儿童分泌性中耳炎发病率与被动吸烟的相关性研究

摘要

目的 探讨儿童分泌性中耳炎发病率与被动吸烟的相关性.方法 采用病例对照研究设计,收集2013年1月至2016年12月诊治的分泌性中耳炎患儿267例作为实验组,并按性别、年龄匹配健康儿童267例为对照组,采用调查问卷面访形式调查对象被动吸烟情况,记录结果并分析两组的差异.结果 实验组被动吸烟率60.30%,对照组为40.45%,两组相比,实验组被动吸烟率显著高于对照组(P<0.05),被动吸烟儿童罹患分泌性中耳炎的概率是无被动吸烟儿童的2.236倍(95%CI=1. 52-3.161,P=0.000).结论 被动吸烟是儿童分泌性中耳炎的危险因素,监护人应采取措施减少儿童被动吸烟的暴露,以减低罹患分泌性中耳炎的可能.%Objective To investigate the correlation between incidence of secretory otitis media and passive smoking in children. Methods We performed a case-control study including 267 children with secretory otitis media from Jan 2013 to Jan 2016 Dec as the experience group and 267 healthy children as control group, who were matched by sex and age. The situation of passive smoking were obtained and analysed through the form of questionnaire survey. Results The rate of passive smoking of the experience group was 60.30%, while 40.45% in the control group. The rate of passive smoking in the experimental group was significantly higher than that of the control group (P<0.05). The risk of secretory otitis media in children with passive smoking was higher than those without passive smoking (OR=2.236, 95%CI=1.52-3.161, P=0.000). Conclusion Passive smoking is a risk factor for secretory otitis media in children, and the guardian should take measures to reduce the exposure of children to passive smoking so as to reduce the risk of secretory otitis media.