Hayden G F, Schwartz R H
Am J Dis Child. 1985 Jul;139(7):721-3. doi: 10.1001/archpedi.1985.02140090083037.
The frequency and correlates of earache were studied prospectively among 335 consecutive episodes of acute otitis media with effusion (AOME) diagnosed in a suburban pediatric practice. Earache was severe in 142 (42%) episodes, mild/moderate in 135 (40%), and absent in 58 (17%). The incidence of apparently painless AOME was higher among children less than 2 years old than among older children (25% v 7%). Redness of the completely bulging tympanic membrane was associated with an increased likelihood of earache. Neither gender nor the extent of involvement (one v both ears) was independently related to earache. Earache is not an invariable component of AOME, especially among infants and young children. Detection of all cases of AOME among young children requires a high index of suspicion, even in the apparent absence of earache.
在一家郊区儿科诊所对连续诊断的335例急性中耳炎伴积液（AOME）病例进行了前瞻性研究，以探讨耳痛的发生率及其相关因素。142例（42%）耳痛严重，135例（40%）耳痛轻度/中度，58例（17%）无耳痛。2岁以下儿童中明显无痛性AOME的发生率高于大龄儿童（25%对7%）。完全膨出的鼓膜发红与耳痛可能性增加相关。性别和受累范围（单耳对双耳）均与耳痛无独立相关性。耳痛并非AOME的必然组成部分，尤其是在婴幼儿中。即使明显没有耳痛，对幼儿中所有AOME病例的检测也需要高度怀疑。
