鼾症儿童腺样体肥大的声导抗分析  

Acoustic immittance analysis of snoring children with adenoid hypertrophy

作　　者：刘平[1] 朱忠寿[1] 魏日富[1] 李慧凤[1] 何观文[1] 卜川 张茂华[1] 

机构地区：[1]福建医科大学附属宁德市医院耳鼻咽喉头颈外科,福建宁德352100

出　　处：《中国耳鼻咽喉头颈外科》2014年第12期633-635,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的观察分析鼾症儿童的声导抗。方法选取75例3~8岁不同程度腺样体肥大鼾症儿童,进行声导抗测试,并记录结果和参数。结果鼾症儿童腺样体肥大III度中,出现A型曲线的几率低,明显低于50%,反之出现B和C型鼓室图的几率高,声反射引出率低,平均峰压低,与I度和II度差别明显,差异有统计学意义。结论不同等级腺样体肥大对儿童的中耳影响不同,腺样体越大,引起儿童分泌性中耳炎的几率越大,程度越严重。OBJECTIVE To observe and analyze the acoustic immittance of snoring children. METHODS Acoustic immittance test was conducted in 75 cases of snoring children （aged 3-8 years） with different level of adenoid hypertrophy and results and parameters recorded. RESULTS In degree Ⅲ of snoring children with adenoidal hypertrophy, the arising probability of type A tympanum figure is significantly lower （fewer than 50%） than that of the type B and C tympanum figure There are significant differences in the acoustic reflect derivation rate and the average peak pressure between degree Ⅲ and Ⅰ, Ⅱ. CONCLUSION Different grade of adenoid hypertrophy has different effect on middle ear function in snoring children, the greater the grade of the adenoid hypertrophy, the greater the chances of secretory otitis media.

关 键 词：打鼾 儿童 增殖腺 中耳炎 伴渗出液 声导抗 

分 类 号：R766[医药卫生—耳鼻咽喉科]