儿童分泌性中耳炎多国指南研读与解析

Comparison and analysis of otitis media with effusion in children with guidelines of several countries

分泌性中耳炎(otitis media with effusion,OME)是指不伴有中耳急性感染症状和体征的中耳积液,其同义词包括渗出性、浆液性、分泌性或非化脓性中耳炎等。部分OME由急性中耳炎(acute otitis media,AOM)发展而来。OME病程持续≥3个月则称为慢性OME[1]。由于患儿年龄小,其症状具有隐匿性,不易被家长发现。

Otitis media with effusion(OME)is defined as a collection of fluid in the middle ear without signs or symptoms of ear infection.If it sustains for more than 3 months,it is called chronic OME.It is difficult for parents to be aware of the disease because of the limited age of the patients and the incubation period of the disease.With the standardization of the treatments of the disease,several countries have issued OME guideline for children.The earliest guideline in our country was issued in 2008 and has not been updated yet.Afterwards,the following are guidelines issued by the United Kingdom,Germany,Korea,Sweden,America,France and Japan.Guidelines issued after 2013 are based on the quality of evidence to evaluate references.Therefore,this review divides the issued guidelines from 2013 and aims to introduce the development and content of the OME guidelines in children.