儿童OSAHS患者中耳功能分析  

The Middle Ear Function of 413 Children with Obstructive Sleep Apnea Hypopnea Syndrome

作　　者：徐恩明[1] 徐忠强[1] 王智楠[1] 吴展元[2] 

机构地区：[1]武汉市儿童医院耳鼻咽喉科,武汉430016 [2]武汉大学人民医院耳鼻咽喉头颈外科

出　　处：《听力学及言语疾病杂志》2011年第5期435-437,共3页Journal of Audiology and Speech Pathology

摘　　要：目的探讨儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的中耳功能。方法对413例OSAHS患儿(OSAHS组)(3～岁144例、6～岁206例、9～16岁63例)术前进行声导抗检查,异常者行听力测试,术后3个月复查声导抗及听力,并与正常对照组279例(3～岁94例,5～岁104例,9～16岁81例)进行比较。结果 OSAHS组中288例328耳有不同程度的中耳功能损害,阳性率为69.73%(288/413),69例72耳(16.71%,69/413)有不同程度听力下降,中耳功能异常和听力下降的发生率均明显高于对照组的7.53%(21/279)和1.43%(4/279),其差异均有统计学意义(均为P<0.05);两组中中耳功能异常和听力下降的发生率均随年龄增长而逐渐降低。结论儿童OSAHS患者有不同程度中耳功能和听力损害的可能,但随着年龄增长,其发生率逐渐降低。Objective To study the middle ear function of children with obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods A prospective clinical study was carried out. Tympanogram were obtained from both pre--operation and post--operation in 413 OSAI-IS cases. The patients were divided into 3 groups： Group ] （3-5 years） , Group 2（5-9 years）, Group 3（94-16 years）. Audiogram were conducted, if the tympanogram was abnormal. There were 279 cases in the control group. The incidence of middle ear function loss of two groups were compared. Results 288 case（328 ears）had some degree of middle ear dysfunction. 106 cases were abnormal in Group 1,171, cases in Group 2, 11 cases in Group 3. The incidence（69. 73%,288/413 cases） of OSAHS group was higher than that of control group（7.53% ,21/279 cases）（P〈0.05）. 69 cases had some degree of hearing loss（16.71%in 413 cases）. Conclusion The incidence of middle ear dysfunction is higher in children with obstructive sleep apnea hypopnea syndrome. But the bad influence alleviated with age.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 中耳功能 

分 类 号：R764.2[医药卫生—耳鼻咽喉科]