in diabetic group (n=14). Restated, recovery rate was 100% in diabetic group, comparing to 75% in non-diabetic group. The prognosis of hearing in diabetic sudden deafness was related to the control of blood sugar, yet irrelevant to the duration of diabetes. Conclusions: Sudden deafness in diabetic patients is mainly due to vascular insufficiency. Treatment modalities should be based on improving the circulation as well as control of blood sugar. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。