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The prevalence of atopic symptoms in children with otitis media with effusion.

机译:患有积液的中耳炎儿童的特应性症状患病率。

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摘要

OBJECTIVE: To determine the prevalence of allergic symptoms in children with otitis media with effusion (OME). STUDY DESIGN: A validated questionnaire from the International Study of Asthma and Allergies in Childhood was used to determine the prevalence of allergic symptoms in children. The questionnaire was completed by the parents of children with OME undergoing ventilation tube insertion, and the results were compared with a large reference group of school children of the same age. SUBJECTS AND METHODS: Children aged 6 or 7 years old with OME confirmed intraoperatively during ventilation tube insertion between 2001 and 2005 (n=89). The prevalence of allergic symptoms and nasal symptoms in children with OME was compared with an age-matched reference group. RESULTS: There was no difference in the prevalence of allergic symptoms suggesting rhinoconjunctivitis, asthma, or eczema between the OME and reference group. The prevalence of nasal symptoms, however, was greater in the children with OME than in the reference group 38.2 percent versus 23.5 percent (odds ratio=2.01; 95% confidence interval, 1.30-3.10; P<0.001). CONCLUSION: The prevalence of allergic symptoms was similar in 6- to 7-year-old children with OME and the reference group, suggesting a limited effect of allergy in the pathogenesis of OME in this age group. Nasal symptoms were more common in the OME group, which may reflect a higher prevalence of adenoidal hyperplasia.
机译:目的:确定中耳炎积液(OME)患儿过敏症状的患病率。研究设计:使用国际儿童哮喘和过敏研究的经过验证的问卷来确定儿童过敏症状的患病率。该调查表由接受通气管插入的OME儿童的父母填写,并将结果与​​同龄学龄儿童的较大参考人群进行了比较。研究对象和方法:2001年至2005年间,在通气管插入过程中,术中证实了6岁或7岁的OME儿童(n = 89)。将OME儿童的过敏症状和鼻部症状的患病率与年龄匹配的参考组进行比较。结果:OME与参考组之间的过敏症状发生率无差异,表明鼻结膜炎,哮喘或湿疹。然而,OME患儿的鼻部症状患病率高于对照组,分别为38.2%和23.5%(几率= 2.01; 95%置信区间为1.30-3.10; P <0.001)。结论:6至7岁的OME儿童和参考组的过敏症状患病率相似,这表明该年龄段的OME对发病机理的过敏作用有限。鼻部症状在OME组中更为常见,这可能反映了腺样体增生的患病率较高。

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