鼓膜置管术对分泌性中耳炎患儿术后生活质量的影响

目的:探讨鼓膜置管术对分泌性中耳炎(SOM)患儿术后生活质量的影响,为临床治疗SOM患儿提供理论参考。方法:采用中文版本《慢性耳病调查量表》(CCES)、中耳炎儿童生活质量调查问卷(OM-6)评分和儿童行为量表(CBCL)对我院2016年1月到2019年8月收治的300例SOM患儿行鼓膜置管术前术后进行评分,比较分析鼓膜置管术对患者生活质量的影响。结果:治疗后,患儿CCES各项目分值较治疗前均明显升高(P0.05),患者OM-6调查问卷评分在听力丧失、情感障碍、身体疼痛、活动限制及家长担忧五个方面分值均明显降低,差异均有统计学意义(P0.05)。治疗后,男患儿CBCL调查在抑郁、社交退缩、多动、攻击性、分裂样及强迫性六个方面评分明显低于治疗前,差异均有统计学意义(P0.05);女患儿CBCL调查在抑郁、社交退缩、多动、攻击性及分裂强迫五个方面评分明显低于治疗前,差异均有统计学意义(P0.05)。结论:SOM患儿鼓膜置管术后临床症状和生活质量改善明显,鼓膜置管术是分泌性中耳炎患儿患儿有效的治疗措施。

The Effect of Tympanic Membrane Catheterization on the Quality of Life of Children with Secretory Otitis Media

ABSTRACT Objective: To explore the effect of tympanic membrane catheterization on the quality of life of children with secretory otitis media (SOM) after operation, so as to provide theoretical reference for clinical treatment of SOM. Methods: The Chinese version of Chronic Ear Survey(CCES), Questionnaire on the quality of life of children with otitis media(OM-6) and child behavior checklist(CBCL)were used to evaluate the quality of life of 300 SOM children before and after tympanic membrane catheterization in our hospital from January 2016 to August 2019. Results: After treatment, the scores of CCES items were significantly higher than those before treatment (P<0.05). OM-6 questionnaire scores were significantly lower in hearing loss, emotional disorder, physical pain, activity limitation and parents'' worries (P<0.05). After treatment, the scores of depression, social withdrawal, hyperactivity, aggression, schizoid and compulsion in CBCL of male children were significantly lower than those before treatment (P<0.05); the scores of depression, social withdrawal, hyperactivity, aggression and schizoid compulsion in CBCL of female children were significantly lower than those before treatment (P<0.05). Conclusion: The clinical symptoms and quality of life of children with SOM were significantly improved after tympanic membrane catheterization. tympanic membrane catheterization is an effective treatment for children with secretory otitis media.