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三级医疗中心城市儿童群体中耳积液性中耳炎的临床研究

Otitis Media with Effusion (OME) in Urban Pediatric Population in a Tertiary Care Centre: A Clinical Study.

作者信息

Bandyopadhyay T, Raman E V

机构信息

Barjora Superspeciality Hospital (West Bengal Health Service), 376, Lalbazar, Depogora, Bankura, West Bengal 722101 India.

2Manipal Hospital, Old Airport Road, Bangalore, 560017 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2018 Jun;70(2):267-272. doi: 10.1007/s12070-017-1178-2. Epub 2017 Aug 19.

Abstract

Otitis media with effusion (OME) is a common condition affecting children. It is one of the most common causes for reduced hearing in pediatric age group leading to various learning disabilities including delayed speech development. The aim of this study was to find out various epidemiological characteristics and risk factors for developing OME and various treatment modalities depending on the clinical features and their outcomes in urban pediatric population. A prospective comparative study was done in 100 children taken 50 as cases and 50 as controls for a period of 2 years. The risk factors, common presenting features and the examination and investigational findings (tympanometry) of the study condition were compared among the cases and controls. Among the 50 cases, 28 children were treated medically and 22 underwent surgical treatment in the form of Myringotomy and Grommet insertion. The patients were followed up-to 6 months in both groups.

摘要

中耳积液(OME)是一种影响儿童的常见病症。它是导致小儿年龄段听力下降的最常见原因之一,会引发包括语言发育迟缓在内的各种学习障碍。本研究的目的是找出城市小儿群体中发生OME的各种流行病学特征和危险因素,以及根据临床特征及其结果的各种治疗方式。对100名儿童进行了一项前瞻性对照研究,其中50例为病例组,50例为对照组,为期2年。对病例组和对照组的危险因素、常见临床表现以及该病症的检查和检查结果(鼓室导抗图)进行了比较。在50例病例中,28名儿童接受了药物治疗,22名接受了鼓膜切开术和鼓膜置管术形式的手术治疗。两组患者均随访6个月。

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