| 摘要: |
| ［摘要］ 目的 分析成人分泌性中耳炎的临床听力学特征，探讨年龄、病程与听力改变的相关性。方法 选37例(47耳)成人分泌性中耳炎为观察组，选25例(50耳)正常成人为对照组，分别进行纯音测听和声导抗测试检查，并分析比较两组的0.125～8 KHz频率气导听阈、0.25～4 KHz频率骨导听阈、纯音气导听阈均值、纯音骨导听阈均值、气骨导差均值等纯音测听结果，以探讨患者年龄、病程与听阈变化产生的相关性。结果 分泌性中耳炎组（观察组）78.72%(37/47耳)为传导性耳聋，21.28%(10/47耳)为混合性耳聋，其各频率气导听阈、0.5～4 KHz各频率骨导听阈、纯音气导听阈均值、纯音骨导听阈均值、气骨导差均值均高于对照组(P<0.01)；分泌性中耳炎组年龄与纯音气导听阈均值、纯音骨导听阈均值及气骨导差均值呈正相关(P<0.01)，病程与纯音气导听阈均值呈正相关(P<0.05)，病程与纯音骨导听阈均值、气骨导差无明显相关(P>0.05)。结论 成人分泌性中耳炎除影响中耳传音机能外，对内耳也存在损害，患者年龄是影响分泌性中耳炎的听力状况的重要因素，病程也有一定影响。 |
| 关键词: 成人 分泌性中耳炎 纯音测听 年龄 病程 |
| DOI：10.3969/j.issn.1674-3806.2009.10.02 |
| 分类号:R 764.21 |
| 基金项目:广西医疗卫生科研课题（桂卫Z2006156） |
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| Auditory study and correlation analysis in adults with secretory otitis media |
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LU Qiu-tian, ZHU Qiu-mei, LIANG Jian-ping, et al.
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Department of Otolaryngology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical features of secretary otitis media(SOM) in a comparative way with that of SOM group and health adult control group, and analyze the correlation between hearing loss of SOM and age, duration.Methods The 0.125～8 KHz air conduction(AC) audiometry and 0.25～4 KHz bone conduction(BC) audiometry were administered to 37 adult patients(47 ears)with SOM group and 25 control group (50 ears).Then their clinical data, especially that of pure tone audiometry, were analyzed in a comparative way between them. And observed the correlation of the auditory threshold with the age and the duration of patients.Results There were 78.72% (37/47ears) conductive hearing loss, and 21.28% (10/47ears) mixed hearing loss was found in patients. AC threshold in both frequency ranges of SOM group were significant higher than that of control group (P<0.01). BC threshold of SOM group were significant higher than that of control group (P<0.01). Pure-tone average thresholds (PTA) and bone average thresholds and air-bone gap(ABG) of SOM group were significant higher than that of control group (P<0.01). It demonstrates a strong correlation between PTA, bone average thresholds, ABG and the age in SOM group (P<0.01).There was positive correlation between PTA and the duration in SOM group (P<0.05). There were not correlation between ABG and the duration in SOM group (P>0.05).Conclusion The results suggest that SOM in adults may not only affect middle ear mechanics, but also impair inner ear. Age and duration are important influencial factors to auditory of SOM. |
| Key words: Adults Secretory otitis media Pure tone audiometry Age Duration |
