中国西安儿童中耳积液性中耳炎的患病率：中国大陆一项随机调查
Prevalence of otitis media with effusion among children in Xi'an, China: a randomized survey in China's mainland.
作者信息
Zhang Qing, Wei Junrong, Xu Min, Zhang Quanan, Zhang Xiaotong, Zhang Zhibao, Dang Shaonong, Huang Xinsheng, Anniko Matti, Hellström Sten, Duan Maoli
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery and Ear Institute, The Second Affiliated Hospital, Xi'an Jiaotong University School of Medicine, Xi'an, People's Republic of China.
出版信息
Ann Otol Rhinol Laryngol. 2011 Sep;120(9):617-21. doi: 10.1177/000348941112000911.
OBJECTIVES
We sought to identify the prevalence of otitis media with effusion (OME) in urban Chinese children in Xi'an, China.
METHODS
Five kindergartens and 3 primary schools were randomly selected in the urban area of Xi'an. Screening otoscopic and tympanometric examinations were performed on 2,902 children (1,491 boys and 1,411 girls) 2 to 8 years of age. Children with an abnormal tympanogram and simultaneous otomicroscopic signs of effusion were given a diagnosis of OME.
RESULTS
The overall prevalence of OME was 4.3%. By age group, the prevalence was 14.0% in 2-year-olds, 8.3% in 3-year-olds, 5.0% in 4-year-olds, 4.9% in 5-year-olds, 2.8% in 6-year-olds, 1.7% in 7-year-olds, and 3.2% in 8-year-olds. The prevalence rate for OME was 4.7% for boys versus 3.9% for girls, and 3.0% in the right ear versus 2.7% in the left, showing no statistically significant difference between genders or between ear sides (p > 0.05).
CONCLUSIONS
The prevalence of OME in urban areas of Xi'an is not high in comparison with that of the same age group in surrounding areas.
目的
我们旨在确定中国西安城市儿童中耳积液（OME）的患病率。
方法
在西安市市区随机选取5所幼儿园和3所小学。对2902名2至8岁儿童（1491名男孩和1411名女孩）进行耳镜检查和鼓室图检查筛查。鼓室图异常且同时有耳镜下积液征象的儿童被诊断为OME。
结果
OME的总体患病率为4.3%。按年龄组划分，2岁儿童的患病率为14.0%，3岁儿童为8.3%，4岁儿童为5.0%，5岁儿童为4.9%，6岁儿童为2.8%，7岁儿童为1.7%，8岁儿童为3.2%。OME的患病率男孩为4.7%，女孩为3.9%，右耳为3.0%，左耳为2.7%；性别和耳别之间差异均无统计学意义（p>0.05）。
结论
与周边地区同年龄组相比，西安市市区OME的患病率不高。
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