儿童渗出性中耳炎相关因素研究

Research of 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124例(196耳)OME患儿的临床资料及其相关因素。结果:124例患儿中51例(41.1%)存在腺样体肥大,22例(17.7%)合并急慢性鼻窦炎,20例(16.1%)合并过敏性鼻炎,31例(25%)合并细菌、EB病毒感染。采用鼓膜穿刺或鼓膜置管治疗并积极对症治疗,124例(196耳)患儿治愈151耳,好转34耳,总有效率为94.4%(185/196),无效11耳(5.6%)。结论:腺样体肥大、鼻窦炎、变态反应疾病及细菌、EB病毒感染等可能是儿童OME的相关因素,应引起临床医生足够的重视。

Objective： To study the causes of otitis media with effusion （OME） in Children. Methods. A retrospective analysis was employed to review 124 cases of OM E （196ears）. Results. In 124 cases, 51 cases （41.1%） had adenoid hypertrophy, 22 eases （17.7%） had sinusitis, 20 cases （16. 1%） had allergic rhinitis, and 31cases （25%） bacteria infection, EB viral infection. With tympanic membrane puncture or tympanostomy tube treatment and actively symptomatic treatment, 151 ears were cured, 34 ears were to be better, total effi- ciency was 94. 4%, no efficiency was 5.6%. Conclusion.. Clinicians should pay enough attention to adenoid hypertrophy, sinusitis, nasal allergy, bacteria infection, EB viral infection in Children with OME. It＇s helpful to increase cure rate and decrease recurrent rate of OME in children.