摘要
目的 探讨儿童组与成人组不同类型慢性化脓性中耳炎 (CSOM)听力损失有何异同。方法 对 70例(85耳 )儿童和 99例 (14 1耳 )成人进行纯音测听检查 ,两组患耳进行比较。结果 两组三个类型CSOM患者纯音测听气导听阈均升高。单纯型CSOM在 1～ 8kHz范围内 ,两组气导检查结果呈现听力损失一致 (P >0 .0 5 )。骨疡型和胆脂瘤型CSOM ,除骨疡型 8kHz外 ,两组患耳各频率听力损失也相同 (P >0 .0 5 )。儿童组单纯型CSOM骨导检查结果基本正常 ,而骨疡型和胆脂瘤型CSOM ,成人组在中高频听力损失比儿童重。结论 虽然儿童CSOM病程短 ,呈现气导检查中频、高频听力损失与成人一样重的趋势 ,但无内耳损害或损害较轻。
Objective To investigate the differences between children and adult with chronic suppurative otitis media (CSOM).Methods Pure tone audiometry was detected and statistics were compared in 70 children (85 ears) and 99 adults (141 ears) with CSOM.Results Air conduction thresholds of three types in pure tone audiometry elevated. Hearing loss was coincidence that air conduction thresholds in children and adults with simple type CSOM showed during 1～8 kHz (P>0.05). As far as hearing loss concerned, the two groups with osteitis type and cholesteatoma type were the same in every frequency of air conduction(P>0.05) except for 8 kHz. Air conduction thresholds were basically normal in children's simple type CSOM, whereas hearing loss during intermediate frequency and high frequency in adults with osteitis and cholesteatoma type was more severe than that in children.Conclusion Hearing-loss in children's CSOM was the same as adult patients, although course of disease was not long in children. Inner ear was not or mildly impaired in children's CSOM.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2004年第5期313-314,共2页
Journal of Audiology and Speech Pathology
关键词
中耳炎
纯音测听
儿童
成人
Otitis media
Pure tone audiometry
Children
Adult
