摘要
目的:分析儿童腺样体肥大群体中并发分泌性中耳炎(OME)与变应性鼻炎(AR)发病之间的相关性。方法:回顾性分析287例腺样体肥大患儿中并发OME的发病情况,有无AR病史,有无鼻类固醇激素使用病史等资料。结果:所有腺样体肥大患儿在不考虑鼻类固醇激素的作用下,伴AR组和不伴AR组中OME发生率分别为25.56%和32.47%,二者差异无统计学意义(χ2=1.643,P>0.05)。对未使用鼻类固醇激素治疗的患儿进行分组分析,伴AR组OME发病率为51.11%,明显高于对照组(32.26%)(χ2=5.019,P<0.05)。伴AR患儿中,使用鼻类固醇激素组中OME发生率为12.50%,明显低于不使用鼻类固醇激素组中OME的发生率(51.11%)(χ2=23.32,P<0.01)。结论:腺样体肥大患儿中OME的发病率较高,其中AR是影响OME发病的一个重要因素。鼻腔类固醇激素的使用可以减少OME的发病率,对中耳炎的治疗有一定效果,具体疗效评估及治疗机制尚需进一步研究。
Objective：To analysis the correlation between the otitis media with effusion and allergic rhinitis inchildren with adenoidal hypertrophy groups. Method： Retrospective analysis of cases of adenoidal hypertrophy in children associated with the incidence of otitis media with effusion, with or without allergic rhinitis history, with or without nasal steroid hormone use history information. Result： In the 287 cases of adenoidal hypertrophy in children cases, does not consider the role of nasal steroid hormones, the incidence of merger cases of allergic rhinitis and otitis media with effusion is 25.56%, compared to the incidence of control group is 32.47% ,there is no significant difference（X^2=1. 643 ,P〉0.05）. Not use a nasal steroid hormone therapy cases are grouped analysis , the combined incidence of allergic rhinitis group of otitis media with effusion 51.11%, higher than that in the control group to 32.26 % （2 = 5. 019, P〈0.05）. Merger cases of allergie rhinitis, nasal steroid hormone group OME incidence of 12. 50%, significantly below the 51. 11% of the OME incidence of nasal steroid therapy group（X^2 = 23.32, P〈0.01）. Conclusion： In children with adenoidal hypertrophy groups associated with a higher prevalence of otitis media with effusion, allergic rhinitis is an important factor in secretory otitis media. The use of nasal steroid hormones can reduce the incidence of secretory otitis media and may have some effect on the treatment of otitis media. Specific efficacy assessment and treatment mechanism needs further study.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第19期884-886,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
腺样体肥大
中耳炎
伴渗出液
声阻抗试验
鼻类固醇激素
鼻炎
变应性
hypertrophy
otitis media with effusion
acoustic impedance test
nasal steroid hormones
rhinitis,allergic
