Deterioro del Reflejo Acústico en pacientes con Diabetes Mellitus, tipo 1
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2012
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Universidad Andrés Bello
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Licencia CC
Licencia CC
Resumen
Diversas investigaciones tratan de explicar la asociación entre Diabetes Mellitus (DM) y alteraciones auditivas, relacionándola con factores como tiempo de evolución de la enfermedad, control metabólico, complicaciones microangiopáticas, entre otros. Los resultados son variados, encontrándose en algunos una correlación positiva mientras que en otros no la hay. Dentro de los estudios el menos investigado es el deterioro del reflejo acústico (ARD). Objetivo: Caracterizar el ARD en pacientes con DM tipo 1 que se controlan en la Unidad de DM del Centro de Diagnóstico Terapéutico del Hospital Regional de Talca. Asimismo, relacionar el ARD con el tiempo de evolución de la enfermedad, el grado de control metabólico y la edad de los sujetos. Metodología: Se evaluó el ARD en 92 oídos en la frecuencia de 500Hz y en 99 oídos en 1000Hz, correspondientes a personas con edades desde los 4 hasta los 68 años, de ambos géneros y con un tiempo de evolución de la enfermedad que va desde un mes hasta los 44 años. Conclusión: En ambas frecuencias la mayoría no presenta ARD, mientras que un 2,2% en 500Hz y un 3,0% en 1000Hz presenta ARD patológico. No existiendo correlación entre el ARD con tiempo de evolución de la enfermedad, el grado de control metabólico y la edad de los sujetos.
Several investigations are trying to explain the association between Diabetes Mellitus (DM) and impaired hearing, relating to factors such as time to progression of the disease, metabolic control, microangiopathic complications, among others. There are many results, some of these have found a positive correlation, while in others there are none. Among these studies, the acoustic reflex decay (ARD) is the variable less considered. Objective: characterize the ARD in patients with type 1 DM that are controlled in the DM Unit of the Therapeutic Diagnostic Center at the Regional Hospital of Talca, and also relate the ARD with the time course of the disease, the degree of metabolic control and subject´s age. Methods: The 500Hz ARD was assessed in 92 ears, while the 1000Hz was assessed in 99 ears, from a group of people between 4 and 68 years, with a time course of the disease ranging from one month to 44 years. Conclusion: The majority of the group did not have ARD response. Pathological responses were found in a 2.2% for 500Hz and a 3% for1000Hz. No metabolic control and subject´s age.
Several investigations are trying to explain the association between Diabetes Mellitus (DM) and impaired hearing, relating to factors such as time to progression of the disease, metabolic control, microangiopathic complications, among others. There are many results, some of these have found a positive correlation, while in others there are none. Among these studies, the acoustic reflex decay (ARD) is the variable less considered. Objective: characterize the ARD in patients with type 1 DM that are controlled in the DM Unit of the Therapeutic Diagnostic Center at the Regional Hospital of Talca, and also relate the ARD with the time course of the disease, the degree of metabolic control and subject´s age. Methods: The 500Hz ARD was assessed in 92 ears, while the 1000Hz was assessed in 99 ears, from a group of people between 4 and 68 years, with a time course of the disease ranging from one month to 44 years. Conclusion: The majority of the group did not have ARD response. Pathological responses were found in a 2.2% for 500Hz and a 3% for1000Hz. No metabolic control and subject´s age.
Notas
Tesis (Magister en Audiología)
Palabras clave
Reflejo Acústico, Diabetes Mellitus, Control Metabólico