Ventilation Tube Treatment

Ventilation Tube Treatment
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通气管处理

DOI:
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发表时间:
2011
期刊:
Otolaryngology Head & Neck Surgery
影响因子:
--
通讯作者:
K. Boström
K. Boström
中科院分区:
--
文献类型:
--
作者:
S. Hellström;A. Groth;F. Jörgensen;A. Pettersson;M. Ryding;I. Uhlén;K. Boström

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客观的。这篇综述的目的是研究通风管(VT)治疗在分泌性中耳炎(SOM)儿童中的有效性,并通过改善的听力,归一化语言和生活质量(QOL)和复发性急性中耳炎(RAOM)评估。 ,通过AOM和QOL的发作数量进行评估。数据源。 Cochrane图书馆,PubMed和Embase数据库在1966年至2007年4月之间搜索了英语,斯堪的纳维亚语,德语和法语语言的随机和非随机对照试验和队列研究。评论方法。该项目组的2个成员独立评估了493篇摘要,使用结构化评估表评估了247个全文版本的包含标准和质量,并在审查中包括了63篇文章。结果和结论。这篇综述表明,有强有力的科学证据(1年级),VT对SOM的治疗至少9个月改善了听力,并且QOL可改善9个月(2级科学证据)。没有足够的证据支持VT治疗RAOM的影响。还没有足够的证据来确定VT的设计或材料或用于插入的程序是否会影响效果。但是,有一些证据(3级)表明,插入时的分泌物的抽吸不会延长VT治疗。需要进一步的研究来解决这些问题。
Objective. The aim of this review was to study the effectiveness of ventilation tube (VT) treatment in children with secretory otitis media (SOM), assessed by improved hearing, normalized language and quality of life (QoL), and recurrent acute otitis media (rAOM), assessed by number of episodes of AOM and QoL. Data Sources. Cochrane Library, PubMed, and Embase databases were searched for randomized and nonrandomized controlled trials and cohort studies in English, Scandinavian, German, and French languages between 1966 and April 2007. Additional literature was retrieved from reference lists in the articles. Review Methods. A total of 493 abstracts were evaluated independently by 2 members of the project group, 247 full-text versions were assessed for inclusion criteria and quality using structured evaluation forms, and 63 articles were included in the review. Results and Conclusions. This review shows that there is strong scientific evidence (grade 1) that VT treatment of SOM improves hearing for at least 9 months and that QoL is improved for up to 9 months (grade 2 scientific evidence). There was insufficient evidence to support an effect of VT treatment for rAOM. There was also insufficient evidence to determine whether the design or material of the VT or the procedure used for insertion had any influence on the effect; however, there was some evidence (grade 3) that aspiration of secretion at insertion does not prolong VT treatment. Further research is needed to address these issues.
DOI: 10.1597/1545-1569_1996_033_0127_cothho_2.3.co_2
发表时间: 1996
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影响因子: --
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