COVID-19 大流行前后成人分泌性中耳炎的发病情况及特征。
Incidence and characteristics of otitis media with effusion in adults before, during, and after the COVID-19 pandemic.
机构信息
Department of Otolaryngology-Head and Neck Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 443 Huangshan Road, Hefei, 230026, People's Republic of China.
出版信息
Eur Arch Otorhinolaryngol. 2024 May;281(5):2275-2280. doi: 10.1007/s00405-023-08338-6. Epub 2023 Dec 12.
OBJECTIVES
To investigate the incidence and characteristics of adult otitis media with effusion (OME) before, during, and after the COVID-19 pandemic.
METHODS
A retrospective descriptive study was conducted. The incidence, age, sex, affected ear side, time of OME onset according to COVID-19 and days of improvement after conservative treatment were determined to assess the clinical features of adult OME in different periods of the COVID-19 pandemic.
RESULTS
The incidence of adult OME during these periods was 3.17%, 2.30%, 6.18%, and 3.68%, respectively. Unilateral ear involvement and male sex were more common. The onset of adult OME occurred 7.80 ± 3.97 days after COVID-19 diagnosis, and improvement was observed after 12.24 ± 5.08 days of conservative treatment. Patients in the post-pandemic period were older than those in the non-pandemic period.
CONCLUSION
The incidence of adult OME in China showed a tendency to decrease, recover, and decrease again following the COVID-19 outbreak. Pandemic prevention and control measures have had a certain impact on reducing the incidence, but the elderly are more prone to this disease.
目的
探讨 COVID-19 大流行前后成人分泌性中耳炎（OME）的发病情况及特点。
方法
回顾性描述性研究。确定发病率、年龄、性别、患耳侧、根据 COVID-19 发生 OME 的时间以及保守治疗后改善的天数，以评估 COVID-19 大流行不同时期成人 OME 的临床特征。
结果
这些时期成人 OME 的发病率分别为 3.17%、2.30%、6.18%和 3.68%。单侧耳受累和男性更为常见。成人 OME 的发病时间为 COVID-19 确诊后 7.80±3.97 天，保守治疗 12.24±5.08 天后病情好转。大流行后时期的患者比非大流行时期的患者年龄更大。
结论
中国成人 OME 的发病率呈先下降后恢复再下降的趋势。大流行防控措施对降低发病率有一定影响，但老年人更容易患此病。
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