1型糖尿病对儿童听力功能的影响:系统性审查
Saransh Jain1, Chetak K B2, Sanjana Singh3
1AIISH, Mysuru, India.
International journal of pediatric otorhinolaryngology
|July 11, 2025
概括
1型糖尿病 (T1DM) 可能会影响儿童的听力,随着疾病持续时间的延长和血糖控制不佳,风险会增加. 建议针对高风险儿科患者进行有针对性的听力学监测.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 听力学 听力学是指听力学.
- 眼科医生 眼科 眼科
背景情况:
- 1型糖尿病 (T1DM) 与神经病变,视网膜病变和病等各种并发症有关.
- 儿童群体T1DM对听力的影响仍未得到充分研究.
- 本系统性审查涉及诊断为T1DM的儿童的听力能力.
研究的目的:
- 系统地审查有关1型糖尿病对儿童听力功能的影响的现有文献.
- 确定T1DM与儿科患者听力缺陷之间的潜在关联.
- 为T1DM儿童的听力监测策略提供信息.
主要方法:
- 从2004年1月到2024年12月,在PubMed,Science Direct和Scopus数据库中进行了全面的文献搜索.
- 两位独立审查员根据系统审查和元分析 (PRISMA) 准则的首选报告项目进行了选和选择.
- 质量评估和偏差风险分析使用Joanna Briggs研究所的关键评估工具进行了相关的研究设计.
主要成果:
- 涉及1143名儿童 (4至18岁) 的12项研究符合纳入标准,揭示了T1DM对听力影响的异质发现.
- 一些研究表明,T1DM儿童的纯音值升高,耳声辐射减少,听觉脑干反应延迟.
- 在一些研究中,疾病持续时间长 (>5年),血糖控制不佳和微血管变化等因素与增加的听力缺陷有关.
结论:
- 1型糖尿病和儿童听力障碍之间存在潜在的关联.
- 基于风险的听力学监测对儿科糖尿病患者群体至关重要,特别是对高风险个体至关重要.
- 通过有针对性的听力评估,早期发现和干预可以提高语言技能,学业成绩和整体生活质量.
更多相关视频
06:46A High-Throughput Multiplexed Screening for Type 1 Diabetes, Celiac Diseases, and COVID-19
Published on: July 5, 2022
2.9K
14:05Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
29.2K
相关概念视频
Diabetes Mellitus: Overview and Type I Subtype
3.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
3.3K
Diabetes Mellitus: Type 2 and Gestational
3.0K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
3.0K
Diabetes: Symptoms, Diagnosis, and Complications
697
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
697
Pathophysiology of Diabetes
1.2K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.2K
Carbohydrate Metabolism
11.8K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.8K
Insulin: Dosing Regimen and Adverse Effects
263
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
263
