儿童肥胖对分泌性中耳炎患病率及预后的影响  

The influence of pediatric obesity on the prevalence and prognosis of otitis media with effusion

作　　者：江文博[1] 夏青 孙红村[1] JIANG Wenbo;XIA Qing;SUN Hongcun(Department of Otolaryngology,the Affiliated People's Hospital of Ningbo University,Ningbo,Zhejiang,315000,China;Department of Interventional Radiology,the Affiliated People's Hospital of Ningbo University,Ningbo,Zhejiang,315000,China)

机构地区：[1]宁波大学附属人民医院耳鼻咽喉科,浙江宁波315040 [2]宁波大学附属人民医院介入科,浙江宁波315040

出　　处：《中国耳鼻咽喉头颈外科》2021年第12期743-745,749,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的本研究旨在明确儿童肥胖与分泌性中耳炎(otitis media with effusion,OME)患病率及预后的关系。方法选取2017~2019年因OME就诊宁波大学附属人民医院的患儿共112例进行研究,112例全部行鼓膜置管术治疗;另选取130例年龄、性别与研究组相匹配的儿童作为对照组,并根据年龄、性别、体质量指数(BMI)进行分组研究,探讨实验组和对照组BMI的差异,然后将研究对象进一步分为肥胖组和非肥胖组进行统计分析,以明确BMI对OME患病率和预后的影响。结果实验组BMI值明显高于对照组[(19.98±5.20)kg/m^(2) vs(17.25±4.21)kg/m^(2)](P=0.032)。OME患儿肥胖发生率明显高于对照组(25.0%vs 19.2%)(P=0.021)。与非肥胖的OME患儿相比,肥胖患儿更容易复发(OR=3.51,95%CI:1.12-11.01)。结论儿童肥胖可能与OME的发生有关。与非肥胖患者相比,肥胖组患者OME更容易复发。OBJECTIVE To investigate the impact of pediatric obesity on the prevalence and prognosis of otitis media with effusion(OME).METHODS A case-control study on 112 children aged 2-18 years who underwent ventilation tube insertion for the treatment of OME during 2017-2019(cases) and 130 children with no history of OME matching for age and gender(control group) was conducted.Each group was divided into four subgroups based on body mass index(BMI) by age and gender.The difference in the BMI between the case and the control group was explored.The cases were further divided into obese and non-obese subgroups and were compared to determine the impact of obesity on the prevalence and prognos is of OME.RESULTS BMI issignificantly higher in the case group compared with the control group[(19.98±5.20)kg/m^(2)vs (17.25±4.21)kg/m^(2)](P=0.032).Obesity is significantly more prevalent in patients with OME compared with the control group(25.0% vs 19.2%)(P=0.021).Obese OME patients are more prone to develop recurrence compared with non-obese OME patients(OR=3.51,95%CI:1.12-11.01).CONCLUSION Pediatric obesity might be associated with the development of OME.Moreover,obese OME patients are more prone to develop recurrence compared with non-obese patients.

关 键 词：肥胖症 儿童 中耳炎 伴渗出液 人体质量指数 患病率 预后 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R723.14[医药卫生—临床医学]