慢性化脓性中耳炎与不同类型阻塞性鼻部疾病的相关性研究

吕钟琪; 雷永红; 陈晗; 李新建

doi:10.3969/j.issn.1672-4933.2023.03.011

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慢性化脓性中耳炎与不同类型阻塞性鼻部疾病的相关性研究

临床研究 | 更新时间：2023-05-22

- 慢性化脓性中耳炎与不同类型阻塞性鼻部疾病的相关性研究
- Study on the Correlation Between Chronic Suppurative Otitis Media and Different Types of Obstructive Nasal Diseases
- 中国听力语言康复科学杂志 2023年21卷第3期页码：266-269
- 作者机构：
  
  1.解放军总医院海南医院三亚 572000
  2.海南省耳鼻咽喉头颈疾病临床医学研究中心三亚 572000
- 作者简介：
  
  吕钟琪本科技师；研究方向：病案质控及编码
  李新建，E-mail：lixinjianhnfy@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.03.011
  中图分类号：
- 纸质出版日期：2023-05-15，
  
  收稿日期：2022-07-15，
- 稿件说明：
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吕钟琪,雷永红,陈晗等.慢性化脓性中耳炎与不同类型阻塞性鼻部疾病的相关性研究[J].中国听力语言康复科学杂志,2023,21(03):266-269.

LV Zhong-qi,LEI Yong-hong,CHEN Han,et al.Study on the Correlation Between Chronic Suppurative Otitis Media and Different Types of Obstructive Nasal Diseases[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):266-269.
吕钟琪,雷永红,陈晗等.慢性化脓性中耳炎与不同类型阻塞性鼻部疾病的相关性研究[J].中国听力语言康复科学杂志,2023,21(03):266-269. DOI： 10.3969/j.issn.1672-4933.2023.03.011.

LV Zhong-qi,LEI Yong-hong,CHEN Han,et al.Study on the Correlation Between Chronic Suppurative Otitis Media and Different Types of Obstructive Nasal Diseases[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):266-269. DOI： 10.3969/j.issn.1672-4933.2023.03.011.

摘要

目的

分析慢性化脓性中耳炎（chronic suppurative otitis media，CSOM）与不同类型阻塞性鼻部疾病的相关性，为研究CSOM的发病机制和治疗提供依据。

方法

回顾性分析我院收治的CSOM病例，结合病史、发病情况、伴随症状及影像学检查，对鼻部疾病的种类及其对单双耳发病、耳鸣及听力损失程度的影响进行总结、分析。

结果

共收集168例患者，男性88例，女性80例，平均年龄39.7±14.7岁，合并阻塞性鼻部病变者120例，占71.43%，其中下鼻甲肥大76例，鼻窦炎53例，鼻中隔偏曲22例；以其他头颈部疾病作为对照组的患者94例，合并鼻部病变者45例，占47.87%，两组患者合并阻塞性鼻部病变结果有统计学差异。单双耳侧别、耳鸣情况、听力下降程度与鼻部疾病无明显相关性。

结论

阻塞性鼻部疾病可以明显促进CSOM的发病，其中由于下鼻甲肥大的鼻阻力值较大，对CSOM的发病贡献较大。在治疗此类CSOM同时要针对鼻部疾病进行预防。鼻部疾病对单双耳侧别、耳鸣以及听力下降症状无明显促进作用。

Abstract

Objective

This article analyzes the correlation between chronic suppurative otitis media (CSOM) and different types of obstructive nasal diseases

and provides basis for study on the pathogenesis and treatment of CSOM.

Methods

The CSOM cases admitted to our hospital were analyzed retrospectively

and the types of nasal diseases and their effects on the incidence of single and double ears

tinnitus and hearing loss were summarized and analyzed in combination with their history

incidence

accompanying symptoms and imaging examinations.

Results

A total of 168 patients with CSOM were collected

including 88 males and 80 females

with an average age of 39.7±14.7 years. 120 patients (71.43%) were complicated with obstructive nasal lesions

including 76 cases of inferior turbinate hypertrophy

53 cases of sinusitis

and 22 cases of nasal septum deviation; There were 94 patients with other head and neck diseases as the control group

with an average age of 48.9±18.3years

and 45 patients with nasal lesions

accounting for 47.87%. The difference between the two groups was statistically significant. There was no significant correlation between nasal diseases and unilateral and binaural sides

tinnitus and hearing loss.

Conclusion

Obstructive nasal disease can significantly promote the onset of CSOM

among which inferior turbinate hypertrophy has a large nasal resistance value

which contributes greatly to the onset of CSOM. While treating this kind of CSOM

we should also prevent nose diseases. Obstructive nose diseases did not significantly promote the side of the disease

tinnitus and hearing loss symptoms.

关键词

慢性化脓性中耳炎阻塞性鼻部疾病发病机制症状

Keywords

Chronic suppurative otitis mediaObstructive nasal diseasepathogenesisSymptoms

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