儿童鼻炎鼻窦炎与分泌性中耳炎相关性分析

Correlation analysis of rhinitis sinusitis and secretory otitis media in children

目的对儿童鼻炎鼻窦炎与分泌性中耳炎相关性分析,为更好治疗和预防儿童鼻炎鼻窦炎与分泌性中耳炎提供依据。方法比较68例鼻炎鼻窦炎患儿(观察组)和40例无耳鼻咽喉病史的健康儿童(对照组)的鼓室压分型结果。结果观察组鼓室压图异常(B型+C型曲线)72耳(72.06%)与对照组17耳(21.25%)相比差异有显著性差异(P<0.05),观察组B型曲线提示鼓室内有渗出液,与对照组相比差异有高度显著性(P<0.01);观察组C型曲线提示咽鼓管阻塞,中耳功能障碍,与对照组相比无显著性(P>0.05)。结论研究结果显示SOM的发生与咽鼓管功能障碍、感染、免疫反应相关性有关。

Objective To analyze the correlation between rhinitis sinusitis and secretory otitis media in children, for better treatment and prevention of children rhinitis sinusitis and secretory otitis media.Methods 68 case of children with rhinitis and sinusitis （ observation group ） and 40 case of children without history of otolaryngology（ control group） were compared for tympanic pressure results.Results Observation group tympanic pressure anomaly map （B type and C type curve） 72 ears （72.06%） and control group 17 ears （21.25%） compared with significant difference （P〈0.05） , the observation group B type curve showed that the interior of the drum exudate, compared with the control group, the difference was highly significant （P〈0. 01 ）; observation group C type curves showed that the eustachian tube obstruction and dysfunction of middle ear, and the control group was not significant （P〉0.05 compared）.Conclusions The results showed that the occurrence of SOM is related to eustachian tube dysfunction, infection and immune response.