中耳炎的遗传性:双胞胎和三胞胎研究
M L Casselbrant1, E M Mandel, P A Fall
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, PA 15213, USA. casselm@chplink.chp.edu
JAMA
|December 11, 1999
概括
遗传学在儿童中起着重要的作用.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 传染性疾病的遗传学
- 儿童疾病的流行病学.
背景情况:
- 现有的数据表明,对儿童中耳中炎的长期和复发有遗传影响.
- 中耳炎,特别是急性中耳炎 (AOM),是一种常见的儿童疾病,具有潜在的长期后果.
研究的目的:
- 量化在生命的头两年中对中耳溢出和AOM的遗传贡献.
- 调查中耳溢出和AOM事件的持续时间和频率的遗传性.
主要方法:
- 从1982年到1995年,对双胞胎和三胞胎进行了一项前性队列研究.
- 招募了168个同性双胞胎和7个三胞胎组,并跟踪了长达两年的时间.
- 分析的重点是中耳溢出时间的比例,以及溢出和AOM发作的数量,分层按化.
主要成果:
- 在两年内,与中耳溢出有关的时间遗传率估计为0.73 (P<.001).
- 与双胞胎双胞胎相比,单胞胎双胞胎在多次中耳溢出发作 (0.04) 和AOM发作 (0.04) 中的不一致率明显较低 (分别为0.37和0.49).
- 不一致差异的P值是P = .01对于溢出发作和P = .005对于AOM发作.
结论:
- 这项研究提供了强有力的证据表明,一个重要的遗传成分影响了儿童中耳溢出和AOM的持续时间和频率.
- 这些发现强调了遗传因素对中耳炎易感性和病程的重要性.
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