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时间:2020-05-02
《不同麻醉方式下耳科电钻噪声对患者非手术侧耳听力的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·36·临床麻醉学杂志2014年1月第3O卷第1期JClinAnesthesiol,January2014,Vo1.30,No.1.临床研究.不同麻醉方式下耳科电钻噪声对患者非手术侧耳听力的影响温健申新肖颖景桂霞许珉【摘要】目的探讨不同麻醉方式下耳科电钻噪声对行耳科手术患者非手术侧耳听力的影响。方法选择6O例中耳手术患者,年龄28~65岁,ASAI或Ⅱ级,随机均分为全麻组和局麻组。记录两组患者术中电钻峰值噪声和累计使用时间。记录术前、术后24h、14d和30d500、1000、2000、4000、6000和8000I-IzN组患者非手术侧耳骨导听阈和
2、畸变产物耳声发射(DI)引出率。记录两组患者术中满意度。结果两组患者术中电钻噪声峰值和累计使用时间差异无统计学意义。与术前比较,术后24h2000、4000、6000和8000Hz两组患者非手术侧耳骨导听阈明显升高(P<0.05),DI引出率明显降低(P3、。结论术中电钻噪声可引起非手术侧耳听力可逆性损伤,全麻药对电钻噪声的听力损伤有一定保护作用。【关键词l全麻;电钻;听力损伤EfectsofI辞natI目dbydrmingmklofthel加l卜哪船IedearmId盯cKfmtan~theticrectums征ⅣJian,Xin,XIAOyi豫,删Gui.xia,XUMin.DepartmentofAnesthesiology,砌AffiliatedHospitalD厂MedicalCollegeofXi'anJiaotongUniversity,Xi'an710061,ChinaCorrespon4、dingauthor:XUMln,Emaif:errt551205@163.tom[Abstract]ObjectiveToexploretheeffectsofnoisegeneratedbydrillingonhearingofthenon-operatedearduringallotologicalsurgeryunderdifferentanestheticregimens.MethodsAtotalof60patientsundergoingotologicalsurgerywhowere28—65YandAsAIorII,wereequa5、llyrandomizedintotwogroups:generalanesthesiagroupandlocalanesthesiagroup.Tl1epeaklevelsofnoisefromdrillingandthetotalusagetimewererecorded.Boneconductionthresholdsandpositiveratesofdistortionproductotoacousticemission(DP0AE)in500,1000,2000,4000,6000,8000Fhinthenon-operatedearwe6、remeasuredbeforeoperationand24h,14dand30dafteroperation.Satisfactionrateduringoperationwasexploredinthetwogroups.ResultsTherewasnodifferenceinthepeaklevelsofnoisefromdrillingandthetotalusagetimebetweenthetwogroups.Comparedwiththepre-operation,boneconductionthresholdswereelevate7、dandpositiveratesofDPOAEweredeclinedin2000,4000,6000,8000Hzat24hafteroperationinthenort-operatedearinbothgroups(P<0.05).Comparedwiththelocalanesthesiagroup,boneconductionthresholdsweredecreasedin4000,6000,8000HzandpositiveratesofDI瑚wereincreasedin2000,4000,6000,8000Hzat24hafter8、operationinthenon-operatedearingeneralanesthesiagroup(
3、。结论术中电钻噪声可引起非手术侧耳听力可逆性损伤,全麻药对电钻噪声的听力损伤有一定保护作用。【关键词l全麻;电钻;听力损伤EfectsofI辞natI目dbydrmingmklofthel加l卜哪船IedearmId盯cKfmtan~theticrectums征ⅣJian,Xin,XIAOyi豫,删Gui.xia,XUMin.DepartmentofAnesthesiology,砌AffiliatedHospitalD厂MedicalCollegeofXi'anJiaotongUniversity,Xi'an710061,ChinaCorrespon
4、dingauthor:XUMln,Emaif:errt551205@163.tom[Abstract]ObjectiveToexploretheeffectsofnoisegeneratedbydrillingonhearingofthenon-operatedearduringallotologicalsurgeryunderdifferentanestheticregimens.MethodsAtotalof60patientsundergoingotologicalsurgerywhowere28—65YandAsAIorII,wereequa
5、llyrandomizedintotwogroups:generalanesthesiagroupandlocalanesthesiagroup.Tl1epeaklevelsofnoisefromdrillingandthetotalusagetimewererecorded.Boneconductionthresholdsandpositiveratesofdistortionproductotoacousticemission(DP0AE)in500,1000,2000,4000,6000,8000Fhinthenon-operatedearwe
6、remeasuredbeforeoperationand24h,14dand30dafteroperation.Satisfactionrateduringoperationwasexploredinthetwogroups.ResultsTherewasnodifferenceinthepeaklevelsofnoisefromdrillingandthetotalusagetimebetweenthetwogroups.Comparedwiththepre-operation,boneconductionthresholdswereelevate
7、dandpositiveratesofDPOAEweredeclinedin2000,4000,6000,8000Hzat24hafteroperationinthenort-operatedearinbothgroups(P<0.05).Comparedwiththelocalanesthesiagroup,boneconductionthresholdsweredecreasedin4000,6000,8000HzandpositiveratesofDI瑚wereincreasedin2000,4000,6000,8000Hzat24hafter
8、operationinthenon-operatedearingeneralanesthesiagroup(
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