摘要
目的分析患儿的中耳功能障碍及听力损失情况，为临床治疗提供依据。方法对32例腭裂患儿及20例正常对照组儿童进行声导抗测试和听性脑干诱发电位（ABR）测试，将测试结果做统计学分析。结果腭裂组与对照组声导抗及ABR反应阈比较，P〈0．05和P〈0．01，差异有统计学意义；不完全性腭裂和完全性腭裂中耳功能障碍及听力损失无显著差异；6岁以内，不同年龄段腭裂中耳功能障碍无显著差异，6～18月的听力损失程度与19月～6岁的比较有统计学意义（P〈0．05）。结论大多数腭裂患儿存在中耳功能障碍，并发分泌性中耳炎，导致听力减退，且与腭裂的类型无关，年龄越小，听力损失越严重。腭裂患者需要尽早手术治疗，同时积极治疗分泌性中耳炎。
Objective To analyze middle ear dysfunction and hearing loss among children with cleft palate and to offer evidences for clinical treatment. Methods Thirty- two children with cleft palate and 20 normal children accepted acoustic impedance and auditory evoked potential examination simultaneously and then statistically analyzed the test results. Results As compared with the control group, cleft palate children had significantly difference in the threshold of acoustic impedance audiometry （ P〈 0.05） and auditory brainhem response （ P〈 0.01 ）. There was no significant difference in dysfunction of middle ear and hearing loss between complete and incomplete cleft palate. In children with cleft palate aged 0-6 years, middle ear dysfunction of different age groups showed no significant differentce. The difference of hearing loss level between 6- 18 months and 19 months-6 years was statistically significant（P〈0.05）. Conclusions Most cleft palate children had middle ear dysfunction with secretory otitis media, and led to hearing loss, however, it had nothing to do with kinds of cleft palate. The younger the age, the worse the hearing loss. Cleft palate children necessitate early surgery intervention to cure the co morbid secretory otitis media.
出处
《实用预防医学》
CAS
2007年第2期509-511,共3页
Practical Preventive Medicine
