儿童非化脓性急性中耳炎的体位指标评价

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2022-05-11 DOI:10.37219/2528-8253-2022-1-38

I. Lozova

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引用次数: 0

摘要

目前中耳炎仍是儿童中耳最常见的疾病之一[1]。儿童中耳炎及其对前庭功能的影响之间的相互关系尚未得到深入的研究。本研究的目的是对诊断为非化脓性急性中耳炎的学龄前儿童及其相对健康的典型发育同龄人的稳定性指标进行比较分析。材料和方法:22名被诊断为非化脓性急性中耳炎的儿童及其25名年龄在4至7岁的相对健康的典型发育同伴，在MPFI Stabilograph 1 (AS-TER IT, LLC, Kharkiv, Ukraine)设备上进行了检查。研究考虑了压力中心分布的变化和形状指标，稳定图的谱相关指标，以及两种感觉状态(睁眼和闭眼)下的稳定性积分指标(体位振荡的长度、速度和角度)和平衡功能的质量。所得数据在StabiliS软件中进行了计算。结果:非化脓性中耳炎患儿压力中心坐标为(7.04 [2.16 ~ 10.09];-1.14[-28.90 - 9.11])，对照组- 7.04 [3.30-16.16];-13.72[(-25.17) -(-10.30)])闭着眼睛。闭眼时试样压力中心的平均投影离子图实际上用圆表示(Y / X轴比= 0.98 [0.88;1.14])，对照组-椭圆(Y / X轴比值)= 1.16 [1.01;1.33])。这表明在没有视觉控制的情况下，非化脓性中耳炎患者缺乏踝关节维持姿势的主导策略，并指出非化脓性急性中耳炎患者存在隐蔽性前庭疾病。结论:本研究的主要结果是发现急性非化脓性中耳炎学龄前儿童在没有视觉控制的情况下，即闭眼时，与对照组相比，主姿态的稳定性和振荡运动的可预测性有统计学意义上的降低。急性非化脓性中耳炎患儿与对照组的平衡系数仅在闭眼状态下才有统计学差异(p≤0.05)。与对照组相比，非化脓性中耳炎患儿KFR值下降表明姿势控制质量下降。鉴于学龄前儿童中耳炎几乎无症状的性质，非化脓性中耳炎违反姿势控制表明存在潜在的前庭疾病，这在儿童中耳炎的诊断和治疗中必须考虑。

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Evaluation of posturographic indicators in children with non-purulent acute otitis media

Nowadays otitis media still remains one of the most common diseases of the middle ear in children [1]. The interconnection between otitis media and its effect on vestibular function in children has not been thoroughly studied yet. The aim of the study is to conduct a comparative analysis of stabilometric indicators of preschool children, diagnosed with non-purulent acute otitis media, and their relatively healthy typically developed peers. Materials and methods: 22 children, diagnosed with non-purulent acute otitis media, and their 25 relatively healthy typically developed peers aged 4 to 7, have been examined on the device "MPFI Stabilograph 1" (AS-TER IT, LLC, Kharkiv, Ukraine). The research has taken into account indicators of variation and shape of pressure center distribution, spectral-correlation indicators of stabilograms, as well as integral indicators of stability (length, velocity and angle of postural oscillations) and quality of equilibrium function in two sensory states (open and closed eyes). The obtained data have been calculated in the StabiliS software. Results: In children with non-purulent otitis, the coordinates of the pressure center are (7.04 [2.16 – 10.09]; -1.14 [-28.90 - 9.11]), and in the control group – (7.04 [3.30-16.16]; -13.72 [(-25.17) – (-10.30)]) with eyes closed. The average project ion figure of the pressure center in the sample with closed eyes is actually represented by a circle (ratio of Y / X axes = 0.98 [0.88; 1.14]) in non-purulent otitis media, and in the control group - an ellipse (Y / X axis ratio) = 1.16 [1.01; 1.33]). This indicates the lack of dominance of the ankle strategy to maintain posture in non-purulent otitis in the absence of visual control, and points to the presence of hidden vestibular disorders in non-purulent acute otitis media. Conclusion: The main result of our study is the discovery of the statistically significant decrease in the stability of the main posture and predictability of oscillatory movements in preschool children with acute nonpurulent otitis media compared with the control group only in the absence of visual control, i.e. in closed eyes. Also, statistically significant (p ≤ 0.05) differences have been found between children with acute non-purulent otitis media and control, namely the coefficient of equilibrium function only in the state with closed eyes. Decreased KFR values in children with non-purulent otitis indicate a decrease in the quality of postural control compared to control group. Given the almost asymptomatic nature of otitis media in preschool children, violations of postural control in non-purulent otitis media indicate the presence of latent vestibular disorders, which must be considered for the diagnosis and treatment of otitis media in children.

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来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.