CAJ | 학술논문

目的观察分析分泌性中耳炎(otitis media with effusion,OME)患者吸鼻试验结果,探讨咽鼓管闭合功能在OME发病中的作用.方法选择56例成人OME患者、16例儿童OME患者、66例健康成年人和20例健康儿童做为研究对象,对4组人群采用问卷调查及使用咽鼓管功能综合检查仪进行吸鼻试验检测,并对结果进行统计分析.结果以外耳道压低于基线10 dapa(含10 dapa)定为吸鼻试验阳性.成人OME组吸鼻试验阳性率为64.86％(对照组为9.09％),儿童OME组吸鼻试验阳性率为70.83％(对照组为38.24％),均明显高于对照组(P值均＜0.05),而成人与儿童OME患者吸鼻试验阳性率差异无统计学意义(X2=0.289,P＞0.05).结论 OME患者吸鼻试验阳性率明显高于健康对照组,提示咽鼓管闭合功能不全参与了OME的发病.
목적 관찰분석분비성중이염(otitis media with effusion,OME)환자흡비시험결과,탐토인고관폐합공능재OME발병중적작용.방법 선택56례성인OME환자、16례인동OME환자、66례건강성년인화20례건강인동주위연구대상,대4조인군채용문권조사급사용인고관공능종합검사의진행흡비시험검측,병대결과진행통계분석.결과 이외이도압저우기선10 dapa(함10 dapa)정위흡비시험양성.성인OME조흡비시험양성솔위64.86％(대조조위9.09％),인동OME조흡비시험양성솔위70.83％(대조조위38.24％),균명현고우대조조(P치균＜0.05),이성인여인동OME환자흡비시험양성솔차이무통계학의의(X2=0.289,P＞0.05).결론 OME환자흡비시험양성솔명현고우건강대조조,제시인고관폐합공능불전삼여료OME적발병.
Objective To explore the roles of the closure disorder of Eustachian tube in occurrence and development of otitis media with effusion (OME).Methods Fifty-six adults with OME,16 children with OME,66 health adults and 20 health children were selected according to diagnosis criteria.Sniffing test was measured by Tubo-tymanoaerodynamic graphy and the self-designed questionnaires were surveyed in all cases.Results The positive levels in sniffing test were regarded as external auditory canal press 10dapa lower than baseline of the pressure.The positive rate was 64.86％ in adults with OME,which was higher than health adults(P ＜0.01).The positive rate was 70.83％ in children with OME which was higher than health children(P ＜ 0.05).Conclusions The higher positive rate of sniff test in OME patients suggests that closure disorder in Eustachian tube playing an important role in the occurrence and development of OME.