慢性鼻窦炎对中耳听阈的影响  

Influence of chronic sinusitis on air conduction hearing threshold of middle ear

作　　者：吉晓滨[1] 谢景华[1] 吴晓钟[1] 杨桂梅[1] 王磊[1] 孟庆翔[1] 

机构地区：[1]广州市第一人民医院耳鼻咽喉科,广东广州510108

出　　处：《中国耳鼻咽喉颅底外科杂志》2007年第1期44-47,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：广州市卫生局医药卫生科技项目基金资助(2004年)

摘　　要：目的探讨慢性鼻窦炎对中耳听阈的影响。方法对53例慢性鼻窦炎病人、10例健康成人行纯音测听。采用多状态Logistic回归模型,对慢性鼻窦炎可能影响听阈的因素进行评价。结果①53例中,正常听阈35例(66.04%),轻度聋16例(30.19%),中度聋2例(3.77%)。②各频率鼻窦炎组与对照组、鼻窦炎各分型之间听阈比较,有统计学意义(P<0.05)。③慢性鼻窦炎对中耳听阈的影响因素中,经过多状态Logistic回归模型的逐步筛选,显示2项因素可能影响听阈,即筛窦CT分型呈硬化型,鼻窦炎分型分期较重时。结论①慢性鼻窦炎可影响听阈,随慢性鼻窦炎分型分期加重,听力损伤加重。②筛窦呈硬化型、鼻窦炎分型分期重时,可能影响最大。Objective To investigate the influence of chronic sinusitis on air hearing threshold （AHT） of middle ear. Methods Fifty-three patients with chronic sinusitis were involved in this study. The AHT of all cases and 10 healthy controls were measured with pure tone audiometry. The influencing factors of chronic sinusitis on AHT were studied with the Multinomial Logistic Regression. Results The results showed as follows： ①35 cases （66.04%） were normal while 16 cases （30. 19%） with mild hearing impairment and 2 cases （3.77%） with moderate hearing impairment. ② The differences of AHTs at each frequency between the chronic sinusitis group and control group, and between types of chronic sinusitis were statistically significant（ P〈0. 05）. ③With these independent variable factors progressively removed, two factors including osteosclerosis of ethmoidal sinus and advanced stages of sinusitis could influence AHT. Conclusion ①The chronic sinusitis can influence the AHT of middle ear. The later the chronic sinusitis stages proceed, the more serious hearing impairment becomes. ②The hearing impairment would be aggravated with the presence of ethmoidal sinus osteosclerosis.

关 键 词：鼻窦炎 中耳 听阈 

分 类 号：R765.41[医药卫生—耳鼻咽喉科] R764.29[医药卫生—临床医学]