Pukander J, Luotonen J, Timonen M, Karma P
Acta Otolaryngol. 1985 Sep-Oct;100(3-4):260-5. doi: 10.3109/00016488509104788.
The factors affecting the occurrence and recurrence of acute otitis media (AOM) were studied among 471 2-3-year-old children in two cities in Finland. Of these children, 188 had experienced greater than or equal to 3 attacks of AOM, 76 had had 1-2 attacks and 207 no otitis attacks (= control group). The study showed that the risk of recurrent AOM was increased among those children attending day-care nurseries as well as among those who had several siblings. Proneness to rhinorrhea and exposure to passive smoking at home was associated with an increased risk of AOM, while prolonged breast-feeding (greater than 6 months) seemed to reduce it. No correlation was found between the risk of recurrent AOM and the place of residence or type of housing, the parental otitis history, or atopic diathesis of a child. Thus the study suggested that to protect a young child from AOM we should promote breast-feeding and home-care for babies as well as avoid smoking in the home.
在芬兰两个城市的471名2至3岁儿童中，研究了影响急性中耳炎（AOM）发生和复发的因素。在这些儿童中，188名经历过≥3次AOM发作，76名有1 - 2次发作，207名无中耳炎发作（=对照组）。研究表明，在日托托儿所的儿童以及有多个兄弟姐妹的儿童中，复发性AOM的风险增加。易患鼻漏和在家中接触被动吸烟与AOM风险增加相关，而延长母乳喂养（超过6个月）似乎可降低风险。复发性AOM的风险与居住地点、住房类型、父母的中耳炎病史或儿童的特应性素质之间未发现相关性。因此，该研究表明，为保护幼儿免受AOM侵害，我们应提倡母乳喂养和在家照顾婴儿，并避免在家中吸烟。
