中华耳科学杂志Issue(4):670-674,5.DOI:10.3969/j.issn.1672-2922.2015.04.023
学龄前儿童腺样体肥大的声导抗和DPOAE探测结果分析
Tympanometry and DPOAE analyses in preschoolers with adenoidal hypertrophy
魏日富 1刘平 1朱忠寿 1何观文 1蔡灿辉 1洪艺云 1张茂华1
作者信息
- 1. 福建医科大学附属宁德市医院耳鼻咽喉头颈外科 福建 352100
- 折叠
摘要
Abstract
Objective Analises of tympanometry and otoacoustic emissions results in preschool children with adenoid hypertrophy. Methods Acoustic immittance and otoacoustic emissions results and parameters were collected in 75 preschool children (aged 3-7 years) with varying degrees of adenoidal hypertrophy. Results The rates of type A immitance curve and positive acoustic reflex and average peak ear canal pressure in children with degree III adenoid hypertrophy were all lower between those with degree I or II adenoid hypertrophy (p<0.05). The rate of positive DPOAEs in children with degree III adenoid hypertrophy were also lower than those with degree I (1–8 kHz) or II (1.5-8 kHz) hypertrophy (p<0.05). In chil-dren with type A tympanograms, the rate of positive DPOAEs (0.5 – 2 kHz) in those with no acoustic reflex was lower than those with positive acoustic reflex (p <0.05). Conclusion Preschool children with adenoidal hypertrophy should re-ceive routine acoustic impedance and/or otoacoustic emission tests for early diagnosis of secretory otitis media in this popu-lation. The level of hypertrophy adenoidal can affect middle ear functions in these children, with higher levels of adenoid hy-pertrophy more likely to cause secretory otitis media of greater severities.关键词
学龄前儿童/增殖腺/中耳炎/伴渗出液/声导抗/耳声发射Key words
Preschooler/Adenoids/Otitis Media with Effusion/With exudate/acoustic immittance/otoacoustic emission分类
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魏日富,刘平,朱忠寿,何观文,蔡灿辉,洪艺云,张茂华..学龄前儿童腺样体肥大的声导抗和DPOAE探测结果分析[J].中华耳科学杂志,2015,(4):670-674,5.