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分泌性中耳炎(otitis media with effusion, OME)是临床上导致儿童早期听力下降的常见疾病之一。由于儿童的咽鼓管调节气压的能力较弱，所以儿童比成人更容易患OME。根据流行病学调查大约80%学龄前儿童至少一次罹患分泌性中耳炎，30%～40%学龄前儿童具有分泌性中耳炎反复发作病史，5%～10%学龄前儿童的分泌性中耳炎表现为慢性病史。为避免儿童的听力损失进一步加重影响生活质量以及身体发育情况，各国制定了各项儿童分泌性中耳炎的临床治疗指南。本文通过文献综述的形式，对当下主要国家的儿童分泌性中耳炎的临床指南进行总结、比较和分析，以总结其规律、分析其差异，对国内同行的临床工作提供借鉴参考。
Abstract：Otitis media with effusion(OME) is a common disease that can lead to hearing loss in early childhood.Children are more likely to develop OME than adults because the eustachian tube is significantly less capable of regulating air pressure. According to epidemiological surveys, about 80% of preschoolers suffer from OME at least once, with30%-40% of them have a history of recurrent OME and 5%～10% have a history of chronic OME. In order to avoid continued aggravation of children's hearing loss affecting their quality of life and physical development, various clinical treatment guidelines for OME in children have been formulated. With a literature review, this paper summarizes, compares and explains existing clinical guidelines for OME in children in major sources, focusing on their patterns and differences,to provide an informational guidance for our colleagues in their clinical works.
1中华医学会耳鼻咽喉头颈外科学分会耳科学组，中华耳鼻咽喉头颈外科杂志编辑委员会耳科组.中耳炎临床分类和手术分型指南(2012)[J].中华耳鼻咽喉头颈外科杂志,2013(01):5.Otolaryngology Head and Neck Surgery Branch of Chinese Medical Association,Otolaryngology Head and Neck Surgery Editorial Committee of Chinese Journal of Otolaryngology.Clinical classification and surgical classification of otitis media (2012)[J].Chin Otolaryngology Head Neck Surgery,2013(01):5.
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6刘宇鹏,杨军.儿童分泌性中耳炎治疗国际共识(IFOS)解读及国内诊疗现状[J].临床耳鼻咽喉头颈外科杂志,2018,32(21):1674-1678.Liu YP,Yang J.Interpretation of international consensus on treatment of secretory otitis media in children (IFOS) and current status of diagnosis and treatment in China[J].Journal of Clinical Otolaryngology,Head and Neck Surgery,2018,32(21):1674-1678.
7中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会小儿学组.儿童分泌性中耳炎诊断和治疗指南（2021)[J].中华耳鼻咽喉头颈外科杂志,2021,56(6):556-567.Editorial Committee of Chinese Journal of Otolaryngology head and Neck Surgery,Pediatric Group of Otolaryngology Head and Neck Surgery Branch,Chinese Medical Association.Guidance for diagnosis and treatment of secretory otitis media in children(2021)[J].Chin Otolaryngology Head Neck Surgery,201,56(6):556-567.
8 Simon F,Haggard M,Rosenfeld RM,et al.International consensus (ICON) on management of otitis media with effusion in children.Eur Ann Otorhinolaryngol Head Neck Dis.2018 Feb;135(1S):S33-S39.
9苏娟,吉晓滨,谢景华,等.耳内镜下鼓膜置管术治疗慢性分泌性中耳炎临床分析[J].中国医学创新,2017,14(14):92-95.Su J,JI XB,XIE JH,et al.Treatment of chronic secretory otitis media with endoscopic tympanostomy tube[J].Chin J Med Innovation,2017,14(14):92-95.
基本信息:
中图分类号:R764.21
引用信息:
[1]李雨青,赵辉.儿童分泌性中耳炎临床指南解析[J].中华耳科学杂志,2022,20(03):504-508.
2022-06-14
2022-06-14