鼓膜置管术后分泌性中耳炎患儿生活质量的改善：一项前瞻性队列研究。
Quality of life improvement in children with otitis media with effusion post ventilation tube insertion: A prospective cohort study.
作者信息
Alkhaldi Abdullah S, AlSahli Lama M, Al-Ibraheem Sultan A, Alhashem Muataz H, Al-Saab Fahad A
机构信息
From the Otorhinolaryngology Head & Neck Surgery Department (Alkhaldi, Alhashem, Al-Saab), King Abdulaziz Medical City-National Guard; from the Department of Research (Alkhaldi, Alhashem, Al-Saab) King Abdullah International Medical Research Center; from the College of Medicine (AlSahli,), King Saud bin Abdulaziz University for Health Sciences; and from the College of Medicine (Al-Ibraheem), Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
出版信息
Saudi Med J. 2025 Feb;46(2):171-174. doi: 10.15537/smj.2025.46.2.20240893.
OBJECTIVES
To study is to establish the OM-6 scores in Saudi children with OME and subjectively assess the change in QoL following VT insertion. The Otitis Media 6 (OM-6) questionnaire is a widely used measure of the quality of life (QoL) in children with otitis media with effusion (OME). Myringotomy with ventilation tube (VT) insertion is indicated when OME persists with clinically documented hearing impairment.
METHODS
The present study is a prospective cohort study investigating the QoL of children with OME using a validated OM-6 questionnaire. The caregivers of 100 children were subjected to the questionnaire preoperatively from January 2023 to December 2023. All included patients underwent bilateral myringotomy and VT insertion with adenoidectomy under general anaesthesia. Caregivers were asked to complete the OM-6 questionnaire three months postoperatively to assess the change in QoL.
RESULTS
A total of 100 children were enrolled in this study. The average OM-6 score was 16 before surgery and reduced to 7 after surgery. There is a statistically significant reduction in the score after the surgery (<0.001). While considering the OM-6 score separately, the Wilcoxon signed rank test shows that, there is statistically significant reduction in the average score of all the variables except caregiver concern, which remained the same pre and post-surgery (<0.001).
CONCLUSION
The QoL of children with OME measured by OM-6 questionnaire significantly improved following VT insertion.
目的
本研究旨在建立沙特患有中耳炎积液（OME）儿童的OM-6评分，并主观评估鼓膜置管术后生活质量（QoL）的变化。中耳炎6项（OM-6）问卷是一种广泛用于评估患有中耳积液（OME）儿童生活质量（QoL）的工具。当中耳炎积液伴有临床记录的听力障碍持续存在时，需进行鼓膜切开置管术（VT）。
方法
本研究为前瞻性队列研究，使用经过验证的OM-6问卷调查中耳积液儿童的生活质量。2023年1月至2023年12月期间，100名儿童的 caregivers 在术前接受了问卷调查。所有纳入的患者均在全身麻醉下接受了双侧鼓膜切开置管术及腺样体切除术。要求caregivers在术后三个月完成OM-6问卷，以评估生活质量的变化。
结果
本研究共纳入100名儿童。术前平均OM-6评分为16分，术后降至7分。术后评分有统计学显著降低（<0.001）。单独考虑OM-6评分时，Wilcoxon符号秩检验显示，除caregiver concern外，所有变量的平均评分均有统计学显著降低，caregiver concern在术前和术后保持不变（<0.001）。
结论
通过OM-6问卷测量，中耳积液儿童在鼓膜置管术后生活质量显著改善。
Zotero 插件