儿童分泌性中耳炎相关因素分析

The Causes of Otitis Media with Effusion(OME)in Children

目的探讨儿童分泌性中耳炎(otitis media with effusion,OME)的相关因素。方法回顾性分析357例(698耳)OME患儿的临床资料及其相关因素。结果 357例患儿中133例(37.25%)存在腺样体肥大,89例(24.93%)合并鼻窦炎,76例(21.29%)变应原检测阳性,59例(16.53%)合并细菌、病毒、支原体或/和衣原体感染。采用鼓膜切开或置管治疗并积极对症治疗,357例(698耳)患儿治愈586耳,好转91耳,总有效率为96.99%(677/698),无效21耳(3.01%)。结论腺样体肥大、鼻窦炎、变态反应疾病及细菌、病毒、支原体或/和衣原体感染等可能是儿童OME的相关因素,应引起临床医生的重视。

Objective To study the causes of Otitis Media with effusion （OME）in Children. Methods A ret- rospective analysis was employed to review 357 cases of OME （698 ears）. Results In 357 cases, 133 cases （37.3%） had adenoid hypertrophy, 89 cases （24.9%） had sinusitis, and 76 cases （21.3%） had nasal allergy, 59 cases （16. 5%） bacteria infection, viral infection, mycoplasma infection and/or ehoamydiae infection. Conclusion Clinicians should pay attention to adenoid hypertrophy, sinusitis, nasal allergy, bacteria infection, viral infection, and mycoplasma and choamydiae infection in Children with OME. It＇s helpful to increase cure rate and decrease recurrent rate of OME in children.