糖尿病早期内耳损伤听力学改变的实验研究

目的研究糖尿病内耳损伤早期的听力学改变及其机制。方法建立糖尿病动物模型，每日检测动物血糖，持续2周。实验前后检测ABR及DPOAE，2周后检测血脂、超氧化物岐化酶（SOD）、谷胱甘肽过氧化物酶（GSHPx）、血清丙二醛（MDA），并与对照组比较。结果模型组大鼠的血糖、血脂增高，GSH-Px的活性下降，ABR阈值无显著变化，DPOAE的反应幅值下降，与正常组比较差异有统计学意义（P〈0．05）。结论糖尿病造成大鼠内耳损害的机制与机体代谢紊乱引起内耳毛细胞的氧化损伤有关；这种损伤所致的耳声发射的异常改变早于听性脑干反应异常的出现。

The Study on the Mechanisms of Early sensorineural Hearing Loss in Diabetic Rats

Objective To investigate the mechanisms of early sensorineural hearing loss of diabetic rats. Methods The diabetic model for rats was established. Every rat was checked with ABR and DPOAE before and af-ter treatment . After 14 days , the blood glucose, blood fat, SOD, GSH-Px and MDA were measured. Results For the model group, the rats" blood glucose and fat increased while the GSH-Px was reduced more than the con-trol group. The response amplitudes of DPOAE decreased at 4 000 Hz and 8 000 Hz(P<0. 05). Conclusion The damage to the hair cells caused by the affected metabolism is considered as the culprit of the sensorineural hearing loss and the changes of DPOAE took place earlier than that of ABR, thus becoming useful in detecting early hearing loss of the diabetic patients.