在儿童中防止不必要的 tympanostomy 管放置:一个 5 年更新
Sofia Piperno1, Zachary S Burgess2, Jason F Ohlstein3
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
International journal of pediatric otorhinolaryngology
|February 26, 2025
概括
对于没有中耳溢出 (MEE) 的复发性急性中耳炎 (rAOM) 的儿童,警等待是有效的,成功率为64.2%. 较大的儿童从这种方法中获益更多,符合2022年AAO指南.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科医学 儿科医学
- 临床指南 临床指南
背景情况:
- 2022年美国耳鼻喉学会 (AAO) 的指导方针建议,如果中耳溢出 (MEE) 缺少,对于患有复发性急性中耳炎 (rAOM) 的儿童,不要插入 tympanostomy管.
- 这项研究提供了对这些指南在儿科患者群体中的有效性进行5年更新.
研究的目的:
- 评估对被诊断为没有MEE的rAOM的儿科患者的警觉等待的有效性.
- 根据2022年AAO临床指南,评估保守管理的成功率.
主要方法:
- 在德克萨斯大学医学分院进行了一项回顾性队列研究.
- 图表审查包括285名6个月至12岁的儿童,在评估时有RAOM但没有MEE.
- 患者被分为一个警等待 (WW) 组和一个最终需要用管 (BMT) 放置的神经膜切除术的组.
主要成果:
- 警等待方法的成功率为64.2%.
- 两组之间观察到一个显著的年龄差异 (WW: 2.62 ± 1.87年与 BMT: 1.79 ± 1.19年; p < 0.001).
- 两组之间没有发现共同的RAOM风险因素的显著差异.
结论:
- 警等待的成功率为64.2%,支持2022年AAO指导方针,用于儿科 tympanostomy管放置.
- 这一成功率与之前的机构调查结果相一致,即五年前的66%.
- 较大的孩子更有可能在没有 tympanostomy 管的情况下获得成功的观察,这一发现与之前的研究相反.
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