CAJ | 학술논문

目的探讨武汉市部分幼儿园儿童分泌性中耳炎的危险因素,并与相关文献分析比较.方法调查武汉市部分幼儿园3～6岁的儿童,对其进行常规耳鼻咽喉科体检,电耳镜检查鼓膜结合声导抗测试,并问卷调查母亲牛育年龄、生产情况、喂养情况,家庭吸烟史,耳科病史,鼻漏,喷嚏,鼻塞,睡眠打鼾,扁桃体炎发作情况等.结果 144例分泌性中耳炎患儿和288例对照者进行危险因素统计学分析,发现鼻塞(OR=2.60,P=0.002),鼻涕(OR=1.442,P=0.003),硬腭高拱(OR=4.411,P＜0.0001),急性中耳炎病史(OR=1.77,P=0.025)是患病的危险因素.进行多因素同归分析后发现喂养情况(OR=0.746,P=0.047),鼻塞(OR=2.56,P=0.003),硬腭高拱(OR=4.35,P＜0.001),鼻炎(OR=1.397,P=0.098),急性中耳炎病史(OR=1.735,P=0.032)为分泌性中耳炎的影响因素.结论中耳炎病史是分泌性中耳炎的危险因素.但急性扁桃体炎并不是分泌性中耳炎的危险因素,另外发现母乳喂养是分泌性中耳炎的保护因素.有急性中耳炎病史且经常鼻塞的儿童应定期进行耳鼻咽喉科体检.
목적 탐토무한시부분유인완인동분비성중이염적위험인소,병여상관문헌분석비교.방법 조사무한시부분유인완3～6세적인동,대기진행상규이비인후과체검,전이경검사고막결합성도항측시,병문권조사모친우육년령、생산정황、위양정황,가정흡연사,이과병사,비루,분체,비새,수면타한,편도체염발작정황등.결과 144례분비성중이염환인화288례대조자진행위험인소통계학분석,발현비새(OR=2.60,P=0.002),비체(OR=1.442,P=0.003),경악고공(OR=4.411,P＜0.0001),급성중이염병사(OR=1.77,P=0.025)시환병적위험인소.진행다인소동귀분석후발현위양정황(OR=0.746,P=0.047),비새(OR=2.56,P=0.003),경악고공(OR=4.35,P＜0.001),비염(OR=1.397,P=0.098),급성중이염병사(OR=1.735,P=0.032)위분비성중이염적영향인소.결론 중이염병사시분비성중이염적위험인소.단급성편도체염병불시분비성중이염적위험인소,령외발현모유위양시분비성중이염적보호인소.유급성중이염병사차경상비새적인동응정기진행이비인후과체검.
Objective To identify the risk factors for otitis media with effusion(OME)in some kindergarten children in Wuhan City of China and analyze the results with reference to the review of the literature.Methotis The study subjects were 3 to 6 years old children drawn from a school screening program for OME in Wuhan.All subjects were assessed with routine otorhinolaryngologic examination,otoscopic examination and tympanometry.During the test,parents were interviewed to provide information with regard to the children's birth history,neonatal history,feeding history,family smoke history,otological history,rhinorrhea,sneeze,nasal obstruction,snoring,tonsillitis episodes history,et al.These data formed the basis in the estimation of potential risk factors for OME.Results In the univariate analysis of 144 cases and 288 controls,significantly elevated odds ratios(OR)for OME were detected on the symptoms of Hasal obstruction(OR=2.60,P=0.002),rhinorrhoea(OR=1.442,P=0.003),high hard palate(OR=4.411,P＜0.0001),and previous history of acute otitis media(OR=1.77,P=0.025).However,four factors were found to be significant in the multivariate logistic regression model,including feeding history (OR=0.746.P=0.047),Hasal obstruction(OR=2.56,P=0.003)and previous acute otitis media episodes(0R=1.735,P=0.032).Conclusions Previous acute otitis media episodes and nasal obstruction were risk factors,which wa,6 accordant with literature.In addition,breastfeeding was a protective factor for OME,but acute tonsihis was not a factor for OME.A child who had previous acute otitis media episode and ofen had nasal obstruction is suggested to have otorhinolaryngologic regulately examintion.