世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
31期
466-467
,共2页
阻塞性睡眠呼吸暂停通气综合征%中耳功能%护理
阻塞性睡眠呼吸暫停通氣綜閤徵%中耳功能%護理
조새성수면호흡잠정통기종합정%중이공능%호리
obstructive sleep apnea hypopnea syndrome%middle ear function%nursing care
目的：通过对儿童阻塞性睡眠呼吸暂停低通气综合征（osaHs）患者中耳功能的临床分析，探讨有效的干预措施。方法对413例 osaHs 患儿（osaHs 组）（3～5岁144例、6～8岁206例、9～16岁63例）术前进行声导抗检查，异常者行听力测试，术后3个月复查声导抗及听力，并与正常对照组279例（3～5岁94例、5～8岁104例、9～16岁81例）进行比较。结果 osaHs 组中288例328耳有不同程度的中耳功能损害，阳性率为69.73%（288/413），69例72耳（16.71,69/413）有不同程度听力下降，中耳功能异常和听力下降的发生率明显高于对照组的7.53%（21/279）和1.43%（4/279），其差异均有统计学意义（均为P<0.05）；两组中中耳功能异常和听力下降的发生率均随年龄增长而逐渐降低。结论儿童 osaHs 患者有不同程度中耳功能和听力损害的可能，但随着年龄增长，其发生率逐渐降低。因此，早期发现早期治疗，并进行有效护理干预能达到较好的临床效果。
目的：通過對兒童阻塞性睡眠呼吸暫停低通氣綜閤徵（osaHs）患者中耳功能的臨床分析，探討有效的榦預措施。方法對413例 osaHs 患兒（osaHs 組）（3～5歲144例、6～8歲206例、9～16歲63例）術前進行聲導抗檢查，異常者行聽力測試，術後3箇月複查聲導抗及聽力，併與正常對照組279例（3～5歲94例、5～8歲104例、9～16歲81例）進行比較。結果 osaHs 組中288例328耳有不同程度的中耳功能損害，暘性率為69.73%（288/413），69例72耳（16.71,69/413）有不同程度聽力下降，中耳功能異常和聽力下降的髮生率明顯高于對照組的7.53%（21/279）和1.43%（4/279），其差異均有統計學意義（均為P<0.05）；兩組中中耳功能異常和聽力下降的髮生率均隨年齡增長而逐漸降低。結論兒童 osaHs 患者有不同程度中耳功能和聽力損害的可能，但隨著年齡增長，其髮生率逐漸降低。因此，早期髮現早期治療，併進行有效護理榦預能達到較好的臨床效果。
목적：통과대인동조새성수면호흡잠정저통기종합정（osaHs）환자중이공능적림상분석，탐토유효적간예조시。방법대413례 osaHs 환인（osaHs 조）（3～5세144례、6～8세206례、9～16세63례）술전진행성도항검사，이상자행은력측시，술후3개월복사성도항급은력，병여정상대조조279례（3～5세94례、5～8세104례、9～16세81례）진행비교。결과 osaHs 조중288례328이유불동정도적중이공능손해，양성솔위69.73%（288/413），69례72이（16.71,69/413）유불동정도은력하강，중이공능이상화은력하강적발생솔명현고우대조조적7.53%（21/279）화1.43%（4/279），기차이균유통계학의의（균위P<0.05）；량조중중이공능이상화은력하강적발생솔균수년령증장이축점강저。결론인동 osaHs 환자유불동정도중이공능화은력손해적가능，단수착년령증장，기발생솔축점강저。인차，조기발현조기치료，병진행유효호리간예능체도교호적림상효과。
Objective to observe the effect of nursing intervention and middle ear function of children with obstructive sleep apnea hypopnea syndrome(osaHs). Methods a prospective clinical study was carried out. tympanogram were obtained from both pre-operation and post-operation in 413 osaHs cases.the patients were divided into 3 groups: Group 1(3 ~ years), Group 2(6 ~ years), Group 3(9 ~ 16years). audiogram were conducted, if the tympanogram was abnormal. there were 279 cases in the control group. the incidence of middle ear function loss of two groups were compared. Results 288 cases(328 ears) had some degree of middle ear dysfunction. 106 cases were abnormal in Group 1,171 cases in Group 2,11 cases in Group 3. the incidence(69.73%, 288/413 cases) of osaHs group was higher than that of control group(7.53%, 21/279 cases)(P<0.05). 69 cases had some degree of hearing loss(16.71% in 413 cases). Conclusion the incidence of middle ear dysfunction is higher in children with obstructive sleep apnea hypopnea syndrome. But the bad influence alleviated with age.Therefore, early detection , timely treatment and effective nursing can achieve good effect.
