实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
3期
72-74
,共3页
慢性化脓性中耳炎%乳突根治术%不干耳,危险因素
慢性化膿性中耳炎%乳突根治術%不榦耳,危險因素
만성화농성중이염%유돌근치술%불간이,위험인소
Chronic suppurative otitis media%Radical mastoidectomy%Non-dry-ears%Risk factors
目的：探讨慢性化脓性中耳炎患者行乳突根治术后不干耳的危险因素。方法回顾性分析我院行乳突根治术的120例慢性中耳炎患者临床资料，应用Logistic回归模型分析年龄、性别、病程、吸烟史、药物过敏史、鼻咽部炎症状况、中耳炎类型以及致病菌等因素对术后不干耳的影响。结果干耳组与不干耳组患者年龄、性别、病程、药物过敏史、鼻咽部炎症状况等差异无统计学意义（ P＞0．05）；不干耳组中吸烟者比例以及骨疡型中耳炎患者比例高于干耳组，胆脂瘤中耳炎比例低于干耳组，差异均有统计学意义（ P＜0．05）；两组患者的常见致病菌构成差异亦有统计学意义（ P＜0．05）。 Logistic回归分析显示，吸烟史、中耳炎类型、致病菌与慢性化脓性中耳炎患者术后不干耳显著相关（ OR值分别为8．201、10．801和7．273）。结论术前中耳炎类型、吸烟史以及真菌感染是慢性化脓性中耳炎患者行乳突根治术后不干耳的危险因素，针对这些因素，术前应积极做好充分准备。
目的：探討慢性化膿性中耳炎患者行乳突根治術後不榦耳的危險因素。方法迴顧性分析我院行乳突根治術的120例慢性中耳炎患者臨床資料，應用Logistic迴歸模型分析年齡、性彆、病程、吸煙史、藥物過敏史、鼻嚥部炎癥狀況、中耳炎類型以及緻病菌等因素對術後不榦耳的影響。結果榦耳組與不榦耳組患者年齡、性彆、病程、藥物過敏史、鼻嚥部炎癥狀況等差異無統計學意義（ P＞0．05）；不榦耳組中吸煙者比例以及骨瘍型中耳炎患者比例高于榦耳組，膽脂瘤中耳炎比例低于榦耳組，差異均有統計學意義（ P＜0．05）；兩組患者的常見緻病菌構成差異亦有統計學意義（ P＜0．05）。 Logistic迴歸分析顯示，吸煙史、中耳炎類型、緻病菌與慢性化膿性中耳炎患者術後不榦耳顯著相關（ OR值分彆為8．201、10．801和7．273）。結論術前中耳炎類型、吸煙史以及真菌感染是慢性化膿性中耳炎患者行乳突根治術後不榦耳的危險因素，針對這些因素，術前應積極做好充分準備。
목적：탐토만성화농성중이염환자행유돌근치술후불간이적위험인소。방법회고성분석아원행유돌근치술적120례만성중이염환자림상자료，응용Logistic회귀모형분석년령、성별、병정、흡연사、약물과민사、비인부염증상황、중이염류형이급치병균등인소대술후불간이적영향。결과간이조여불간이조환자년령、성별、병정、약물과민사、비인부염증상황등차이무통계학의의（ P＞0．05）；불간이조중흡연자비례이급골양형중이염환자비례고우간이조，담지류중이염비례저우간이조，차이균유통계학의의（ P＜0．05）；량조환자적상견치병균구성차이역유통계학의의（ P＜0．05）。 Logistic회귀분석현시，흡연사、중이염류형、치병균여만성화농성중이염환자술후불간이현저상관（ OR치분별위8．201、10．801화7．273）。결론술전중이염류형、흡연사이급진균감염시만성화농성중이염환자행유돌근치술후불간이적위험인소，침대저사인소，술전응적겁주호충분준비。
Objective To investigate the risk factors of non dry ear after radical mastoidectomy for chronic suppurative otitis media.Methods Clinical data of 120 patients with chronic otitis media (COM),who were treated with radical mastoidectomy in our hospital,were retrospectively analyzed.The effects of age,gender,disease duration,smoking history,drug allergies history,nasopharynx inflammatory conditions ,otitis media types and pathogens in postoperative non dry ear were analyzed by using the Logistic regression a -nalysis.Results There was no significant difference in age ,gender,disease duration,drug allergies and nasopharynx inflammatory be-tween the dry ear and non dry ear groups .The proportions of smokers and COM with osteitis in the non dry ear groups were significantly higher than that in the dry ear group while the proportion of cholesteatoma in the non dry ear group was lower than that in the dry ear group(P <0.05).The difference in the common bacterial infection and fungal infection between the two groups was also statistically significant ( P <0.05 ) .The Logistic regression analysis showed that smoking history ,otitis media type and pathogens in patients were as-sociated with non dry ear after operation for chronic otitis media ( OR values were 8.201 ,10.801 and 7.273 ,respectively ) .Conclusion The smoking history ,otitis media type and pathogens are risk factors for non-dry-ear after radical mastoidectomy for chronic suppura-tive otitis media.It should pay more attention to these factors .
