新疆喀什地区儿童分泌性中耳炎流行病学抽样调查及干预

Epidemiological sampling survey and intervention of children with secretory otitis media in Kashi area of Xinjiang

目的对新疆喀什地区儿童进行分泌性中耳炎的流行病学调查,探讨发病率及发病特点,为其临床治疗提供参考依据。方法随机整群抽样法选取喀什市区和2个郊县城镇及农村的1000名儿童作为调查对象,将其按年龄及地区划分,进行流行病学调查。对保守治疗无效的患耳施行鼓膜置管术进行干预治疗并观察临床疗效。结果 1~3岁儿童发病率(20.78%)显著高于其余年龄段,郊县城镇农村儿童发病率(14.53%)显著高于喀什市区(8.53%),差异均具有统计学意义(P<0.05)。鼓膜置管术治疗总有效率为96.46%,疗效显著。结论儿童分泌性中耳炎的发病与年龄及地区分布有关,鼓膜置管术治疗的疗效显著,值得推广应用。

Objective To investigate the prevalence and characteristics of secretory otitis media（SOM）in children in Kashi area of Xinjiang,and to provide reference for clinical treatment. Methods 1000 children were selected by random cluster sampling method in Kashi City and two suburban rural areas the research object. The epidemiological survey was conducted according to the age and area of distinguish. Ventilation tube insertion were performed when conservative treatment did not work. The clinical curative effect was evaluated. Results SOM incidence rate of children aged 1~3 years（20.78%）was significantly higher than that in other age. Incidence rate of rural area（14.53%）was significantly higher than that of Kashi urban（8.53%,P〈0.05）. The total effective rate was 96.46%,and the curative effect was significant. Conclusion The incidence of secretory otitis media in children is related to the age and the distribution of the area. The effect of the surgical treatment of the tube insertion is remarkable.