也门慢性化脓性中耳炎患儿听力障碍的特征：一项病例对照研究。
Characteristics of hearing impairment in Yemeni children with chronic suppurative otitis media: a case-control study.
作者信息
Elemraid Mohamed A, Brabin Bernard J, Fraser William D, Harper Gregory, Faragher Brian, Atef Zayed, Al-Aghbari Nasher, Mackenzie Ian J
机构信息
WHO Collaborating Centre on Hearing Impairment, Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Liverpool, UK.
出版信息
Int J Pediatr Otorhinolaryngol. 2010 Mar;74(3):283-6. doi: 10.1016/j.ijporl.2009.12.004. Epub 2009 Dec 29.
BACKGROUND
Chronic suppurative otitis media (CSOM) is a serious disorder particularly in low resource settings. It can lead to disabling hearing impairment and sometimes life-threatening infective complications.
OBJECTIVE
The aim of the present study was to describe the characteristics of hearing impairment associated with CSOM in Yemeni children.
METHODS
A case-control study of 75 children with CSOM and 74 healthy controls. Hearing was assessed by behavioural testing and audiometry.
RESULTS
Cases had lower academic performance than controls (OR 15.31, 95% CI 1.99-322.14, p<0.001). Disabling hearing impairment >30 dB was present in 51.5% (right ear) and 66.7% (left ear) of children with CSOM.
CONCLUSION
Disabling hearing impairment was identified as a major health problem in these Yemeni children with CSOM. There is a need for investment to reduce the burden of CSOM and its complications in these communities. Greater attention to the chronic disabling effects of CSOM in children is required in poor communities and low resource settings.
背景
慢性化脓性中耳炎（CSOM）是一种严重的疾病，在资源匮乏地区尤为如此。它可导致致残性听力障碍，有时还会引发危及生命的感染并发症。
目的
本研究旨在描述也门儿童中与CSOM相关的听力障碍特征。
方法
对75例CSOM患儿和74例健康对照进行病例对照研究。通过行为测试和听力测定评估听力。
结果
病例组的学业成绩低于对照组（比值比15.31，95%可信区间1.99 - 322.14，p<0.001）。CSOM患儿中，51.5%（右耳）和66.7%（左耳）存在>30 dB的致残性听力障碍。
结论
在这些患有CSOM的也门儿童中，致残性听力障碍被确定为一个主要的健康问题。需要进行投资以减轻这些社区中CSOM及其并发症的负担。在贫困社区和资源匮乏地区，需要更加关注CSOM对儿童的慢性致残影响。
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