Oksana Wojas, Edyta Krzych-Fałta, Konrad Furmańczyk, Diana Dziewa-Dawidczyk, Bolesław Samoliński, Piotr Samel-Kowalik
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引用次数: 0
摘要
导言：中耳炎（OME）是中耳的一种炎症，是指在鼓膜完好的情况下，无菌液体或渗出物在鼓室内积聚。OME的病理生理学无疑是多因素的。目的：评估OME、过敏性鼻炎和哮喘的并发情况：研究涉及18617名年龄分别为6-7岁、13-14岁或20-44岁的受试者。研究采用了经过验证并适用于波兰国情的 ECRHS 和 ISAAC 问卷：结果：中耳炎会使过敏性鼻炎的发病风险增加近两倍（6-7 岁儿童的 OR = 2.07，95% CI：1.738-2.479；13-14 岁儿童的 OR = 1.61，95% CI：1.299-1.995；20-44 岁儿童的 OR = 1.55，95% CI：1.262-1.83）。中耳炎伴渗出的保护因素包括兄弟姐妹的数量（家中孩子越多，患慢性中耳炎的风险越高；OR = 2.00，95% CI：1.15-1.346）和食用富含乳酸菌的乳制品：结论：慢性咽鼓管炎更经常与其他疾病同时存在，尤其是过敏性鼻炎。
Co-occurrence of otitis media with effusion and another environment-dependent disease (selected allergic conditions).
Introduction: Otitis media eith effusion (OME) is an inflammatory condition of the middle ear that involves accumulation of sterile fluid or effusion in the tympanic cavity with the tympanic membrane intact. The pathophysiology of OME is undoubtedly multifactorial.
Aim: To assess the co-occurrence of OME, allergic rhinitis, and asthma.
Material and methods: The study involved a group of 18,617 subjects aged 6-7 years, 13-14 years, or 20-44 years. ECRHS and ISAAC questionnaires, validated and adopted for Polish conditions, were used in the study.
Results: OME increases the risk of developing allergic rhinitis by nearly two-fold (OR = 2.07, 95% CI: 1.738-2.479 in 6-7-year-olds; OR = 1.61, 95% CI: 1.299-1.995 in 13-14-year-olds, and OR = 1.55, 95% CI: 1.262-1.83 in 20-44-year-olds). Protective factors against otitis media with effusion include the number of siblings (the more children in the family, the higher the risk of chronic OM; OR = 2.00, 95% CI: 1.15-1.346) and consumption of dairy products rich in lactic acid bacteria.
Conclusions: OME significantly more often co-exists with other conditions, particularly allergic rhinitis.
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