儿童鼻-鼻咽疾病对中耳功能的影响  

Influences of pediatric rhino-nasopharyngea diseases on middle ear function

作　　者：欧阳顺林[1] 张建国[2] 褚玉敏[1] 郭明明[1] 汪博[1] 肖琪[2] 

机构地区：[1]广州医学院第三附属医院耳鼻咽喉科,广东广州510150 [2]广州医学院第二附属医院耳鼻咽喉科,广东广州510260

出　　处：《中国耳鼻咽喉颅底外科杂志》2010年第5期376-378,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨儿童分泌性中耳炎的病因和治疗。方法对213例患有鼻-鼻窦炎和腺样体肥大的儿童分别按腺样体肥大程度分为轻度组和重度组,按病程长短分为3个月以下组和3个月以上组。所有患者均行电耳镜、声导抗等检查,并计分评价其中耳功能。结果轻度组的中耳功能明显好于重度组(P<0.05);3个月以下组的中耳功能明显好于3月以上组(P<0.05)。结论鼻-鼻窦炎和腺样体肥大影响儿童中耳功能,且随着病情的加重和病程的延长对中耳功能的影响越明显;早期对患有鼻-鼻窦炎和腺样体肥大的儿童进行干预,有利于保护儿童的中耳功能和听力言语的正常发育。Objective To investigate the pathogeny and treatment of non-supparative otitis media in children. Methods 213 cases with rhino-sinusitis and adenoids hypertrophy were assigned into two groups of mild and severe according to the degree of adenoidal hypertrophy, and two groups of less than three months （ acute group ） and more than three months （ chronic group ） according to disease duration. Electric otoscope and acoustic immittance were apphed to all cases, and the results were evaluated. Results The middle ear function of the mild group and the auite group was significantly better than that of the severe group and the chronic group respectively （ P 〈 0.05 ）. Conclusion Pediatric rhino-nasopharyngeal diseases, such as rhino-sinusitis and adenoid hypertrophy can significantly influence the middle ear function, which could be enhanced with the increase of disease progression and extension of duration. Early proper intervention of rhino-sinusitis and adenoidal hypertrophy will be conductive to the protection of children ＇ s middle ear function and the normal development of hearing and speech .

关 键 词：分泌性中耳炎 鼻-鼻窦炎 腺样体肥大 声导抗 中耳功能 

分 类 号：R766.4[医药卫生—耳鼻咽喉科] R764.2[医药卫生—临床医学]