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Rev. méd. Chile ; 138(10): 1246-1252, oct. 2010. graf, tab
Article Dans Espagnol | LILACS | ID: lil-572935

Résumé

Background: Glycine inhibits the formation of advanced glycation end products that may cause central and peripheral neuronal damage, affecting also the auditory nerve. Aim: To evaluate the effect of glycine on auditory nerve conduction and hearing level among patients with type 2 diabetes mellitus and auditory neuropathy. Material and Methods: Twenty grams of oral glycine per day were administered during 6 months to 28 type 2 diabetic patients aged 58 ± 6 years, with auditory pathway neuropathy. Hearing tests and evoked otoacustic potentials were performed regularly. Fifteen diabetic patients aged 49 ± 8 years, without auditory nerve neuropathy did not receive glycine and were followed as a control group. Results: Among patients receiving glycine, a significant improvement in left ear audiometry at 125, 250 and 500 Hz and right ear audiometry at 500 Hz, was observed. Waves I, III and V (p= 0.02) of evoked otoacustic potentials improved significantly in the left ear and wave I in the right ear. Among controls, waves V and III of evoked otoacoustic potentials had a significant impairment in the left ear. Conclusions: There was an improvement in auditory evoked potentials in patients receiving glycine and an impairment in untreated control patients.


Sujets)
Femelle , Humains , Mâle , Adulte d'âge moyen , Voies auditives/effets des médicaments et des substances chimiques , /complications , Neuropathies diabétiques/thérapie , Potentiels évoqués auditifs/effets des médicaments et des substances chimiques , Agents glycinergiques/usage thérapeutique , Glycine/usage thérapeutique , Audiométrie , Voies auditives/anatomopathologie , Voies auditives/physiopathologie , Neuropathies diabétiques/physiopathologie
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