中华耳科学杂志Issue(3)：418-422,5.DOI:10.3969/j.issn.1672-2922.2013.03.018
儿童阻塞性睡眠呼吸暂停低通气综合征的听功能评价
Assessment of Auditory Function in Children with Obstructive Sleep Apnea-Hypopnea Syndrome
摘要
Abstract
Objective To study the hearing characteristics in children with obstructive sleep apnea-hypopnea syn-drome (OSAHS). Methods Randomly selected 65 children with OSAHS who had undergone polysomnography were divided into a mild OSAHS group [10>apnea hypopnea index (AHI)≥5] and a moderate and severe OSAHS group [AHI≥10]. The control group was 20 healthy children. Pure tone audiometry and tympanometry were used to measure the auditory function and fiberonasopharyngoscopy was taken to evaluate the size of adenoids. ABR and TEOAEs were recorded in 53 ears with type“A”tympanogram in children with OSAHS and in the 40 ears of the healthy children. The data were compared between the two OSAHS groups and the control group using the SPSS 11.5 software. Results 1) The difference in pure tone thresh-old across 125 to 8000 Hz between the mild OSAHS group and the control group was not statistically significant (P>0.05), although it was significant when compared between the moderate and severe OSAHS group and the control group (P<0.05). 2) Type“B”or“C”tympanogram was seen in 34 of the 66 ears (51.52%) in the mild OSAHS group and in 31 of the 52 ears (62.75%) in the moderate and severe OSAHS group (P >0.05). However, there was a significant difference when the two OSAHS groups were compared to the control group (P<0.05). 3) In OSAHS patients with type“A”tympanogram, the preva-lence of TEOAE was only 30.19%, significantly different from the control group. 4) For those with type“A”tympanogram, ABRs were not signidicantly different between the mild OSAHS group and the control group (P>0.05), although the laten-cies of wavesⅠand V were longer in patients with the moderate and severe OSAHS than those in the control group. The in-terpeak latency intervals of waveⅠ-ⅢandⅠ-Ⅴin the moderate and severe OSAHS patients were also longer than those in the control group (P<0.05), with elevation in waveⅤthreshold compared to the control (P<0.05). 5) Abnormal tympanogram was highly correlated to linguistic thresholds, abnormal adenoid sizes, AHI, and the lowest arterial oxygen saturation. 6) The risk factors of brain-stem and cochlear damage in OSAHS patients were the abnormal size of adenoid and AHI . Conclu-sions Conductive hearing loss can be easily identified in children with OSAHS, which is caused by abnormal function in the middle ear. Brain-stem and cochlear damage can occur in children with moderate or severe OSAHS.关键词
阻塞性睡眠呼吸暂停低通气综合征/儿童/听功能Key words
Obstructive sleep apnea-hypopnea syndrome (OSAHS)/Children/Auditory function分类
医药卫生引用本文复制引用
张晓惠,孙晓萍,徐朝霞,郭爱萍,杨静丽..儿童阻塞性睡眠呼吸暂停低通气综合征的听功能评价[J].中华耳科学杂志,2013,(3):418-422,5.基金项目
包头钢铁集团公司科技基金项目，项目编号201255 （）
