在成年人中,分泌性中耳炎和喉回流之间存在关联
Xinghong Yin1,2, Longsheng Liu3, Meng Luo1
1Department of Otorhinolaryngology Head & Neck Surgery, Fuyang people's Hospital, Fuyang, China.
Acta oto-laryngologica
|January 19, 2024
概括
喉回流 (LPR) 与成人分泌性中耳炎 (SOM) 有关,可能通过影响欧斯塔基管功能. 这项研究调查了成年人中的LPR-SOM连接,发现了显著的关联.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 儿科健康 儿科健康
背景情况:
- 在成年人群中,分泌性耳炎 (SOM) 和喉回流 (LPR) 之间的关联尚未得到充分证实.
- 研究这种关系对于理解成人SOM病因至关重要.
研究的目的:
- 在被诊断患有分泌性中耳炎 (SOM) 的成年患者中调查喉回流 (LPR) 的潜在参与.
主要方法:
- 60名成年SOM患者使用反流症状指数 (RSI) 和反流发现得分 (RFS) 进行了评估.
- 在24小时内使用Dx-ph监测器进行了口腔液pH监测,以计算瑞安指数.
- 欧斯塔基管功能障碍问卷-7 (ETDQ-7) 用于评估欧斯塔基管功能.
主要成果:
- 在SOM患者中观察到RSI和/或RFS的高阳性率为73.33%.
- 表明反流事件的瑞安指数在76.67%的患者中呈阳性,主要是直立姿势.
- 通过ETDQ-7评估的欧斯塔基管功能障碍,在100%的SOM患者中存在,已确定LPR.
结论:
- 喉回流 (LPR) 可能在成年人中分泌性中耳炎 (SOM) 的发展中发挥作用.
- 似乎LPR会损害欧斯塔基管的功能,从而导致SOM的病变发生.
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