听力学检查对儿童急性非化脓性中耳炎诊断的意义

发布时间：2018-02-10 20:29

本文关键词： 急性非化脓性中耳炎儿童声导抗畸变产物耳声发射听性脑干反应　出处：《听力学及言语疾病杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨声导抗、畸变产物耳声发射(DPOAE)和听性脑干反应(ABR)测试在儿童急性非化脓性中耳炎诊断中的作用。方法回顾性分析182例急性非化脓性中耳炎患儿的临床资料,比较218耳有症状耳与146耳无症状耳的声导抗、DPOAE及ABR结果。结果有症状耳鼓室导抗图、DPOAE、ABR异常的检出率分别为64.7%、72.0%、57.8%,明显高于无症状耳的41.8%、39.7%、35.6%,差异均有统计学意义(均为P0.05);有症状耳至少一项结果异常者高达196耳(89.9%),高于无症状耳(90耳,61.6%),差异有统计学意义(P0.05);有症状耳鼓室导抗图为B型或C型者占60.6%,无症状耳鼓室导抗图为B型或C型者占41.8%。结论儿童急性非化脓性中耳炎的诊断不仅根据症状和体征,还应结合声导抗、DPOAE和ABR等检查综合考虑,尤其是对于无症状耳可减少误诊和漏诊。
[Abstract]:Objective to investigate the role of acoustic impedance, distortion product otoacoustic emission (DPOAE) and auditory brainstem response (ABR) in the diagnosis of acute non-suppurative otitis media in children. Methods the clinical data of 182 children with acute non-suppurative otitis media were retrospectively analyzed. The results of DPOAE and ABR were compared between the symptomatic ears and the asymptomatic ears. Results the positive rate of DPOAEN ABR in symptomatic tympanic ventricle was 64.7% 72.0% and 57.8%, respectively, which was significantly higher than that in the asymptomatic ears (41.8%, 39.735.6B). The difference was statistically significant (all P 0.05). At least one result of symptomatic ears was as high as 196 ears with abnormal results, which was higher than that of 90 ears with no symptoms (P 0.05), with a significant difference (P 0.05), with symptomatic tympanic ventricular conductance graph of type B or C in 60.6 cases, asymptomatic tympanic impedance with type B or type C with asymptomatic tympanogram. Conclusion the diagnosis of acute non-suppurative otitis media in children is not only based on symptoms and signs, DPOAE and ABR should be taken into consideration, especially for asymptomatic ears, which can reduce misdiagnosis and missed diagnosis.
【作者单位】：福建省福州儿童医院耳鼻咽喉科福建医科大学教学医院;
【分类号】：R764.21

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