| 肖 栋,杜晓东,张 磊,沈 帆,谢晓颖.EarWell耳矫治器对新生儿耳廓畸形的效果及其预后不良影响因素分析[J].,2023,(6):1131-1135 |
| EarWell耳矫治器对新生儿耳廓畸形的效果及其预后不良影响因素分析 |
| Analysis of The Effect of Earwell Ear Appliance on Auricle Malformation of Newborn and Its Adverse Prognostic Factors |
| 投稿时间：2022-08-08 修订日期：2022-08-30 |
| DOI：10.13241/j.cnki.pmb.2023.06.026 |
| 中文关键词: EarWell耳矫治器 新生儿 耳廓畸形 预后不良 影响因素 |
| 英文关键词: Earwell ear appliance Newborn Auricle deformity Poor prognosis Influence factor |
| 基金项目:江苏省2017年科教强卫项目（QNRC2016200） |
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| 中文摘要: |
| 摘要 目的：探讨EarWell耳矫治器对新生儿耳廓畸形的效果及其预后不良影响因素。方法：选取我院2019年3月到2022年3月收治的60例（共78耳）耳廓畸形新生儿作为研究对象，依照患儿年龄进行分组，将年龄≤7 d的16例（21耳）患儿分为A组，8-14 d的21例（26耳）分为B组，15-28 d的23（31耳）分为C组，对所有患儿采取EarWell耳矫治器治疗，对比不同组别患儿新生儿耳廓畸形的治疗总有效率，并发症和矫治时间。通过复查随访评价患儿预后情况，将48例（60耳）预后良好的患儿分为预后良好组，将12例（18耳）预后不良的患儿分为预后不良组，对比两组患儿临床相关资料。最后，采用logistic回归分析分析EarWell耳矫治器对新生儿耳廓畸形治疗预后不良的影响因素。结果：三组患儿治疗总有效率差异显著，A组（100.00 %）高于B组（88.46 %）与C组（64.52 %）（P＜0.05）；A组患儿并发症发生率为14.29 %，B组为15.38 %，C组为19.35 %，组间对比有差异（P＞0.05）；预后良好组与预后不良组患儿性别、畸形部位对比无差异（P＞0.05），预后良好组与预后不良组患儿年龄、耳廓畸形Max分型、外耳道闭锁分级以及容貌耳长差值对比差异显著（P＜0.05）；logistic回归分析结果显示，年龄、耳廓畸形Max分型为新生儿耳廓畸形治疗预后不良的独立影响因素（P＜0.05）。结论：EarWell耳矫治器对于新生儿耳廓畸形矫治效果显著，并发症发生率较低，且年龄越小矫治效果越好。年龄、耳廓畸形Max分型为耳廓畸形新生儿的预后不良的独立影响因素，临床上针对此类患儿需采取一定预防措施，预防预后不良现象的发生。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of earwell ear appliance on neonatal auricle malformation and its adverse prognostic factors. Methods: 60 newborns (78 ears in total) with auricle malformation admitted to our hospital from March 2019 to March 2022 were selected as the study objects. They were grouped according to the age of the children. 16 infants (21 ears) with the age ≤7 d were divided into group A, 21 infants (26 ears) with the age of 8-14 d were divided into group B, and 23 infants (31 ears) with the age of 15-28 d were divided into group C. all the infants were treated with earwell ear appliance. The total effective rate of the treatment of neonatal auricle malformation in different groups of children was compared, Complications and treatment time. The prognosis of children was evaluated by review and follow-up, 48 children (60 ears) with good prognosis were divided into good prognosis group, and 12 children (18 ears) were divided into poor prognosis group, and the clinical relevant data of the two groups were compared. Finally, logistic regression analysis was used to analyze the factors affecting the poor prognosis of earwell ear appliance in the treatment of neonatal auricle malformations. Results: The total effective rate of the three groups was higher in group A (100.00 %) than in group B (88.46 %) and group C (64.52 %) (P<0.05); The complication rate of children in group A was 14.29%, group B was 15.38%, and group C was 19.35. There was no difference between the two groups (P>0.05); There was no difference between the good prognosis group and the poor prognosis group in terms of gender and deformity site (P>0.05). There were differences between the good prognosis group and the poor prognosis group in terms of age, Max classification of auricle malformation, external auditory canal atresia classification and facial ear length difference (P<0.05); The results of logistic regression analysis showed that age and Max classification of auricle malformation were independent factors affecting the poor prognosis of neonatal auricle malformation treatment (P<0.05). Conclusion: Earwell ear appliance has a effect on the correction of auricle deformity of newborns, with a low incidence of complications, and the younger the age, the better the correction effect. Age and Max classification of auricle malformation are independent factors affecting the poor prognosis of newborns with auricle malformation. In clinical practice, certain preventive measures should be taken to prevent the occurrence of poor prognosis. |
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