腺样体肥大对小儿分泌性中耳炎发生及其转归影响探析

Adenoid hypertrophy in children with secretory otitis media and its influence on prognosis

目的:对腺样体肥大患儿进行临床分析,从而探讨腺样体肥大对小儿分泌性中耳炎疾病的发生及转归效果造成的影响,为临床提高分泌性中耳炎患儿疗效及生活质量提供可靠依据。方法:对186例腺样体肥大患儿进行分组临床分析,按照腺样体肥大程度可分为Ⅰ组(腺样体肥大程度为Ⅰ度)36例患儿、Ⅱ组(腺样体肥大程度为Ⅱ度)79例患儿、Ⅲ组(腺样体肥大程度为Ⅲ度)71例患儿,对三组腺样体肥大患儿发生分泌性中耳炎情况进行记录,并给予统计学分析,得出结论。结果:Ⅰ组腺样体肥大患儿分泌性中耳炎疾病发生率为19.44%、Ⅱ组腺样体肥大患儿分泌性中耳炎疾病发生率为30.38%、Ⅲ组腺样体肥大患儿分泌性中耳炎疾病发生率为60.56%,Ⅲ组与Ⅰ组、Ⅱ组相比差异均有统计学意义(P<0.05),Ⅰ组和Ⅱ组相比差异无统计学意义(P>0.05)。结论:分泌性中耳炎疾病与患儿体内腺样体肥大情况呈正比,且腺样体肥大对小儿分泌性中耳炎转归也具有一定影响。

Objective Clinical analysis of adenoid hypertrophy in children,and to investigate the effect of the occurrence and prognosis of adenoid hypertrophy in children with secretory otitis media disease caused,and provide a reliable basis for the effcacy and life quality of arthritis in children with secretory otitis media clinical improvement.Methods Clinical analysis of 186 cases with adenoid hypertrophy,in accordance with adenoid hypertrophy can be divided into group Ⅰ（adenoid hypertrophy to Ⅰ degree）,group Ⅱ（36 cases of adenoid hypertrophy as Ⅱ degree）,group Ⅲ（79 cases of children with adenoid hypertrophy third degree） in 71 cases,the three groups of children with adenoidal hypertrophy occurs in secretory otitis media were recorded,and give the statistical analysis,draw the conclusion.Results In group Ⅰ adenoid hypertrophy in children with secretory otitis media disease incidence rate is 19.44%,group Ⅱ adenoid hypertrophy in children with secretory otitis media disease incidence rate is 30.38%,group Ⅲ adenoid hypertrophy in children with secretory otitis media disease incidence rate is 60.56%,group Ⅲ and Ⅰ,Ⅱ group differences were statistical signifcance（P〈0.05）,group Ⅰ and Ⅱ group was no signifcant difference（P〈0.05）.Conclusion Secretory otitis media in children with the disease with adenoid hypertrophy were positive,and adenoid hypertrophy in children with secretory otitis media also has certain infuence.