儿童腺样体局部菌群与分泌性中耳炎的关系

发布时间：2018-11-19 22:07

【摘要】：目的:探究腺样体肥大患儿当中局部菌群情况与慢性分泌性中耳炎(cMOE)发病的关系。方法:对计划行腺样体切除术的患儿,切除前于鼻内镜下腺样体表面、深部取分泌物行细菌培养,对培养结果进行分类统计、分析。结果:在腺样体表面和深部取样中,发现条件致病菌(肺炎链球菌、流感嗜血杆菌和卡他莫拉菌)的出现率为5%~15%,在无慢性分泌性中耳炎(Ⅰ组)和cMOE(Ⅱ组)之间差异无显著性;在腺样体表面和深部化脓性链球菌阳性率(P=0.036)、腺样体深部普雷沃菌阳性率(P=0.046)差异有统计学意义。结论:在儿童腺样体肥大合并慢性分泌性中耳炎患者当中,根据研究结果我们传统认为的部分致病菌(肺炎链球菌、流感嗜血杆菌和卡他莫拉菌)在cMOE致病因素中没有想象的那么重要,反而部分细菌表现出来的抑制机制在cMOE发病有一定作用。因此,我们有理由认为细菌间的相互干扰、抑制可能是cMOE发病的一个重要因素。
[Abstract]:Objective: to investigate the relationship between local flora and (cMOE) in children with adenoid hypertrophy. Methods: the children who planned adenoidectomy were cultured on the surface of adenoid under nasal endoscope and the secretions were taken from the deep part of the nasal endoscope. The results of culture were classified and analyzed. Results: the incidence of opportunistic pathogens (Streptococcus pneumoniae, Haemophilus influenzae, and Morrah) was found in the surface and deep samples of adenoids. There was no significant difference between chronic secretory otitis media (group 鈪，

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