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頁籤選單縮合
題 名 | 兒童中耳疾病對變頻耳聲傳射之影響=Influence of Middle Ear Disease on Distortion Product Otoacoustic Emissions in Children |
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作 者 | 陳柏年; 林鴻清; 徐銘燦; 張克昌; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:3 民88.05-06 |
頁 次 | 頁195-199 |
分類號 | 417.6821 |
關鍵詞 | 中耳疾病; 中耳負壓; 中耳積液; 變頻耳聲傳射; Middle ear disease; Middle ear negative pressure; Serous otitis media; Distortion product otoacoustic emissions; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:近年來,變頻耳聲傳射檢查已成為嬰幼兒聽力篩檢的工具之一。為探討兒童 中耳疾病對於變頻耳聲傳射檢查結果的影響,我們做了以下的研究 方法:自1998年3月至1998年5月,我們以台北縣三重、蘆洲、林口、五股、泰山等地 幼稚園及托兒所的學童為對象進行研究。每位學童均接受了耳鏡檢查、鼓室圖檢查以及變頻 耳聲傳射檢查。中耳疾病的診斷係經由鼓室圖及耳鏡下觀察。我們統計在各種中耳狀況下, 其變頻耳聲傳射檢查的通過率,並以卡方檢定法(α=0.05)檢定其間之差異。對於變頻耳聲傳 射異常的學童,隨後以純音聽力檢查進行追蹤。 結果:受檢學童487名(974耳)。中耳狀況的分佈:中耳正常有617耳,中耳負壓有279 耳,中耳積液有75耳,急性中耳炎有2耳,鼓膜呈姜縮性瘢痕有1耳。變頻耳聲傳射檢查的 結果:中耳正常者,94.0%其變頻耳聲傳射可被測得。中耳負壓者,變頻耳聲傳射檢查的通過 率為73.8%,且負壓的程度愈嚴重,其通過率愈低。中耳積液者,變頻耳聲傳射檢查的通過 率為18.7%。以上中耳疾病造成變頻耳聲傳射檢查通過率的下降,具有統計學上的意義。另 外,急性中耳炎及鼓膜呈萎縮性瘢痕者,其變頻耳聲傳射皆消失。 結論:兒童的中耳疾病,如中耳負壓、中耳積液、急性中耳炎、鼓膜萎縮性瘢痕,均可能 造成變頻耳聲傳射的消失。臨床上,我們在作變頻耳聲傳射檢查時,應該同時考慮受檢者的 中耳狀況,可提高判讀的準確度,降低偽陽性率。 |
英文摘要 | Background: The distortion product otoacoustic emission (DPOAE) test has recently become a useful tool for hearing screening in children. The aim of this study is to ascertain the influence of children's middle ear diseases on DPOAE. Methods: From March 1998 to May 1998, children in twenty-seven kindergartens and nurseries in Taipei County were enrolled in this study. All the children underwent otoscopic examination, tympanometry, and DPOAE test. Diagnosis of middle ear disease was made by tympanometry and otoscopic examination. The pass rates for DPOAE in different middle ear conditions was documented. The differences between each group of conditions were checked statistically with the Chi-square test ( α =0.05). Children with an abnormal DPOAE later underwent pure tone audiometry. Results: Altogether, 487 children (974 ears) were included in this study. The conditions of the middle ears were as follows: 617 healthy middle-ears, 279 middle-ears with negative pressure, 75 ears with serous otitis media (SOM), 2 ears with acute otitis media (AOM), and 1 ear with an atrophic scar on the ear drum. The pass rates for DPOAE were as follows: 94.0% in healthy middle-ears, 73.8% in middle-ears with negative pressure, and 18.7% in SOM. The difference in the DPOAE pass rate between the healthy middle ear group and each diseased ear group was statistically significant (X□=72.33, 312.94 respectively, p<0.05). Meanwhile, the pass rate decreased as the middle ear negative pressure became more aggravated (X □=13.49, p<0.05). Patients with AOM and an atrophic scar failed the DPOAE test. Conclusions: Children's middle-ear diseases, such as negative pressure, SOM, AOM, and atrophic scar on the ear drum, may influence the results of DPOAE. Therefore, a detailed evaluation of the middle ear should be done before interpreting a DPOAE test. |
本系統中英文摘要資訊取自各篇刊載內容。