CAJ | 학술논문

目的探讨变应性鼻炎对咽鼓管与中耳的影响.方法对成人变应性鼻炎100例和正常成人50例行鼓膜、咽鼓管咽口、鼓室导抗图和纯音听阈检查,分别对正常成人组、轻度变应性鼻炎组、中-重度变应性鼻炎组的检查结果进行对比分析.结果轻度与中-重度变应性鼻炎患者中耳病变的发生率相比,差异有统计学意义(P<0.01);中-重度变应性鼻炎组与正常成人组相比,差异有统计学意义(P<0.01);轻度变应性鼻炎组与正常成人组相比,鼓膜检查、鼓室导抗图、咽鼓管咽口检查结果的差异无统计学意义(P>0.05),纯音听阈测定值的差异有统计学意义(P<0.01).结论成人变应性鼻炎引起的咽鼓管及中耳病变发生率较正常成人显著提高,且变态反应越重,咽鼓管及中耳病变发生率越高.
목적 탐토변응성비염대인고관여중이적영향.방법 대성인변응성비염100례화정상성인50례행고막、인고관인구、고실도항도화순음은역검사,분별대정상성인조、경도변응성비염조、중-중도변응성비염조적검사결과 진행대비분석.결과 경도여중-중도변응성비염환자중이병변적발생솔상비,차이유통계학의의(P<0.01);중-중도변응성비염조여정상성인조상비,차이유통계학의의(P<0.01);경도변응성비염조여정상성인조상비,고막검사、고실도항도、인고관인구검사결과 적차이무통계학의의(P>0.05),순음은역측정치적차이유통계학의의(P<0.01).결론 성인변응성비염인기적인고관급중이병변발생솔교정상성인현저제고,차변태반응월중,인고관급중이병변발생솔월고.
Objective To study the relationship between allergic rhinitis and Eustachian tube and middle ear functions in adults.Methods Examination of the tympanic membrane and os of the Eustachian tube,acoustic immittance test and pure tone audiometry were performed in 100 adult patients with allergic rhinitis and 50 normal adults.The results were compared among normal adults and patients with mild and moderate to severe allergic rhinitis.Results Normal adults and patients with mild allergic rhinitis demonstrated lower rates of middle ear lesions than those with moderate to severe allergic rhinitis(P<0.01).When comparing normal adults and patients with mild allergic rhinitis,the tympanic membrane.Eustachian tube OS and acoustic immittance results were not significantly different(P>0.05),but normal adults showed better pure tone thresholds(P<0.01).Conclusion Adult allergic rhinitis seems to result in increased severitydependent Eustachian tube and middle ear abnormalities when compared to normal adults.