语言障碍儿童与分泌性中耳炎的关系(附1108例分析)  

Relationship between secretory otitis media and language disorder in children: analysis of 1108 cases

作　　者：陈平[1] 唐安洲[1] 苏纪平[1] 农东晓[1] 郑明华[1] 黄东红[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉科,南宁530021

出　　处：《临床耳鼻咽喉科杂志》2005年第13期580-582,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的:探讨儿童语言障碍与分泌性中耳炎(SOM)的关系。方法:对1108例语言障碍儿童进行听性脑干诱发电位(ABR)和声导抗检测,并按ABR反应阈将1108例患儿分为反应阈正常组、轻度听力障碍组、中度听力障碍组、重度听力障碍组。结果:所有受检耳中,听力障碍者占59.97%,SOM占12.64%;语言障碍患儿中B型图在各组中所占百分率由高到低依次为:轻度听力障碍组、中度听力障碍组、重度听力障碍组、正常反应阈组,两两比较,差异有统计学意义(P<0.01);部分SOM患儿ABR反应阈治疗后的均值较治疗前下降(P<0.01),但在重度听力障碍组,治疗后ABR反应阈仍表现为重度听力障碍。结论:听力障碍是儿童语言障碍的主要原因;伴轻、中度听力障碍的SOM患儿随着SOM的好转,部分语言障碍可随之改善,但伴重度听力障碍的SOM患儿的语言障碍并不随SOM的好转而好转。Objective:To discuss the relationship between secretory otitis media(SOM) and language disorder in children.Method:In 1108 language disorder cases,auditory brainstem responses(ABR) and acoustic immittance were measured respectively.According to the ABR thresholdall,the children were divided into four groups: the normal group,the mild hearing loss group,the middle hearing loss group and the severe hearing loss group.Result:Of all the ears examined,59.5% had hearing loss,while 12.64% had SOM. In the children of language disorder, the distribute of the 'B' type tympanograph from much to little was:the mild hearing loss group ,the middle hearing loss group,the severe hearing loss group and the normal group(P<0.01).The average hearing threshold of a part children with SOM decreased after therapy( P<0.01).The children with the severe hearing loss had no evident changes after therapy.Conclusion:Hearing disorder is the main cause of language disorder in children.While SOM recovers in children with mild or middle hearing loss,the language in part of them could be improved.However,the language in those who with severe hearing loss probably remains the primary level.

关 键 词：中耳炎 分泌性 听力障碍 语言障碍 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]