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本文报告婴幼儿期反复发作的中耳炎与以后多动症之间的联系。总共有67例小儿列为研究对象,年龄6～13岁,均存在学习困难的情况。他们中,27例由2位以上的评价者诊断为多动症。其中16例用中枢兴奋剂治疗。其余40例为非多动小儿,作为对照用。多动与非多动小儿间的平均年龄、平均智商无显著性差异。通过回顾性调查,发现婴幼儿期中耳炎感染次数的增多与出现多动行为以及多动的严重程度间存在正相关。使用药物治疗的多动小儿中,有3次或以上的中耳炎感染史者占94%,中耳炎感染在10次以上者占69%。相比之下,表现学习差而非多动小儿中,有3次或以上中耳炎感染史者占50%,中耳炎感染在10次或以上者占20%。尽管本研究提示复发性中耳炎与多动症间的显著相关性,但还不清楚是否这种联系是病因性的。
This article reports the association between recurrent otitis media in infancy and later ADHD. A total of 67 children were included in the study, aged 6 to 13 years old, all with learning difficulties. Among them, 27 patients were diagnosed with ADHD by two or more evaluators. Of these, 16 were treated with central stimulants. The remaining 40 cases of non-hyperactive children, as a control. The average age between hyperactivity and non-hyperactivity children had no significant difference in average IQ. Through a retrospective survey, it was found that there was a positive correlation between the increase in the number of otitis media infections in infants and young children, the occurrence of hyperactivity behaviors and the severity of hyperactivity. Of the hyperactive children who received medication, 94% had a history of otitis media infection 3 times or more and 69% had a otitis media infection more than 10 times. In contrast, poor performance in learning to move more than children, 3 or more infections of the history of otitis media accounted for 50%, otitis media infection in 10 times or more accounted for 20%. Although this study suggests a significant association between recurrent otitis media and ADHD, it is unclear whether this link is causative.