Chow Yan, Wabnitz David A M, Ling John
Department of Paediatric Otolaryngology-Head and Neck Surgery, Women's and Children's Hospital, North Adelaide, SA, Australia.
Int J Pediatr Otorhinolaryngol. 2007 Oct;71(10):1543-7. doi: 10.1016/j.ijporl.2007.06.001. Epub 2007 Jul 23.
To assess the change in quality of life in a group of Australian children with recurrent acute otitis media (AOM) and/or otitis media with effusion (OME) who were treated with ventilating tube (VT) insertion.
Prospective pre- and post-intervention outcome study at the Women's and Children's Hospital, North Adelaide, South Australia. The Otitis Media 6-item (OM-6) survey was used as a measure of disease-specific quality of life prior to surgery and then again at 6 weeks post-operatively. Any patients who were listed for any additional ear, nose or throat (ENT) procedures at the same time were excluded.
Complete responses for both pre- and post-surgery questionnaires were obtained from the parents of 53 patients. The age range was 11 months to 15.4 years (average 5.1 years), and 39.6% (n=21) were suffering from recurrent AOM whilst the remaining 60.4% (n=32) were suffering from OME. Overall ear-related quality of life was found to improve significantly following insertion of ventilating tubes (p<0.001), as was the mean OM-6 score (p<0.001). Furthermore, statistically significant improvements were noted in each individual domain making up the OM-6 survey (physical suffering, hearing loss, speech impairment, emotional distress, activity limitations and caregiver concerns).
The disease-specific quality of life of a group of Australian pediatric patients with otitis media was found to significantly improve following insertion of ventilating tubes as measured by the OM-6 survey. Improvements were found in global ear-related quality of life, in the mean OM-6 score, as well as in all individual domains of the OM-6 survey.
评估一组接受鼓膜置管术治疗的复发性急性中耳炎（AOM）和/或中耳积液（OME）澳大利亚儿童的生活质量变化。
在南澳大利亚州北阿德莱德妇女儿童医院进行前瞻性干预前后结果研究。采用中耳炎6项（OM - 6）调查问卷作为手术前疾病特异性生活质量的衡量指标，术后6周再次使用。同时排除任何计划进行其他耳鼻喉（ENT）手术的患者。
从53名患者的父母那里获得了手术前后问卷的完整回复。年龄范围为11个月至15.4岁（平均5.1岁），39.6%（n = 21）患有复发性AOM，其余60.4%（n = 32）患有OME。发现鼓膜置管术后总体耳部相关生活质量显著改善（p < 0.001），平均OM - 6评分也显著改善（p < 0.001）。此外，构成OM - 6调查的每个单独领域（身体痛苦、听力损失、言语障碍、情绪困扰、活动限制和照顾者担忧）均有统计学上的显著改善。
通过OM - 6调查测量发现，一组患有中耳炎的澳大利亚儿科患者在鼓膜置管术后疾病特异性生活质量显著改善。在总体耳部相关生活质量、平均OM - 6评分以及OM - 6调查的所有单独领域均发现有改善。
