喉喉逆流病对中耳功能的影响:一项病例对照研究
Yashodeep Mukherjee1, Probal Chatterji1
1Department of Otorhinolaryngology and Head Neck Surgery, Teerthanker Mahaveer Medical College and Research Center, Delhi Road, Moradabad, Uttar Pradesh 244001 India.
概括
酸性反流在患有喉回流性疾病 (LPRD) 的患者中显著影响中耳功能. 早期LPRD治疗可以预防严重的耳部疾病,如中耳炎.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- 喉回流性疾病 (LPRD) 常常与各种症状有关,但它对以前没有耳部问题的患者中耳功能的影响还不清楚.
- 酸性反流可能会影响听觉系统,导致亚临床变化.
研究的目的:
- 为了研究酸倒流对中耳功能的影响,在诊断为LPRD的患者中.
- 为了比较LPRD患者和健康对照人群之间的中耳功能.
主要方法:
- 73名被诊断患有LPRD的患者 (反流症状指数 (RSI) ≥13和反流检测得分 (RFS) ≥7) 与73名年龄和性别匹配的健康对照进行了比较.
- 对所有参与者进行纯音调听力测量 (PTA) 和阻抗听力测量,以评估中耳状态.
主要成果:
- 与对照组 (17.81%) 相比,LPRD患者中很大一部分 (61.64%) 呈现出听力损伤 (p < 0.001).
- 阻抗听力测量显示,54.8%的LPRD病例中中耳功能乱,而对照组的6.85% (p < 0.001).
结论:
- 喉回流病可以无声地影响中耳功能,可能导致诸如中耳炎之类的疾病.
- 早期诊断和管理LPRD至关重要,以减轻发展中耳病理及其并发症的风险.
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