摘要
目的探索老年患者单耳分泌性中耳炎(SOM)的临床特征,并分析影响复发的相关因素。方法回顾性分析2011年1月至2016年12月在该院行鼓膜置管术的84例老年单耳SOM患者(老年组)及100例非老年单耳SOM患者(对照组)的临床特征,采用逐步Logistic回归分析探讨老年单耳SOM复发的影响因素。结果两组单耳SOM患者性别、左右耳发病、主要症状及主要病因的构成比比较,差异均无统计学意义(P>0.05);两组病程、鼓室导抗图类型及纯音听阈检测耳聋类型构成比比较,差异均有统计学意义(P<0.05)。老年组治疗有效率低于对照组,差异有统计学意义(79.76%vs.91.00%,χ2=4.752,P=0.029)。Logistics回归分析显示,反复上呼吸道感染及慢性鼻窦炎是老年单耳SOM复发的影响因素[OR=17.972,95%CI:2.173~148.611;OR=13.596,95%CI:1.698~108.847]。结论老年单耳SOM的临床特征与非老年患者既有相似性又有差异性,诊断时应提供完善、系统的检查;反复的上呼吸道感染、慢性鼻窦炎是影响老年单耳SOM复发的危险因素。
Objective To investigate the clinical features of unilateral secretory otitis media(SOM),and to analyze the related factors affecting recurrence in elderly patients.Methods The clinical data of 84 unilateral SOM elderly patients(the elderly group)and 100 non-elderly unilateral SOM patients(the control group)in this hospital from January 2011 to December 2016 were retrospectively analysed.Stepwise logistic regression analysis was used to investigate the influencing factors of SOM recurrence in elderly patients.Results There was no statistically significant difference in composition ratio of patients in different genders,patients with lesion in left ear or right ear,patients with different main symptoms and main causes between the two groups(P>0.05).There were statistically significant differences in the disease duration,composition ratio of patients with different tympanogram types and patients with different deafness types detected by tympanostomy between the two groups(P<0.05).The efficiency rate in the elderly group was lower than that in the control group,and the difference was statistically significant(79.76%vs.91.00%,χ2=4.752,P=0.029).The logistic regression analysis showed that repeated upper respiratory tract infection and chronic sinusitis were the influencing factors of SOM recurrence in elderly patients[OR=17.972,95%CI:2.173-148.611;OR=13.596,95%CI:1.698-108.847].Conclusion There are similarities and differences in clinical features of unilateral SOM between elderly and non-elderly patients.Comprehensive and systematic examination should be provided during diagnosis.Repeated upper respiratory tract infection and chronic sinusitis are risk factors for recurrence of SOM in the elderly.
作者
李献清
欧阳顺林
LI Xianqing;OUYANG Shunlin(Department of Otolaryngology,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510150,China)
出处
《重庆医学》
CAS
2019年第24期4183-4186,共4页
Chongqing medicine
关键词
老年患者
伴渗出液中耳炎
临床特征
复发
危险因素
elderly patients
otitis media with effusion
clinical features
recurrence
risk factors
