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通过鼓室导抗图测量吸入麻醉对中耳的影响。

Effects of inhalant anesthesia on the middle ear as measured by tympanometry.

作者信息

Chinn K, Brown O E, Manning S C

机构信息

Callier Center for Communication Disorders, University of Texas, Dallas.

出版信息

Arch Otolaryngol Head Neck Surg. 1993 Mar;119(3):283-7. doi: 10.1001/archotol.1993.01880150031005.

Abstract

This investigation examined the effects of inhalant anesthesia, nitrous oxide and halothane, on middle ear pressure. Moreover, the effect of inhalant anesthesia on the validation procedure for tympanometry was examined. Tympanometry was used to measure middle ear pressure variations. Subjects were examined with tympanometry prior to and after the administration of inhalant anesthesia. Group 1 (N = 86) received halothane and nitrous oxide. Group 2 (N = 52) received halothane only. Group 1 data were gathered in a previous investigation. The investigation was continued with subjects in group 2. Results indicated that middle ear status prior to anesthesia was not significantly different from middle ear status under anesthesia. In addition, middle ear pressure changes due to nitrous oxide were not significantly different from middle ear pressure changes due to halothane alone. Moreover, there was no effect on the tympanometry validation procedure. These findings are consistent with previous studies that indicate nonsignificant changes in middle ear pressure associated with the use of nitrous oxide and halothane.

摘要

本研究考察了吸入麻醉剂氧化亚氮和氟烷对中耳压力的影响。此外,还研究了吸入麻醉对鼓室导抗图验证程序的影响。采用鼓室导抗图测量中耳压力变化。在给予吸入麻醉剂之前和之后,对受试者进行鼓室导抗图检查。第1组(N = 86)接受氟烷和氧化亚氮。第2组(N = 52)仅接受氟烷。第1组的数据是在之前的一项研究中收集的。对第2组的受试者继续进行该研究。结果表明,麻醉前的中耳状况与麻醉下的中耳状况无显著差异。此外,氧化亚氮引起的中耳压力变化与单独使用氟烷引起的中耳压力变化无显著差异。而且,对鼓室导抗图验证程序没有影响。这些发现与之前的研究一致,即使用氧化亚氮和氟烷与中耳压力的非显著变化相关。

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