儿童分泌性中耳炎手术治疗后生活质量的评估

发布时间：2018-07-15 14:26

【摘要】：目的分析评估儿童分泌性中耳炎患儿鼓膜置管合并腺样体切除的术后疗效及生活质量,为临床治疗提供依据。方法 60例(102耳)儿童分泌性中耳炎患儿分为两组,研究组采用鼓膜置管联合腺样体切除术进行治疗,对照组单纯采用鼓膜置管术进行治疗,评价两组的疗效,并在术前及术后1年左右由患儿家属填写中文版慢性耳病调查量表及OM-6调查问卷,评价患儿的生活质量。结果研究组有效率94.12%,对照组有效率73.08%,差异具有统计学意义(P0.05);两组术前中文版慢性耳病调查量表、OM-6调查问卷评分差异无统计学意义,术后差异显著,有统计学意义;中文版慢性耳病调查量表结果示治疗后各维度的评分均增高,P0.01;OM-6调查问卷结果示除了言语障碍外,治疗后其他各维度的评分均下降,P0.01;结论鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎,能够有效地改善患儿的听力,疗效显著,并提高患儿的生活质量。
[Abstract]:Objective to evaluate the curative effect and quality of life (QOL) of children with secretory otitis media after tympanic membrane catheterization and adenoidectomy. Methods Sixty children (102 ears) with secretory otitis media were divided into two groups. The study group was treated with tympanic membrane catheterization combined with adenoidectomy, while the control group was treated only with tympanic membrane tube. The Chinese version of chronic ear disease questionnaire and OM-6 questionnaire were filled out by the family of the children before and one year after operation to evaluate the quality of life of the children. Results the effective rate of the study group was 94.12 and that of the control group was 73.08, the difference was statistically significant (P0.05), there was no significant difference in the scores of OM-6 questionnaire between the two groups before operation, but there was significant difference between the two groups after operation. The Chinese version of the chronic ear disease scale showed that the scores of each dimension were increased after treatment. The results of OM-6 questionnaire showed that in addition to speech disorders, Conclusion tympanic membrane insertion combined with adenoidectomy in the treatment of secretory otitis media in children can effectively improve the hearing of children and improve their quality of life.
【作者单位】：潍坊医学院;潍坊市人民医院耳鼻喉科;潍坊市人民医院静脉药物配置科;
【分类号】：R764.9

【相似文献】