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Maternal hormonal milieu influence on fetal brain development.母体激素环境对胎儿大脑发育的影响。
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The high concentration of progesterone is harmful for endometrial receptivity and decidualization.孕激素浓度过高不利于子宫内膜容受性和蜕膜化。
Sci Rep. 2018 Jan 15;8(1):712. doi: 10.1038/s41598-017-18643-w.
3
ENT Changes of Pregnancy and Its Management.妊娠的耳鼻喉科变化及其处理
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):6-9. doi: 10.1007/s12070-011-0376-6. Epub 2012 Jan 15.
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Hearing loss in pregnancy.孕期听力损失
Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):1-2. doi: 10.1007/s12070-011-0329-0. Epub 2011 Nov 27.
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Sudden (reversible) sensorineural hearing loss in pregnancy.妊娠中突发性(可逆转)感觉神经性听力损失。
Ir J Med Sci. 2011 Mar;180(1):79-84. doi: 10.1007/s11845-010-0525-z. Epub 2010 Jul 28.
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Hearing and vestibular complaints during pregnancy.妊娠期听力和前庭主诉。
Braz J Otorhinolaryngol. 2010 Jan-Feb;76(1):29-33. doi: 10.1590/S1808-86942010000100006.
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An overview of the etiology of otosclerosis.耳硬化症的病因概述。
Eur Arch Otorhinolaryngol. 2009 Jan;266(1):25-35. doi: 10.1007/s00405-008-0790-x. Epub 2008 Aug 13.
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Severe tinnitus in pregnancy, necessitating caesarean delivery.妊娠期严重耳鸣,需行剖宫产。
J Obstet Gynaecol. 2007 Jan;27(1):81-2. doi: 10.1080/01443610601062689.
9
[Sudden sensorineural hearing loss during pregnancy].[孕期突发感音神经性听力损失]
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Maternal susceptibility to nausea and vomiting of pregnancy: is the vestibular system involved?孕妇对妊娠恶心和呕吐的易感性:前庭系统是否参与其中?
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孕妇的耳科表现——印度东部一家三级护理医院的研究

Otological manifestations in pregnant women - A study at a tertiary care hospital of eastern India.

作者信息

Swain Santosh Kumar, Pati Basanta Kumar, Mohanty Jatindra Nath

机构信息

Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar, 751003, Odisha, India.

Department of Obstetric & Gynaecology, IMS and SUM Hospital, Siksha "O" Anusandhan University, K8, Kalinganagar, Bhubaneswar, 751003, Odisha, India.

出版信息

J Otol. 2020 Sep;15(3):103-106. doi: 10.1016/j.joto.2019.11.003. Epub 2019 Nov 22.

DOI:10.1016/j.joto.2019.11.003
PMID:32884561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7452357/
Abstract

BACKGROUND

There are several physiological changes found in pregnant women and amongst them, otological changes are quite important. The otological manifestations in pregnant women are mainly due to changes of sex hormones levels, which return to normal in the postpartum period.

OBJECTIVE

To report otological manifestations among pregnant women.

MATERIALS AND METHODS

Eighty-four pregnant women participated in this prospective study. A questionnaire was administered in all participants for assessing otological manifestations. The pregnant women were in the age range of 22-35 years. They underwent thorough otological and obstetric examinations. Pure tone audiometry (PTA) was done for assessment of hearing loss.

RESULTS

The mean age of the pregnant women in this study was 26.23 years. The most common otological manifestation was sensation of ear blockage. Eustachian tube dysfunction was common in the last trimester of pregnancy. Other manifestations included vertigo and tinnitus.

CONCLUSION

The alteration of hormonal milieu in pregnant women can lead to several otological manifestations, including eustachian tube dysfunction, hearing impairment, otitis externa, Bell's palsy, vertigo and tinnitus. Despite these otological manifestations found in pregnant women, yet they are often neglected in clinical practice.

摘要

背景

孕妇会出现多种生理变化,其中耳部变化颇为重要。孕妇的耳部表现主要归因于性激素水平的变化,这些变化在产后会恢复正常。

目的

报告孕妇的耳部表现。

材料与方法

84名孕妇参与了这项前瞻性研究。对所有参与者进行问卷调查以评估耳部表现。这些孕妇年龄在22至35岁之间。她们接受了全面的耳部和产科检查。采用纯音听力测定法(PTA)评估听力损失情况。

结果

本研究中孕妇的平均年龄为26.23岁。最常见的耳部表现是耳堵塞感。咽鼓管功能障碍在妊娠晚期较为常见。其他表现包括眩晕和耳鸣。

结论

孕妇体内激素环境的改变可导致多种耳部表现,包括咽鼓管功能障碍、听力损害、外耳道炎、贝尔麻痹、眩晕和耳鸣。尽管在孕妇中发现了这些耳部表现,但在临床实践中它们常常被忽视。