Kujala T, Alho O-P, Kristo A, Uhari M, Renko M, Pokka T, Koivunen P
Department of Otolaryngology,University of Oulu,Finland.
Department of Pediatrics,University of Oulu,Finland.
J Laryngol Otol. 2017 Feb;131(2):128-137. doi: 10.1017/S0022215116009944. Epub 2017 Jan 11.
Acute otitis media causes discomfort to children and inconvenience to their parents. This study evaluated the quality of life in children with recurrent acute otitis media aged less than 24 months.
Quality of life was evaluated in 149 children aged 10 to 24 months who were referred to the Oulu University Hospital on account of recurrent acute otitis media. The children were treated with or without surgery. Age-matched controls were selected randomly from the general child population. Parents completed the Child Health Questionnaire.
The children with recurrent acute otitis media had a significantly poorer quality of life than control children. The control children with a history of a few acute otitis media episodes had a significantly poorer quality of life than those without any such history. The quality of life of the children with recurrent acute otitis media improved during the one-year follow up, regardless of the treatment, but did not reach the same level as healthy children.
Acute otitis media detracted from quality of life when a generic measure was used. The mode of treatment used to prevent further recurrences of acute otitis media did not influence quality of life improvement.
急性中耳炎给儿童带来不适，也给其父母带来不便。本研究评估了年龄小于24个月的复发性急性中耳炎患儿的生活质量。
对149名年龄在10至24个月因复发性急性中耳炎转诊至奥卢大学医院的儿童进行生活质量评估。这些儿童接受了手术或未接受手术治疗。从普通儿童群体中随机选取年龄匹配的对照组。父母填写儿童健康问卷。
复发性急性中耳炎患儿的生活质量明显低于对照组儿童。有几次急性中耳炎发作史的对照儿童的生活质量明显低于无此类病史的儿童。无论治疗如何，复发性急性中耳炎患儿的生活质量在一年随访期间有所改善，但未达到健康儿童的水平。
当使用通用测量方法时，急性中耳炎会降低生活质量。用于预防急性中耳炎进一步复发的治疗方式并未影响生活质量的改善。
