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游泳与鼓膜置管:一项前瞻性研究。

Swimming and tympanostomy tubes: a prospective study.

作者信息

Becker G D, Eckberg T J, Goldware R R

出版信息

Laryngoscope. 1987 Jun;97(6):740-1. doi: 10.1288/00005537-198706000-00019.

DOI:10.1288/00005537-198706000-00019
PMID:3586818
Abstract

To prevent ear infection, many physicians advise their patients to avoid water after insertion of tympanostomy tubes. This advice is a logical extension of the supposition that contaminated water entering the middle ear through the tube may cause an infection. While tympanostomy tubes have been in widespread use for over 30 years, very few prospective clinical trials have evaluated their use while swimming. This study evaluated 85 patients with tympanostomy tubes divided into three groups: swimming without earplugs, swimming with earplugs, and no swimming. The infection rates were 16%, 30%, and 30% in the three groups, respectively. We conclude that swimming without earplugs does not result in an increased incidence of middle ear infections.

摘要

为预防耳部感染,许多医生建议患者在插入鼓膜造孔管后避免接触水。该建议是基于这样一种假设的合理延伸,即受污染的水通过管子进入中耳可能会引发感染。虽然鼓膜造孔管已广泛使用30多年,但很少有前瞻性临床试验评估过游泳时使用它们的情况。本研究评估了85例插有鼓膜造孔管的患者,将其分为三组:不戴耳塞游泳组、戴耳塞游泳组和不游泳组。三组的感染率分别为16%、30%和30%。我们得出结论,不戴耳塞游泳不会导致中耳感染发生率增加。

相似文献

1
Swimming and tympanostomy tubes: a prospective study.游泳与鼓膜置管:一项前瞻性研究。
Laryngoscope. 1987 Jun;97(6):740-1. doi: 10.1288/00005537-198706000-00019.
2
[Water precautions after insertion of a tympanostomy tube: necessary or obsolete?].[鼓膜置管术后的水预防措施:必要还是过时?]
Schweiz Med Wochenschr. 1999 Oct 9;129(40):1450-5.
3
Clinical practice guideline: Tympanostomy tubes in children.临床实践指南:儿童鼓膜置管术。
Otolaryngol Head Neck Surg. 2013 Jul;149(1 Suppl):S1-35. doi: 10.1177/0194599813487302.
4
The effect of water exposure after tympanostomy tube insertion.鼓膜置管术后暴露于水中的影响。
Am J Otolaryngol. 1994 May-Jun;15(3):193-6. doi: 10.1016/0196-0709(94)90004-3.
5
Water precautions in children with tympanostomy tubes.鼓膜置管儿童的水预防措施
Arch Otolaryngol Head Neck Surg. 1996 Mar;122(3):276-80. doi: 10.1001/archotol.1996.01890150054010.
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Ventilation tubes after surgery for otitis media with effusion or acute otitis media and swimming. Systematic review and meta-analysis.分泌性中耳炎或急性中耳炎手术后的通气管与游泳。系统评价和荟萃分析。
Int J Pediatr Otorhinolaryngol. 2002 Dec 2;66(3):281-9. doi: 10.1016/s0165-5876(02)00253-7.
7
One-year follow-up after tympanostomy tube insertion for recurrent acute otitis media.复发性急性中耳炎鼓膜置管术后一年随访。
ORL J Otorhinolaryngol Relat Spec. 1993 Jul-Aug;55(4):226-9. doi: 10.1159/000276428.
8
Swimming with tympanostomy tubes.带着鼓膜造孔管游泳。
Arch Otolaryngol Head Neck Surg. 2000 Dec;126(12):1507-8;discussion 1509.
9
Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial.对于4岁以下儿童,在插入鼓膜造孔管的同时进行腺样体切除术并不能显著降低中耳炎的发病率:一项随机试验。
Pediatrics. 2005 Jul;116(1):185-9. doi: 10.1542/peds.2004-2253.
10
Efficacy of antimicrobial prophylaxis and of tympanostomy tube insertion for prevention of recurrent acute otitis media: results of a randomized clinical trial.抗菌药物预防和鼓膜置管术预防复发性急性中耳炎的疗效:一项随机临床试验的结果。
Pediatr Infect Dis J. 1992 Apr;11(4):278-86. doi: 10.1097/00006454-199204000-00004.

引用本文的文献

1
Water precautions for prevention of infection in children with ventilation tubes (grommets).预防带通气管(鼓膜通气管)儿童感染的水预防措施。
Cochrane Database Syst Rev. 2016 Jan 27;2016(1):CD010375. doi: 10.1002/14651858.CD010375.pub2.
2
Grommets in otitis media with effusion: the most frequent operation in children. But is it associated with significant complications?中耳积液时放置通气管:儿童中最常见的手术。但它会引发严重并发症吗?
Eur J Pediatr. 2007 May;166(5):385-91. doi: 10.1007/s00431-006-0367-x. Epub 2007 Jan 17.
3
Swimming and grommets.
游泳与鼓膜通气管
BMJ. 1992 Jan 25;304(6821):198. doi: 10.1136/bmj.304.6821.198.
4
Optimum management of the discharging ear.耳部流脓的最佳处理方法。
Drugs. 1992 Feb;43(2):219-35. doi: 10.2165/00003495-199243020-00008.