目的 评价鼓膜置管术对儿童分泌性中耳炎患儿生活质量的影响,为治疗方案的选择提供依据。方法 采用中文版慢性耳病调查量表、OM-6调查问卷及儿童行为量表,对36例(54耳)分泌性中耳炎患儿行鼓膜置管术术前、术后进行评分,分析其对患儿生活质量的影响。结果 中文版慢性耳病调查量表治疗前后各维度均值相比差异均有统计学意义(P均<0.01);OM-6调查问卷结果示除了言语障碍外,治疗前后其他各维度均值相比差异均有统计学意义(P均<0.01);儿童行为量表示男童在分裂样、抑郁、强迫性、社交退缩、多动、攻击性方面手术前后的得分均值相比差异均有统计学意义(P均<0.05),女童在抑郁、社交退缩、分裂强迫、多动、攻击性方面的得分均值相比差异均有统计学意义(P均<0.05)。结论 鼓膜置管术后儿童分泌性中耳炎患儿的生活质量明显提高。
Abstract
Objective To evaluate the influence of tympanostomy tube on quality of life for children with secretory otitis media,providing the basis for the choice of treatment. Methods The Chinese Version of The Chronic Ear Survey,OM-6 questionnaire and Child Behavior Checklist were adopted to evaluate the quality of life on 36 cases (54 ears) with secretory otitis media for children treated by myringotomy with grommet insertion before and after operation,and analyzed the influence on the quality of life for children with secretory otitis media. Results Before and after the treatment,the score comparison of ineach dimension of the Chinese Version of The Chronic Ear Survey were significant (P<0.01);OM-6 questionnaire results showed that,in addition to speech disorder before and after treatment,the score comparison inother dimensions (P<0.01);Child Behavior Checklist showed comparison before and after operation for the boy in schizophrenia,depression,obsessive compulsive,social withdrawal,hyperactivity and aggression (P<0.05);Comparison before and after operation for the girl in depression,social withdrawal,division force,hyperactivity and aggression (P<0.05). Conclusion After tympanostomy tube,the quality of life for children with secretory otitis media has improved significantly.
关键词
分泌性中耳炎 /
鼓膜置管 /
生活质量 /
儿童
Key words
secretory otitismedia /
tympanostomy tube /
the quality of life /
children
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参考文献
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