阻塞性睡眠呼吸暂停低通气综合征患儿听力变化  

Effect of operation on the hearing in children with obstructive sleep apnea hypopnea syndrome

作　　者：王玉芝[1] 王兴杰[1] 周宣言[1] 王国义[1] 闫俊新[1] 吴玉梅[1] 张宗珍[1] 吕凌燕[1] 

机构地区：[1]山东省聊城市第二人民医院耳鼻咽喉科,山东聊城252601

出　　处：《中国耳鼻咽喉头颈外科》2007年第11期663-665,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨鼻内镜下腺样体切除前、后阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患儿听力及中耳功能的变化。方法选取诊断明确的扁桃体、腺样体肥大所致OSAHS患儿58例,患儿无耳聋家族史,无耳毒性药物应用史。术前纯音测听和声导抗检测患儿中耳功能及听力并记录。全麻下先切除双侧扁桃体,然后在30°内镜下用电动吸割器吸除腺样体,术后给予抗生素及激素全身应用,配合咽鼓管吹张及鼓膜按摩。术后随访3～12个月。结果78%(45/58)OSAHS患儿存在中耳功能异常。术后随访3～12个月,伴听力下降患儿86%听力提高。结论OSAHS伴听力下降患儿行腺样体和扁桃体切除术后听力可获得提高。OBJECTIVE To study the effect of operation on the hearing in children with obstructive sleep apnea hypopnea syndrome.METHODS A total of 58 children with definitive OSAHS because of the hypertrophy of adenoid and tonsil were included in this study. All of them have no deafness family medical history and a history of application of ototoxic drug. Pure tone audiometry and acoustic immittance measurement were taken before and after operation. All the children underwent tonsillectomy and adenoidectomy. RESULTS 78 % of the children with OSAHS had abnormal function of the middle ear. After followed up for 3 to 12 months, the hearing was improved in 86 % of the children with hearing loss before operation. CONCLUSION Tonsillectomy and adenoidectomy may improved the hearing in OSAHS children with hearing loss.

关 键 词：睡眠呼吸暂停 阻塞性 腺样体切除术 儿童 听力检查 

分 类 号：R766[医药卫生—耳鼻咽喉科] R764[医药卫生—临床医学]