影响中耳炎术后不干耳的相关因素研究

目的 本研究旨在统计分析各因素对中耳炎术后干耳率的影响,以期提高中耳炎术后干耳率及减少复发。方法 收集2010-06~2013-06在我科手术治疗的中耳炎患者135例(135耳)作为研究对象。所有患者均首次手术治疗,按术后随访6月内是否干耳,分为干耳组(122例)与不干耳组(13例),分别分析两组病例中术前是否干耳、咽鼓管功能是否异常、采取的换药方式、有无吸烟史、是否伴有真菌感染等因素,并将上述资料整理进行统计学分析。结果 单因素分析表明术前达到干耳与否、咽鼓管通畅与障碍、是否伴有真菌感染,这三个因素是中耳炎术后形成不干耳的相关因素;不同换药方式及有无吸烟史这两个因素对术后不干耳的发生无明显影响。Logistic回归分析结果示:咽鼓管功能障碍、伴有真菌感染是中耳炎术后发生不干耳的危险因素。结论 咽鼓管功能障碍、伴有真菌感染为中耳炎术后发生不干耳的危险因素,对于此类患者临床应给予足够重视,充分做好围手术期准备及术后的处理工作。施行以手术为中心的综合治疗,提高临床治疗效果。

A study on related factors of the infected mastoid cavityafter the otitis media operation

Objective The purpose of this study was to sum up each factor influencing on the dry ear rate after otitis media operation in order to improve otitis media clinical dry ear rate and reduce the recurrence.Methods 135 cases (135 ears) with otitis media were collected from January 2010 to January 2013 in our hospital.All cases were first to accept operation treatment.Postoperative follow-up of 6 months,all cases were divided into two groups dry ear group (122 cases) and not dry ear group (13 cases) according to whether it was dry ear.The data were recoded as follows:whether it was dry ear in preoperative and whether the function of eustachian tube was normal,the dressing change,history of smoking or not;whether fungal infection accompanied.And the above informations were reorganized for statistical analysis.Results The three factors, whether it was dry ear in preoperative, whether the function of eustachian tube was normal and whether fungal infection accompanied, were related to the wet ear after the otitis media operation.Otorrhea or otopyorrhe were uncorrelated to the the dressing change and history of smoking.Logistic regression analysis result was that eustachian tube dysfunction, fungus infection were the risk factors for postoperative wet ear.Conclusion For such patients with eustachian tube dysfunction and fungal infection,the risk factors about reinfection after middle ear surgery,doctors should give enough attention,fully prepared to perioperative and postoperative treatment work.It is recommended comprehensive treatment centering on the operation,and improve the clinical therapeutic effect.