Maw A R, Parker A J, Lance G N, Dilkes M G
Department of Otolaryngology, Bristol Royal Infirmary, UK.
Clin Otolaryngol Allied Sci. 1992 Oct;17(5):411-4. doi: 10.1111/j.1365-2273.1992.tb01684.x.
A sample of 201 children aged between 2 and 9 years with bilateral chronic otitis media with effusion (OME) were treated prospectively and at random by adenoidectomy, adenotonsillectomy, or with neither procedure. In all cases only a unilateral grommet was inserted and the contralateral unoperated ear was examined one year post-operatively for persistence or resolution of the effusion. A self-administered questionnaire was completed by the parents concerning their smoking habits. The resolution of effusion following surgery was assessed in relation to smoking by by the mother and father separately and in combination. Clearance of glue was statistically less frequent where the child's mother or where both parents smoked. This was related to the number of cigarettes smoked by the mother or both parents. The adverse effect was demonstrable whether or not adenoidectomy or adenotonsillectomy had been performed for treatment. The findings lend further support or professional and governmental opinions of a deleterious effect of passive smoke exposure on children and in this case parental smoking has been shown to have an adverse effect on the outcome of OME following surgical treatment.
对201名年龄在2至9岁之间、患有双侧慢性中耳积液（OME）的儿童样本进行了前瞻性随机治疗，治疗方式为腺样体切除术、腺样体扁桃体切除术或不进行任何手术。所有病例均仅插入单侧通气管，术后一年对未手术的对侧耳朵进行检查，以确定积液是否持续存在或已消退。父母完成了一份关于他们吸烟习惯的自我填写问卷。分别并综合评估了母亲和父亲吸烟情况下手术后积液的消退情况。在孩子的母亲吸烟或父母双方都吸烟的情况下，中耳积液的清除在统计学上不太常见。这与母亲或父母双方吸烟的数量有关。无论是否进行腺样体切除术或腺样体扁桃体切除术进行治疗，这种不良影响都是明显的。这些发现进一步支持了专业人士和政府关于被动吸烟对儿童有害影响的观点，在这种情况下，已表明父母吸烟对手术治疗后的中耳积液结果有不利影响。
