【摘要】 目的探讨儿童分泌性中耳炎(Secretory otitis media,SOM)与上气道疾病的关系。方法选择2013年2月至2015年3月期间,在青岛市立医院确诊的339例SOM患儿为病例组,选择同期就诊的206例正常儿童为对照组。对两组患儿每年慢性鼻炎、过敏性鼻炎、慢性鼻窦炎的发作次数、以及声导抗、电耳镜、儿童鼻内镜、鼻咽侧位片的检查结果进行分析。探讨儿童SOM与上气道疾病的相关性。结果病例组每年慢性鼻炎、过敏性鼻炎、慢性鼻窦炎发作次数、扁桃体肥大、腺样体肥大的比例分别为(6.25±3.14)次、(5.04±3.43)次、(1.04±2.08)次、50.7%、81.1%,均明显高于对照组(2.39±1.22)次、(0.41±1.17)次、(0.30±0.77)次、7.8%、12.6%,差异有统计学意义(P<0.05)单因素的回归分析结果显示,腺样体肥大Ⅲ°和Ⅳ°肥大、扁桃体肥大Ⅳ°大、过敏性鼻炎为儿童SOM的主要危险因素。结论腺样体肥大Ⅲ°和Ⅳ°肥大、扁桃体肥大Ⅳ°大、过敏性鼻炎为儿童SOM的主要危险因素。更多还原

【Abstract】 Objective To study the relationship between secretory otitis media(SOM) and upper airway diseases in children. Methods Subjects included 339 children diagnosed with SOM at Qingdao Municipal Hospital from February 2013 to March 2015 and 206 normal children identified during the same period.The onset frequency of chronic rhinitis, allergic rhinitis and chronic sinusitis per year, as well as the results of acoustic immittance, otoscopy, nasal endoscopy and nasopharyngeal lateral projection X ray, were compared between children with SOM and normal children using the SPSS 18.0 software. Results Compared to normal children, children with SOM showed increased annual frequency of chronic rhinitis(6.25±3.14 vs 2.39±1.22),allergic rhinitis(5.04±3.43 vs 0.41±1.17) and chronic sinusitis(1.04±2.08 vs 0.30±0.77), as well as increased rate of tonsil hypertrophy(50.7% vs 7.8%) and adenoid hypertrophy(81.1% vs 12.6%)(P< 0.05). Multiple regression analysis indicated that adenoid hypertrophy(I°and IV°), tonsil hypertrophy(IV°) and allergic rhinitis were major risk factors for SOM in children(P<0.05). Conclusion Adenoid hypertrophy(I°和 IV°),tonsil hypertrophy(IV°) and allergic rhinitis are major risk factors for SOM in children.更多还原