Risk factors for otitis media with effusion in children
10.3321/j.issn:1673-0860.2008.12.007
- VernacularTitle:儿童分泌性中耳炎危险因素分析
- Author:
Ping CHEN
1
;
Zhi-Nan WANG
;
Zhong-Qiang XU
;
You-Hua WEI
;
Shun-Fang YAO
;
An-Na PENG
;
Dan ZHANG
Author Information
1. 湖北省武汉市妇女儿童医疗保健中心
- Keywords:
Otitis media with effusion;
Child;
Risk factors
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(12):903-905
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the risk factors for otitis media with effusion(OME)in some kindergarten children in Wuhan City of China and analyze the results with reference to the review of the literature.Methotis The study subjects were 3 to 6 years old children drawn from a school screening program for OME in Wuhan.All subjects were assessed with routine otorhinolaryngologic examination,otoscopic examination and tympanometry.During the test,parents were interviewed to provide information with regard to the children's birth history,neonatal history,feeding history,family smoke history,otological history,rhinorrhea,sneeze,nasal obstruction,snoring,tonsillitis episodes history,et al.These data formed the basis in the estimation of potential risk factors for OME.Results In the univariate analysis of 144 cases and 288 controls,significantly elevated odds ratios(OR)for OME were detected on the symptoms of Hasal obstruction(OR=2.60,P=0.002),rhinorrhoea(OR=1.442,P=0.003),high hard palate(OR=4.411,P＜0.0001),and previous history of acute otitis media(OR=1.77,P=0.025).However,four factors were found to be significant in the multivariate logistic regression model,including feeding history (OR=0.746.P=0.047),Hasal obstruction(OR=2.56,P=0.003)and previous acute otitis media episodes(0R=1.735,P=0.032).Conclusions Previous acute otitis media episodes and nasal obstruction were risk factors,which wa,6 accordant with literature.In addition,breastfeeding was a protective factor for OME,but acute tonsihis was not a factor for OME.A child who had previous acute otitis media episode and ofen had nasal obstruction is suggested to have otorhinolaryngologic regulately examintion.
