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2019年冠状病毒病大流行期间使用不同类型口罩后咽鼓管功能障碍

Eustachian tube dysfunction after using different types of masks during the coronavirus disease 2019 pandemic.

作者信息

Yüksel Aslıer Nesibe Gül, Karataş Mesut

机构信息

Department of Otorhinolaryngology, Health Science University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

出版信息

J Laryngol Otol. 2024 Jan 15:1-5. doi: 10.1017/S0022215124000124.

DOI:10.1017/S0022215124000124
PMID:38224045
Abstract

OBJECTIVE

This study aimed to investigate the relationship between the use of different types of masks (N95/filtering facepiece type 2, surgical) and Eustachian tube dysfunction in healthcare workers.

METHODS

The study included 37 healthcare workers using N95/filtering facepiece type 2 masks and 35 using surgical masks for at least 6 hours per day, and 42 volunteers who are not healthcare workers using surgical masks for less than 6 hours per day. Participants' demographic features, clinical data and Eustachian Tube Dysfunction Questionnaire scores were compared.

RESULTS

The frequencies of autophony and aural fullness were significantly higher in the healthcare workers using N95/filtering facepiece type 2 masks. Autophony and aural fullness were significantly greater in the post-mask period than the pre-mask period. Middle-ear peak pressures and Eustachian Tube Dysfunction Questionnaire scores were higher in healthcare workers who used N95/filtering facepiece type 2 masks.

CONCLUSION

Healthcare workers who used N95/filtering facepiece type 2 masks had worsened middle-ear pressures and Eustachian Tube Dysfunction Questionnaire scores. Use of N95/filtering facepiece type 2 masks was associated with higher rates of autophony, aural fullness and higher Eustachian Tube Dysfunction Questionnaire scores in the post-mask period.

摘要

目的

本研究旨在调查医护人员使用不同类型口罩(N95/2型过滤面罩、外科口罩)与咽鼓管功能障碍之间的关系。

方法

该研究纳入了37名每天至少佩戴N95/2型过滤面罩6小时的医护人员、35名每天至少佩戴外科口罩6小时的医护人员,以及42名每天佩戴外科口罩少于6小时的非医护人员志愿者。比较了参与者的人口统计学特征、临床数据和咽鼓管功能障碍问卷得分。

结果

佩戴N95/2型过滤面罩的医护人员中,自听过响和耳闷的发生率显著更高。佩戴口罩后自听过响和耳闷的情况比佩戴口罩前显著更严重。佩戴N95/2型过滤面罩的医护人员中耳峰压和咽鼓管功能障碍问卷得分更高。

结论

佩戴N95/2型过滤面罩的医护人员中耳压力恶化,咽鼓管功能障碍问卷得分更高。佩戴N95/2型过滤面罩与佩戴口罩后自听过响、耳闷的发生率更高以及咽鼓管功能障碍问卷得分更高有关。

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