FACTORS AFFECTING RESOLUTION OF OTITIS-MEDIA WITH EFFUSION IN CHILDREN
FACTORS AFFECTING RESOLUTION OF OTITIS-MEDIA WITH EFFUSION IN CHILDREN
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DOI：
10.1111/j.1365-2273.1994.tb01195.x
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发表时间：
1994-04-01
影响因子：
2.1
通讯作者：
BAWDEN, R
中科院分区：
文献类型：
--
作者：
MAW, AR;BAWDEN, R
目前对影响儿童分泌性中耳炎长期预后的因素了解有限。这项随机对照研究评估了腺样体切除术和腺样体扁桃体切除术在5年随访期间的治疗效果。许多治疗前的独立变量有关的儿童的上呼吸道和下呼吸道，过敏状态和父母的习惯进行了评估，两个依赖的结果措施。这些都是耳镜下积液清除和无峰/峰鼓室压变化。共222名儿童进行了研究，并每年审查了5年。43个独立变量中有4个被发现与结果有重复显著性关系：（a）是否进行腺样体切除术;（B）手术时的年龄;（c）手术前耳痛史;（d）父母吸烟习惯。研究结果进一步证明了腺样体切除术的有益效果以及建议手术年龄的重要性。他们还建议需要进一步研究额外的急性化脓性中耳炎与耳痛和慢性渗出性中耳炎的结果之间的关系。最后，避免父母吸烟将对儿童的中耳疾病产生有益的影响。
There is only limited knowledge of the factors which influence the outcome of otitis media with effusion in children in the long-term. This randomized controlled study assessed the therapeutic effect of adenoidectomy and adenotonsillectomy during a 5-year follow-up. Numerous pre-treatment independent variables concerning the child's upper and lower respiratory tract, atopic status and parental habits were assessed in relation to two dependent outcome measures. These were otoscopic clearance of effusion and no peak/peak tympanometric change.A total of 222 children was studied and reviewed annually for 5 years. Four of 43 independent variables were found to be repeatedly significant in relation to outcome: (a) whether or not adenoidectomy was performed; (b) age at operation; (c) history of earache prior to operation; and (d) parental smoking habits. The results provide further evidence of a beneficial effect of adenoid removal and the importance of the age at which surgery is advised. They also suggest the need to investigate further the relationship of superadded acute suppurative otitis media with otalgia and the outcome of chronic otitis media with effusion. Finally, avoidance of parental smoking will have a beneficial effect on children's middle ear disease.