阻塞性睡眠呼吸暂停低通气综合征纯音听阈检测结果分析  

Analysis of the hearing of patients with obstructive sleep apnea-hypopnea syndrome

作　　者：曹永茂[1] 罗志宏[1] 陶泽璋[1] 朱素琴[1] 李骏[1] 舒进[1] 黄治物[1] 

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,武汉430060

出　　处：《临床耳鼻咽喉科杂志》2006年第1期1-3,共3页Journal of Clinical Otorhinolaryngology

基　　金：湖北省教育厅资助项目(No:2003X114);湖北省科技厅资助项目(No:2004AA301C30)

摘　　要：目的:了解阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的扩展高频纯音听阈情况。方法:对青年组、成年组和OSAHS组进行常频和扩展高频听阈及扩展高频各频率的检出率测试,并对检查结果进行方差分析和χ2检验。结果:青年组在4、6和8kHz处的听阈略高(P<0.05);成年组随着年龄的增长,听阈值有逐渐提高的趋势(P<0.05)。高频听阈测试显示青年组的听阈随频率的增高而增高(P<0.05),同时对于各个频率,随年龄的增长听阈也逐渐增高(P<0.05)。OSAHS组各小组在常频段就已经出现了听阈提高,且随着年龄的增长提高更明显(P<0.05),同年龄组中OSAHS组的高频听阈较成年组明显增高(P<0.05),检出率明显下降(P<0.05)。结论:OSAHS患者的常频和高频听阈均比正常同年人高,以此给OSAHS监测工作提供参考。Objective：To investigate the hearing at extended high frequencies of patients with obstructive sleep apnea-hyponea syndrome （OSAHS）. Method：The youth group, adult group and OSAHS group were tested with pure tone audiometry and high frequency audiometry, and the response ratio was calculated. The results were statistically analysed with χ^2-test and ANOVE. Resuit： In youth group, thresholds of pure tone audiometry in 4, 6, 8 kHz were increased slightly（ P 〈0.05）. The hearing lose gradually with aging in adult group（ P 〈0.05）. The high frequencies thresholds increased with the frequency increasing in youth group（ P 〈0.05）. For each frequencies,the thresholds increased with aging （ P 〈 0. 05）. At common frequencies hearing loss appeared in OSAHS group（ P 〈0.05）, and more with aging（ P 〈0.01 ）. The high frequency thresholds increased obviously when OSAHS group comparing with the adult group（ P 〈0. 01）, and the indicating ratio decreased obviously（ P 〈0.05）. Conclusion：The common and high frequency thresholds in OSAHS group of the same age were worse than that of the adult group and it could provide the reference for the clinic.

关 键 词：听力检查 睡眠呼吸暂停低通气综合征 阻塞性 年龄 

分 类 号：R563.8[医药卫生—呼吸系统]