儿童分泌性中耳炎患者静态平衡能力观察  

Influence on Static Balance Caused by Secretory Otitis Media in Children

作　　者：王静妙[1] 蒋新霞[1] 魏俊宽 

机构地区：[1]河北医科大学第二医院耳鼻咽喉科,石家庄050000 [2]阜城县人民医院耳鼻咽喉科

出　　处：《听力学及言语疾病杂志》2013年第3期228-230,共3页Journal of Audiology and Speech Pathology

摘　　要：目的探讨分泌性中耳炎(secretory otitis media,SOM)对儿童静态平衡能力的影响。方法以38例病程超过3个月的分泌性中耳炎患儿为研究对象(SOM组,年龄5～13岁,平均7.2±0.4岁),在非手术治疗无效后,均于全身麻醉下行患侧鼓膜置管术,并于术前及术后1个月、6个月行静态姿势描记图检查,其结果与正常对照组进行比较。结果分泌性中耳炎患儿的静态平衡能力减低,闭眼状态下重心晃动的路径总长明显延长,晃动速度明显增快,与正常对照组比较差异有显著统计学意义(P<0.05);行鼓膜置管术后1个月,SOM组患儿静态平衡能力恢复正常;6个月后,拔除通气管,待鼓膜切口愈合后,再次行静态姿势描记图检查,结果与正常对照组差异无统计学意义(P>0.05)。结论病程超过3个月的分泌性中耳炎患儿的静态平衡能力减低,对于SOM患儿应尽早治疗。Objective The main purpose of the present study was to describe the influence on instability caused by secretory otitis media（SOM）. Methods 38 patients with secretory otitis media of more than three months were selected as subiects. After the conservative treatment failed, we conducted tympanostomy with tube insertion. Static posturography was examined before and after the operation. A comparison was made with normal subjects. Results The static balance of SOM children was reduced and the length of postural sway was prolonged. The veloc- ity was significantly faster. Difference（P〈0.05） was recorded when eyes closed. One month after grommet inser- tion for middle ear, the results of SPG test became normal. Conclusion Patients with SOM tend to have instability problems. Immediate treatment should be provided.

关 键 词：分泌性中耳炎 前庭脊髓反射 儿童 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]