成人与儿童分泌性中耳炎的听力状况分析

Analysis of hearing status of secretory otitis media in adults and children

关键词:  中耳炎  分泌性  成人  儿童

Key words:  otitis media  secretory  adults  children

摘要:

［目的］探讨成人与儿童分泌性中耳炎听力的不同状况。［方法］成人分泌性中耳炎患者36例（共59耳），儿童分泌性中耳炎21例（39耳），对照组25例（50耳）。对儿童及成人分泌性中耳炎纯音听阈结果与对照组进行比较分析。［结果］成人与儿童分泌性中耳炎气导听阈与对照组差异有显著性意义（P<0.01）。成人分泌性中耳炎骨导听阈（2、4 kHz）与对照组比较差异有显著性意义（P<0.01）。而儿童分泌性中耳炎骨导听阈与对照组差异无显著性意义（P>0.05）。成人与儿童分泌性中耳炎骨导听阈相比较差异有显著性意义（P<0.01）。［结论］成人分泌性中耳炎可伴纯音骨导听阈提高 ，而儿童分泌性中耳炎以纯音气导听阈提高为主。

Abstract:

［Objective］To investigate different hearing status of secretory otitis media in adults and children.［Methods］Total 59 ears with secretory otitis media in 36 adult patients and total 39 ears with secretory otitis media in 21 children patients,25 normal subjects with 50 ears were in control group.The results of pure tone thresholds of secretory otitis media in children and adults were compared with the control group.［Results］There were significant differences in air conduction thresholds of secretory otitis media in adults and children compared with the control group (P<0.01).Bone conduction thresholds (2 and 4kHz) of secretory otitis media in adult compared with the control group were significantly different (P<0.01).There were no significant difference in bone conduction thresholds between the children secretory otitis media and the control group (P>0.05).There were significant difference in bone conduction thresholds of secretory otitis media in adults and children (P<0.01).［Conclusion］Adult secretory otitis media is associated with increase of pure-tone bone conduction thresholds,and secretory otitis media in children is mainly associated with enhanced pure-tone air conduction thresholds.